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
Tomahawk, WI
See all hospitals reporting APC 5521 →Price type
Aspirus Tomahawk Hospital’s median price of $304 is 207% above the median hospital's median price ($99), higher than 89% of the 739 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: 9 payers, 22 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 | UnitedHealthcare united healthcare wisconsin medicaid plans other · outpatient | $117 | $117 | — | — | 34 | $117 – $117 |
| 2 | Anthem anthem mediblue dual hmo snp other · outpatient | $119 | $119 | — | — | 18 | $119 – $119 |
| 3 | UnitedHealthcare united healthcare medicare advantage plans other · outpatient | $142 | $142 | — | — | 190 | $142 – $142 |
| 4 | Anthem anthem mediblue access ppo other · outpatient | $154 | $154 | — | — | 30 | $154 – $154 |
| 5 | Anthem anthem medicare advantage plans other · outpatient | $154 | $154 | — | — | 49 | $154 – $154 |
| 6 | UnitedHealthcare va community care network other · outpatient | $158 | $158 | — | — | 78 | $158 – $158 |
| 7 | Anthem anthem mediblue plus hmo other · outpatient | $168 | $168 | — | — | 45 | $168 – $168 |
| 8 | Aetna medicare advantage esa other · outpatient | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 9 | Humana humana medicare ppo/pos/hmo network plans other · outpatient | $202 | $202 | — | — | 24 | $202 – $202 |
| 10 | Anthem anthem wisconsin medicaid plans other · outpatient | $237 | $237 | — | — | 24 | $237 – $237 |
| 11 | MultiPlan phcs ppo networks percent of total billed charges · outpatientfrom % of charges | $255 | $255 | — | — | 1–10 | $255 – $255 |
| 12 | Anthem anthem blue access ppo other · outpatient | $288 | $288 | — | — | 54 | $288 – $288 |
| 13 | Anthem anthem federal employee program other · outpatient | $292 | $292 | — | — | 1–10 | $292 – $292 |
| 14 | Anthem anthem blue preferred pos other · outpatient | $304 | $304 | — | — | 117 | $304 – $304 |
| 15 | Tricare tricare plans other · outpatient | $321 | $321 | — | — | 1–10 | $321 – $321 |
| 16 | Anthem anthem blue preferred hmo other · outpatient | $363 | $363 | — | — | 1–10 | $363 – $363 |
| 17 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks other · outpatient | $387 | $387 | — | — | 75 | $387 – $387 |
| 18 | First Health first health national rental ppo network percent of total billed charges · outpatientfrom % of charges | $392 | $392 | — | — | 1–10 | $392 – $392 |
| 19 | Cigna cigna ppo and open access plus benefit plans percent of total billed charges · outpatientfrom % of charges | $425 | $425 | — | — | 12 | $425 – $425 |
| 20 | Healthpartners health partners commercial ppo percent of total billed charges · outpatientfrom % of charges | $433 | $433 | — | — | 1–10 | $433 – $433 |
| 21 | MultiPlan aetna health plan ppo networks percent of total billed charges · outpatientfrom % of charges | $545 | $545 | — | — | 1–10 | $545 – $545 |
| 22 | MultiPlan multiplan ppo network plans percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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