APC 5521

Imaging without contrast, level 1 at Marion General Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Imaging without Contrast

Marion, OH

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Payers reporting APC 5521 at Marion General Hospital

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	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$66	$66	—	—	488	$66 – $66
2	UnitedHealthcare medicare managed care plan other · outpatient	$66	$66	—	—	678	$66 – $66
3	Caresource medicaid managed care plan other · outpatient	$66	$66	—	—	997	$66 – $66
4	Caresource medicare managed care plan other · outpatient	$66	$66	—	—	13	$66 – $66
5	Molina medicaid managed care plan other · outpatient	$68	$68	—	—	551	$68 – $68
6	Molina medicare managed care plan other · outpatient	$68	$68	—	—	1–10	$68 – $68
7	UnitedHealthcare medicaid managed care plan other · outpatient	$73	$73	—	—	228	$73 – $73
8	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$74	$74	—	—	139	$74 – $74
9	Humana medicaid managed care plan other · outpatient	$77	$77	—	—	141	$77 – $77
10	Devoted medicare managed care plan other · outpatient	$81	$81	—	—	185	$81 – $81
11	Humana medicare managed care plan other · outpatient	$81	$81	—	—	501	$81 – $81
12	Aetna medicare managed care plan other · outpatient	$82	$82	—	—	784	$82 – $82
13	Medical Mutual medicare managed care plan other · outpatient	$83	$83	—	—	436	$83 – $83
14	Medical Mutual exchange other · outpatient	$185	$185	—	—	52	$185 – $185
15	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$196	$196	—	—	119	$196 – $196
16	Caresource exchange other · outpatient	$221	$221	—	—	32	$221 – $221
17	UnitedHealthcare all commercial plans other · outpatient	$399	$399	—	—	771	$399 – $399
18	Blue Cross Blue Shield anthem traditional other · outpatient	$409	$409	—	—	1–10	$409 – $409
19	Medical Mutual all commercial plans other · outpatient	$413	$413	—	—	508	$413 – $413
20	Aetna all commercial plans other · outpatient	$416	$416	—	—	217	$416 – $416
21	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$417	$417	—	—	1,056	$417 – $417
22	Cigna great west other commercial plan other · outpatient	$451	$451	—	—	52	$451 – $451
23	Cigna hmo other · outpatient	$451	$451	—	—	104	$451 – $451
24	Cigna ppo other · outpatient	$554	$554	—	—	1–10	$554 – $554