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
$60
Average
$348
Median
$197
High
$751
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 9.2× 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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14 hospital rates
iThe hospitals that file a Magellan 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 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $103 | $103 | $0 | 0% | — | $102 – $103 |
| 2 | HonorHealth Florence Medical Center Florence, AZ facility · other · outpatient | 1 | $197 | $197 | — | — | 1–10 | $197 – $197 |
| 3 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · other · outpatient | 1 | $197 | $197 | — | — | 1–10 | $197 – $197 |
| 4 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · other · outpatient | 1 | $60 | $60 | — | — | 35 | $60 – $60 |
| 5 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 1 | $498 | $498 | — | — | 1–10 | $498 – $498 |
| 6 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · other · outpatient | 1 | $80 | $80 | — | — | 16 | $80 – $80 |
| 7 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · other · outpatient | 1 | $470 | $470 | — | — | 1–10 | $470 – $470 |
| 8 | LEWISGALE HOSPITAL PULASKI PULASKI, VA fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $96 | $91 | $5 | 5% | — | $86 – $96 |
| 10 | Oro Valley Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $96 | $91 | $5 | 5% | — | $86 – $96 |
| 11 | Regents of the University of California at Irvine Hospital Orange, CA other · outpatient | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
| 12 | UCI Health - Fountain Valley Orange, CA other · outpatient | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
| 13 | UCI Health - Lakewood Orange, CA other · outpatient | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
| 14 | UCI Health - Los Alamitos Orange, CA other · outpatient | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
← Payers reporting APC 5521 · Snapshot 20261111T120946Z-9134e7f7