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
$91
Average
$505
Median
$428
High
$1.7k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 2.5× 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.
Filter by billing methodology
Filter by billing class
20 hospital rates
iThe hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · other · outpatient | 3 | $222 | $317 | $158 | 50% | 124–133 | $190 – $540 |
| 2 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $453 | $453 | — | — | 1–10 | $453 – $453 |
| 3 | Aspirus Lake View Hospital Two Harbors, MN percent of total billed charges · outpatientfrom % of charges | 1 | $583 | $583 | — | — | 1–10 | $583 – $583 |
| 4 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $473 | $473 | — | — | 11 | $473 – $473 |
| 5 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $588 | $588 | — | — | 1–10 | $588 – $588 |
| 6 | Aspirus Merrill Hospital Merrill, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 7 | Aspirus Plover Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 23 | $286 – $286 |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 1 | $676 | $676 | — | — | 19 | $676 – $676 |
| 9 | Aspirus St. Luke’s Hospital Duluth, MN other · outpatient | 3 | $365 | $306 | $102 | 33% | 44–53 | $162 – $391 |
| 10 | Aspirus Stanley Hospital Stanley, WI percent of total billed charges · outpatientfrom % of charges | 1 | $369 | $369 | — | — | 1–10 | $369 – $369 |
| 11 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $513 | $513 | — | — | 12 | $513 – $513 |
| 12 | Aspirus Tomahawk Hospital Tomahawk, WI percent of total billed charges · outpatientfrom % of charges | 1 | $433 | $433 | — | — | 1–10 | $433 – $433 |
| 13 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | — | — | 15 | $525 – $525 |
| 14 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | 1–10 | $288 – $288 |
| 15 | Howard Young Medical Center Woodruff, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | NGMC Barrow, LLC Winder, GA other · outpatient | 1 | $424 | $424 | — | — | 29 | $424 – $424 |
| 17 | Northeast Georgia Medical Center Habersham, LLC Demorest, GA other · outpatient | 1 | $259 | $259 | — | — | 122 | $259 – $259 |
| 18 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 8 | $384 | $384 | $128 | 33% | 935–980 | $86 – $514 |
| 19 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 8 | $384 | $384 | $128 | 33% | 935–980 | $86 – $514 |
| 20 | Winona Health Services Winona, MN facility · other · outpatient | 1 | $91 | $91 | — | — | 1–10 | $91 – $91 |
← Payers reporting APC 5521 · Snapshot 20261111T120946Z-9134e7f7