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
Grove City, OH
See all hospitals reporting APC 5521 →Price type
Grove City Methodist’s median price of $84 is 15% below the median hospital's median price ($99), higher than 7% 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, 27 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 | $64 | $64 | — | — | 14 | $64 – $64 |
| 2 | Molina medicare managed care plan other · outpatient | $66 | $66 | — | — | 53 | $66 – $66 |
| 3 | UnitedHealthcare medicaid managed care plan other · outpatient | $72 | $72 | — | — | 145 | $72 – $72 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $72 | $72 | — | — | 90 | $72 – $72 |
| 5 | Humana medicaid managed care plan other · outpatient | $76 | $76 | — | — | 94 | $76 – $76 |
| 6 | Molina medicaid managed care plan other · outpatient | $76 | $76 | — | — | 317 | $76 – $76 |
| 7 | Aetna medicare managed care plan other · outpatient | $80 | $80 | — | — | 391 | $80 – $80 |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $81 | $81 | — | — | 369 | $81 – $81 |
| 9 | Medical Mutual medicare managed care plan other · outpatient | $81 | $81 | — | — | 104 | $81 – $81 |
| 10 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $81 | $81 | — | — | 215 | $81 – $81 |
| 11 | Humana medicare managed care plan other · outpatient | $81 | $81 | — | — | 341 | $81 – $81 |
| 12 | Devoted medicare managed care plan other · outpatient | $82 | $82 | — | — | 37 | $82 – $82 |
| 13 | Caresource medicaid managed care plan other · outpatient | $85 | $85 | — | — | 745 | $85 – $85 |
| 14 | Blue Cross Blue Shield pathway exchange other · outpatient | $113 | $113 | — | — | 102 | $113 – $113 |
| 15 | Medical Mutual exchange other · outpatient | $126 | $126 | — | — | 37 | $126 – $126 |
| 16 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $185 | $185 | — | — | 1,015 | $185 – $185 |
| 17 | Aetna asa other commercial plan other · outpatient | $207 | $207 | — | — | 146 | $207 – $207 |
| 18 | Blue Cross Blue Shield anthem traditional other · outpatient | $210 | $210 | — | — | 1–10 | $210 – $210 |
| 19 | Aetna all commercial plans other · outpatient | $211 | $211 | — | — | 354 | $211 – $211 |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $222 | $222 | — | — | 203 | $222 – $222 |
| 21 | UnitedHealthcare options other commercial plan other · outpatient | $226 | $226 | — | — | 684 | $226 – $226 |
| 22 | Medical Mutual all commercial plans other · outpatient | $231 | $231 | — | — | 322 | $231 – $231 |
| 23 | Cigna hmo other · outpatient | $251 | $251 | — | — | 139 | $251 – $251 |
| 24 | Caresource exchange other · outpatient | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 25 | Cigna ppo other · outpatient | $268 | $268 | — | — | 1–10 | $268 – $268 |
Last updated: Apr 1, 2026
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