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
Circleville, OH
See all hospitals reporting APC 5521 →Price type
Berger Hospital’s median price of $84 is 15% below the median hospital's median price ($99), higher than 6% 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: 9 payers, 24 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 | Caresource medicaid managed care plan other · outpatient | $65 | $65 | — | — | 177 | $65 – $65 |
| 2 | Molina medicare managed care plan other · outpatient | $66 | $66 | — | — | 22 | $66 – $66 |
| 3 | Caresource medicare managed care plan other · outpatient | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 4 | Molina medicaid managed care plan other · outpatient | $67 | $67 | — | — | 120 | $67 – $67 |
| 5 | UnitedHealthcare medicaid managed care plan other · outpatient | $70 | $70 | — | — | 30 | $70 – $70 |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $71 | $71 | — | — | 34 | $71 – $71 |
| 7 | Humana medicaid managed care plan other · outpatient | $74 | $74 | — | — | 28 | $74 – $74 |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $82 | $82 | — | — | 144 | $82 – $82 |
| 9 | Aetna medicare managed care plan other · outpatient | $82 | $82 | — | — | 191 | $82 – $82 |
| 10 | Medical Mutual medicare managed care plan other · outpatient | $83 | $83 | — | — | 48 | $83 – $83 |
| 11 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $84 | $84 | — | — | 147 | $84 – $84 |
| 12 | Devoted medicare managed care plan other · outpatient | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 13 | Humana medicare managed care plan other · outpatient | $84 | $84 | — | — | 100 | $84 – $84 |
| 14 | Blue Cross Blue Shield pathway exchange other · outpatient | $197 | $197 | — | — | 40 | $197 – $197 |
| 15 | Caresource exchange other · outpatient | $224 | $224 | — | — | 1–10 | $224 – $224 |
| 16 | Medical Mutual exchange other · outpatient | $226 | $226 | — | — | 20 | $226 – $226 |
| 17 | Cigna great west other commercial plan other · outpatient | $272 | $272 | — | — | 1–10 | $272 – $272 |
| 18 | Aetna all commercial plans other · outpatient | $272 | $272 | — | — | 134 | $272 – $272 |
| 19 | Blue Cross Blue Shield traditional other · outpatient | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $358 | $358 | — | — | 299 | $358 – $358 |
| 21 | Medical Mutual all commercial plans other · outpatient | $378 | $378 | — | — | 87 | $378 – $378 |
| 22 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $404 | $404 | — | — | 383 | $404 – $404 |
| 23 | Cigna hmo other · outpatient | $547 | $547 | — | — | 34 | $547 – $547 |
| 24 | Cigna ppo other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
Last updated: Apr 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.