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
Delaware, OH
See all hospitals reporting APC 5521 →Price type
Grady Memorial 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, 26 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina medicare managed care plan other · outpatient | $68 | $68 | — | — | 20 | $68 – $68 |
| 2 | Molina medicaid managed care plan other · outpatient | $74 | $74 | — | — | 83 | $74 – $74 |
| 3 | Caresource medicaid managed care plan other · outpatient | $77 | $77 | — | — | 202 | $77 – $77 |
| 4 | Aetna medicaid managed care plan other · outpatient | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 5 | Caresource medicare managed care plan other · outpatient | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 6 | UnitedHealthcare medicaid managed care plan other · outpatient | $79 | $79 | — | — | 66 | $79 – $79 |
| 7 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $80 | $80 | — | — | 28 | $80 – $80 |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $82 | $82 | — | — | 197 | $82 – $82 |
| 9 | Aetna medicare managed care plan other · outpatient | $82 | $82 | — | — | 371 | $82 – $82 |
| 10 | Medical Mutual medicare managed care plan other · outpatient | $83 | $83 | — | — | 110 | $83 – $83 |
| 11 | Humana medicaid managed care plan other · outpatient | $84 | $84 | — | — | 42 | $84 – $84 |
| 12 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $84 | $84 | — | — | 169 | $84 – $84 |
| 13 | Devoted medicare managed care plan other · outpatient | $84 | $84 | — | — | 42 | $84 – $84 |
| 14 | Humana medicare managed care plan other · outpatient | $84 | $84 | — | — | 255 | $84 – $84 |
| 15 | Medical Mutual exchange other · outpatient | $118 | $118 | — | — | 27 | $118 – $118 |
| 16 | Blue Cross Blue Shield pathway exchange other · outpatient | $164 | $164 | — | — | 72 | $164 – $164 |
| 17 | Caresource exchange other · outpatient | $171 | $171 | — | — | 1–10 | $171 – $171 |
| 18 | Medical Mutual all commercial plans other · outpatient | $264 | $264 | — | — | 229 | $264 – $264 |
| 19 | Aetna all commercial plans other · outpatient | $269 | $269 | — | — | 373 | $269 – $269 |
| 20 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $274 | $274 | — | — | 746 | $274 – $274 |
| 21 | Blue Cross Blue Shield anthem traditional other · outpatient | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 22 | Cigna hmo other · outpatient | $293 | $293 | — | — | 117 | $293 – $293 |
| 23 | Cigna ppo other · outpatient | $293 | $293 | — | — | 1–10 | $293 – $293 |
| 24 | Cigna great west other commercial plan other · outpatient | $300 | $300 | — | — | 27 | $300 – $300 |
| 25 | UnitedHealthcare all commercial plans other · outpatient | $304 | $304 | — | — | 611 | $304 – $304 |
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.