APC 5521

Imaging without contrast, level 1 at AdventHealth Polk

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

Columbus, NC

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Pricing by billing methodology

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How this price compares nationally

AdventHealth Polk’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.

Payers reporting APC 5521 at AdventHealth Polk

Negotiated rates from the hospital’s own file: 9 payers, 16 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 healthy blue medicaid managed care - hmo other · outpatient	$32	$32	—	—	43	$32 – $32
2	Devoted medicare managed care - hmo/ppo percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	14	$89 – $89
3	Aetna medicare managed care - hmo percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	81	$94 – $94
4	Humana medicare managed care - hmo/ppo percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	173	$94 – $94
5	WellCare medicare managed care - hmo percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	12	$96 – $96
6	Blue Cross Blue Shield medicare managed care - hmo/ppo percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	57	$97 – $97
7	UnitedHealthcare medicare managed care - hmo/ppo percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	126	$97 – $97
8	Amerihealth Caritas medicaid managed care - hmo other · outpatient	$128	$128	—	—	33	$128 – $128
9	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	1–10	$156 – $156
10	UnitedHealthcare community plan medicaid managed care - hmo other · outpatient	$156	$156	—	—	44	$156 – $156
11	Blue Cross Blue Shield hmo/ppo other · outpatient	$242	$242	—	—	170	$242 – $242
12	UnitedHealthcare hmo/ppo other · outpatient	$265	$265	—	—	46	$265 – $265
13	Cigna hmo/ppo percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	21	$275 – $275
14	Aetna hmo/ppo other · outpatient	$322	$322	—	—	75	$322 – $322
15	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	1–10	$327 – $327
16	UnitedHealthcare optum va ccn government other · outpatient	$513	$513	—	—	1–10	$513 – $513

Last updated: Apr 1, 2026

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