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
Plainview, TX
See all hospitals reporting APC 5521 →Price type
Methodist Hospital Plainview’s median price of $178 is 79% above the median hospital's median price ($99), higher than 79% of the 739 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: 7 payers, 16 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 par traditional other · outpatient | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 2 | Aetna medicare managed care plan other · outpatient | $52 | $52 | — | — | 94 | $52 – $52 |
| 3 | Phcs all commercial plans other · outpatient | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 4 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $87 | $87 | — | — | 849 | $87 – $87 |
| 6 | Blue Cross Blue Shield vapc3 government other · outpatient | $89 | $89 | — | — | 59 | $89 – $89 |
| 7 | Humana medicare managed care plan other · outpatient | $89 | $89 | — | — | 216 | $89 – $89 |
| 8 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | 410 | $176 – $176 |
| 9 | First Health coventry all commercial plans other · outpatient | $183 | $183 | — | — | 24 | $183 – $183 |
| 10 | Blue Cross Blue Shield hmo other · outpatient | $231 | $231 | — | — | 150 | $231 – $231 |
| 11 | Blue Cross Blue Shield ers hmo other · outpatient | $235 | $235 | — | — | 292 | $235 – $235 |
| 12 | Blue Cross Blue Shield ppo other · outpatient | $248 | $248 | — | — | 1,109 | $248 – $248 |
| 13 | Aetna all commercial plans other · outpatient | $254 | $254 | — | — | 52 | $254 – $254 |
| 14 | UnitedHealthcare all commercial plans percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | 198 | $275 – $275 |
| 15 | Cigna oap other commercial plan percent of total billed charges · outpatientfrom % of charges | $278 | $278 | — | — | 48 | $278 – $278 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $278 | $278 | — | — | 45 | $278 – $278 |
Last updated: Apr 1, 2026
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