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
Calhoun, GA
See all hospitals reporting APC 5521 →Price type
Adventhealth Gordon’s median price of $128 is 29% above the median hospital's median price ($99), higher than 66% of the 743 hospitals reporting APC 5521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 2 | Humana medicare managed care plan other · outpatient | $87 | $87 | — | — | 19 | $87 – $87 |
| 3 | Aetna medicare managed care plan other · outpatient | $87 | $87 | — | — | 11 | $87 – $87 |
| 4 | Caresource medicaid managed care plan other · outpatient | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 5 | Aetna hmo/ppo percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | 15 | $128 – $128 |
| 6 | Blue Cross Blue Shield ppo other · outpatient | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 7 | Oscar individual plan hmo exchange other · outpatient | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 8 | UnitedHealthcare hmo/ppo percent of total billed charges · outpatientfrom % of charges | $446 | $446 | — | — | 1–10 | $446 – $446 |
| 9 | Cigna hmo/ppo percent of total billed charges · outpatientfrom % of charges | $486 | $486 | — | — | 15 | $486 – $486 |
| 10 | Blue Cross Blue Shield hmo other · outpatient | $620 | $620 | — | — | 21 | $620 – $620 |
Last updated: Apr 1, 2026
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