APC 5523

Imaging scan without contrast dye at The Methodist Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 3 Imaging without Contrast

Houston, TX

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Pricing by billing methodology

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How this price compares nationally

The Methodist Hospital’s median price of $629 is 104% above the median hospital's median price ($308), higher than 79% of the 740 hospitals reporting APC 5523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5523 at The Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Molina medicare/medicaid managed care plan other · outpatient	$201	$201	—	—	1–10	$201 – $201
2	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$237	$237	—	—	313	$237 – $237
3	UnitedHealthcare medicare managed care - ppo other · outpatient	$238	$238	—	—	976	$238 – $238
4	Aetna medicare managed care - hmo/ppo other · outpatient	$242	$242	—	—	722	$242 – $242
5	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$242	$242	—	—	19	$242 – $242
6	Humana medicare managed care - ppo other · outpatient	$242	$242	—	—	483	$242 – $242
7	UnitedHealthcare medicare managed care - hmo other · outpatient	$243	$243	—	—	519	$243 – $243
8	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$244	$244	—	—	300	$244 – $244
9	Devoted medicare managed care - hmo other · outpatient	$255	$255	—	—	93	$255 – $255
10	Optum transplant medicare managed care plan other · outpatient	$366	$366	—	—	77	$366 – $366
11	Molina exchange other · outpatient	$523	$523	—	—	53	$523 – $523
12	First Health first health/coventry ppo other · outpatient	$530	$530	—	—	1–10	$530 – $530
13	Phcs ppo other · outpatient	$565	$565	—	—	14	$565 – $565
14	Humana transplant other · outpatient	$605	$605	—	—	1–10	$605 – $605
15	Molina medicaid managed care plan other · outpatient	$654	$654	—	—	14	$654 – $654
16	Blue Cross Blue Shield all commercial plans other · outpatient	$1.6k	$1.6k	—	—	4,793	$1.6k – $1.6k
17	Cigna all other benefit plans ppo other · outpatient	$2.0k	$2.0k	—	—	66	$2.0k – $2.0k
18	Cigna local plus/surefit hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	24	$2.0k – $2.0k
19	Cigna network c-24 hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	221	$2.0k – $2.0k
20	UnitedHealthcare all commercial plans other · outpatient	$2.1k	$2.1k	—	—	1,469	$2.1k – $2.1k
21	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$2.1k	$2.1k	—	—	1,507	$2.1k – $2.1k
22	Aetna transplant other · outpatient	$2.3k	$2.3k	—	—	13	$2.3k – $2.3k
23	Aetna hmo/pos/ppo other · outpatient	$2.3k	$2.3k	—	—	1,039	$2.3k – $2.3k
24	Aetna new business discount other commercial plan other · outpatient	$2.4k	$2.4k	—	—	22	$2.4k – $2.4k
25	Optum transplant other · outpatient	$3.5k	$3.5k	—	—	53	$3.5k – $3.5k

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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