APC 5523
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.
Original text from hospital filings
Level 3 Imaging without Contrast
Grosse Pointe, MI
See all hospitals reporting APC 5523 →Price type
William Beaumont Hospital’s median price of $219 is 29% below the median hospital's median price ($309), higher than 1% of the 744 hospitals reporting APC 5523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 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 | Aetna better health medicaid managed care plan facility · other · outpatient | $130 | $130 | — | — | 18 | $130 – $130 |
| 2 | Blue Cross Blue Shield complete medicaid managed care plan facility · other · outpatient | $130 | $130 | — | — | 245 | $130 – $130 |
| 3 | Molina medicaid managed care plan facility · other · outpatient | $130 | $130 | — | — | 134 | $130 – $130 |
| 4 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $130 | $130 | — | — | 210 | $130 – $130 |
| 5 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $186 | $186 | — | — | 129 | $186 – $186 |
| 6 | Molina medicare managed care plan facility · other · outpatient | $196 | $196 | — | — | 16 | $196 – $196 |
| 7 | Aetna medicare managed care plan facility · other · outpatient | $208 | $208 | — | — | 193 | $208 – $208 |
| 8 | Humana medicare managed care plan facility · other · outpatient | $212 | $212 | — | — | 243 | $212 – $212 |
| 9 | WellCare meridian medicare managed care plan facility · other · outpatient | $215 | $215 | — | — | 90 | $215 – $215 |
| 10 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $232 | $232 | — | — | 1,108 | $232 – $232 |
| 11 | Blue Cross Blue Shield exchange facility · other · outpatient | $237 | $237 | — | — | 92 | $237 – $237 |
| 12 | Blue Cross Blue Shield all commercial plans facility · other · outpatient | $253 | $253 | — | — | 1,972 | $253 – $253 |
| 13 | Molina exchange facility · other · outpatient | $308 | $308 | — | — | 19 | $308 – $308 |
| 14 | Aetna all commercial plans facility · other · outpatient | $352 | $352 | — | — | 76 | $352 – $352 |
Last updated: Apr 1, 2026
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