APC 5521
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 1 Imaging without Contrast
Low
$72
Average
$407
Median
$187
High
$43.2k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 498 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Endeavor Health Clinical Operations Evanston, IL | $90 | $173 | $147 | 85% | 77,613–77,622 | $71 – $446 |
| 2 | Edward Hospital Naperville, IL | $84 | $175 | $220 | 125% | 32,397–32,451 | $35 – $854 |
| 3 | Ucsf Medical Center San Francisco, CA | $587 | $595 | $624 | 105% | 32,395–32,512 | $37 – $3.6k |
| 4 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA | $587 | $595 | $624 | 105% | 32,395–32,512 | $37 – $3.6k |
| 5 | Northwest Community Hospital Arlington Heights, IL | $108 | $164 | $163 | 100% | 29,427–29,472 | $38 – $632 |
| 6 | William Beaumont Hospital Royal Oak, MI | $77 | $76 | $32 | 42% | 28,022–28,031 | $29 – $185 |
| 7 | William Beaumont Hospital Troy, MI | $77 | $76 | $32 | 42% | 28,022–28,031 | $29 – $185 |
| 8 | Marietta Memorial Hospital Marietta, OH | $139 | $153 | $95 | 62% | 27,220–27,229 | $35 – $377 |
| 9 | Elmhurst Memorial Hospital Elmhurst, IL | $86 | $174 | $221 | 127% | 27,088–27,151 | $39 – $854 |
| 10 | Wellstar Kennestone Hospital Marietta, GA | $91 | $134 | $102 | 76% | 26,843–26,861 | $32 – $490 |
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