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
Devils Lake, ND
See all hospitals reporting APC 5521 →Price type
Altru Hospital Devils Lake’s median price of $135 is 37% above the median hospital's median price ($99), higher than 68% 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: 8 payers, 18 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 medicaid managed care plan facility · other · outpatient | $57 | $57 | $21 | 37% | 974 | $36 – $78 |
| 2 | Aetna all commercial plans facility · other · outpatient | $63 | $63 | — | — | 130 | $63 – $63 |
| 3 | Ucare all commercial plans facility · other · outpatient | $81 | $81 | — | — | 51 | $81 – $81 |
| 4 | Blue Cross Blue Shield all commercial plans facility · other · outpatient | $85 | $94 | $51 | 54% | 8,573 | $36 – $161 |
| 5 | Optum all commercial plans facility · other · outpatient | $94 | $94 | — | — | 411 | $94 – $94 |
| 6 | Humana medicare managed care plan facility · other · outpatient | $135 | $135 | — | — | 233 | $135 – $135 |
| 7 | Medica medicare managed care plan facility · other · outpatient | $135 | $135 | — | — | 499 | $135 – $135 |
| 8 | Ucare medicare managed care plan facility · other · outpatient | $135 | $135 | — | — | 127 | $135 – $135 |
| 9 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $135 | $135 | — | — | 526 | $135 – $135 |
| 10 | Medica medicaid managed care plan facility · other · outpatient | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 11 | Aetna medicare managed care plan facility · other · outpatient | $136 | $136 | — | — | 68 | $136 – $136 |
| 12 | Sanford Health Plan all commercial plans facility · other · outpatient | $137 | $137 | — | — | 2,221 | $137 – $137 |
| 13 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $138 | $138 | $2 | 2% | 1,097 | $135 – $140 |
| 14 | Medica all commercial plans facility · other · outpatient | $162 | $162 | — | — | 926 | $162 – $162 |
| 15 | UnitedHealthcare all commercial plans facility · other · outpatient | $171 | $171 | — | — | 478 | $171 – $171 |
| 16 | UnitedHealthcare medicaid managed care plan – hmo facility · other · outpatient | $171 | $171 | — | — | 151 | $171 – $171 |
| 17 | Ucare medicaid managed care plan – hmo facility · other · outpatient | $172 | $172 | — | — | 34 | $172 – $172 |
| 18 | Medica medicaid managed care plan – hmo facility · other · outpatient | $174 | $174 | — | — | 51 | $174 – $174 |
Last updated: Mar 1, 2026
See Imaging without contrast, level 1 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.