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
Dublin, OH
See all hospitals reporting APC 5521 →Price type
Dublin Methodist Hospital’s median price of $125 is 26% above the median hospital's median price ($99), higher than 64% 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: 10 payers, 28 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 medicare managed care plan other · outpatient | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 2 | Molina medicare managed care plan other · outpatient | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 3 | Aetna medicare managed care plan other · outpatient | $83 | $83 | — | — | 512 | $83 – $83 |
| 4 | Medical Mutual medicare managed care plan other · outpatient | $83 | $83 | — | — | 80 | $83 – $83 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $83 | $83 | — | — | 247 | $83 – $83 |
| 6 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $84 | $84 | — | — | 165 | $84 – $84 |
| 7 | Devoted medicare managed care plan other · outpatient | $84 | $84 | — | — | 19 | $84 – $84 |
| 8 | Humana medicare managed care plan other · outpatient | $84 | $84 | — | — | 264 | $84 – $84 |
| 9 | Caresource exchange other · outpatient | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 10 | Molina medicaid managed care plan other · outpatient | $112 | $112 | — | — | 56 | $112 – $112 |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $122 | $122 | — | — | 41 | $122 – $122 |
| 12 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $123 | $123 | — | — | 32 | $123 – $123 |
| 13 | Medical Mutual exchange other · outpatient | $128 | $128 | — | — | 56 | $128 – $128 |
| 14 | First Health all commercial plans other · outpatient | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 15 | Caresource medicaid managed care plan other · outpatient | $144 | $144 | — | — | 190 | $144 – $144 |
| 16 | Humana medicaid managed care plan other · outpatient | $148 | $148 | — | — | 29 | $148 – $148 |
| 17 | Blue Cross Blue Shield anthem traditional other · outpatient | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 18 | Blue Cross Blue Shield pathway exchange other · outpatient | $207 | $207 | — | — | 134 | $207 – $207 |
| 19 | Medical Mutual traditional other · outpatient | $208 | $208 | — | — | 1–10 | $208 – $208 |
| 20 | Cigna great west other commercial plan other · outpatient | $302 | $302 | — | — | 49 | $302 – $302 |
| 21 | Cigna ppo other · outpatient | $338 | $338 | — | — | 1–10 | $338 – $338 |
| 22 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $394 | $394 | — | — | 1,215 | $394 – $394 |
| 23 | Medical Mutual all commercial plans other · outpatient | $433 | $433 | — | — | 371 | $433 – $433 |
| 24 | Cigna hmo other · outpatient | $440 | $440 | — | — | 209 | $440 – $440 |
| 25 | UnitedHealthcare all commercial plans other · outpatient | $442 | $442 | — | — | 334 | $442 – $442 |
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.