APC T5521
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 C
Low
$66
Average
$71
Median
$71
High
$76
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 81 | $73 | $72 | $3 | 5% | — | $54 – $78 |
| 2 | Caresource fee schedule · outpatient | 15 | $76 | $76 | — | — | — | $76 – $76 |
| 3 | Tricare case rate · outpatient · +1 other terms | 7 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $71 | $71 | — | — | — | $71 – $71 |
← Hospitals reporting APC T5521 · Snapshot 20261111T120946Z-9134e7f7