APC 5521

Imaging without contrast, level 1

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 1 Imaging without Contrast

Payers reporting APC 5521

Payer pricing summary

Low

$73

Average

$284

Median

$177

High

$1.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield other · outpatient · +8 other terms	239	$212	$348	$580	167%	443,084–445,154	$9 – $6.9k
2	UnitedHealthcare other · outpatient · +8 other terms	262	$201	$262	$530	202%	202,731–204,405	$20 – $5.5k
3	Aetna other · outpatient · +8 other terms	235	$164	$291	$910	312%	132,773–133,916	$36 – $17.6k
4	Humana other · outpatient · +7 other terms	213	$92	$167	$678	406%	51,024–51,582	$19 – $10.5k
5	Cigna other · outpatient · +6 other terms	189	$334	$549	$841	153%	49,303–49,870	$43 – $9.2k
6	Molina other · outpatient · +7 other terms	123	$94	$138	$152	109%	26,313–27,141	$8 – $1.1k
7	Excellus facility · other · outpatient · +1 other terms	8	$144	$146	$162	111%	26,036–26,045	$8 – $469
8	Caresource other · outpatient · +3 other terms	32	$107	$114	$70	62%	13,195–13,402	$30 – $405
9	Medical Mutual other · outpatient · +4 other terms	23	$213	$211	$115	55%	11,834–11,906	$35 – $514
10	Oscar facility · other · outpatient · +5 other terms	49	$141	$156	$32	21%	5,710–5,899	$86 – $799
11	Ambetter facility · other · outpatient · +5 other terms	31	$155	$196	$125	64%	5,164–5,245	$54 – $566
12	Kaiser other · outpatient · +6 other terms	42	$305	$940	$1.8k	196%	2,220–2,652	$21 – $7.9k
13	Healthpartners other · outpatient · +2 other terms	5	$384	$369	$125	34%	2,065–2,164	$86 – $514
14	Bcbs Mi other · outpatient · +1 other terms	3	$127	$156	$60	38%	1,908	$114 – $260
15	Optum facility · other · outpatient · +4 other terms	29	$152	$283	$171	61%	1,896–2,022	$34 – $1.0k
16	Highmark facility · other · outpatient · +2 other terms	13	$130	$141	$56	40%	1,815–1,887	$8 – $671
17	Ucare facility · other · outpatient · +2 other terms	4	$129	$139	$48	34%	1,265–1,292	$81 – $224
18	Bcbs Mn other · outpatient · +1 other terms	1	$197	$197	$54	27%	770	$136 – $284
19	First Health other · outpatient · +4 other terms	51	$274	$406	$331	82%	683–1,034	$25 – $1.8k
20	Tricare other · outpatient · +3 other terms	24	$128	$197	$168	85%	478–568	$28 – $648
21	Healthcare Highways other · outpatient · +2 other terms	6	$458	$533	$245	46%	420–447	$343 – $1.1k
22	Medicaid other · outpatient · +1 other terms	6	$158	$145	$53	36%	280–289	$78 – $223
23	Clover facility · other · outpatient · +4 other terms	24	$93	$98	$7	7%	266–365	$30 – $164
24	MultiPlan other · outpatient · +3 other terms	29	$249	$357	$264	74%	116–323	$60 – $837
25	Phcs other · outpatient · +3 other terms	21	$528	$640	$457	71%	113–248	$85 – $1.8k

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