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
Houston, TX
See all hospitals reporting APC 5521 →Price type
Methodist Willowbrook Hospital’s median price of $144 is 45% above the median hospital's median price ($99), higher than 72% 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: 11 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 | Molina medicare/medicaid managed care plan other · outpatient | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 2 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $86 | $86 | — | — | 109 | $86 – $86 |
| 3 | UnitedHealthcare medicare managed care - ppo other · outpatient | $87 | $87 | — | — | 687 | $87 – $87 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $87 | $87 | — | — | 285 | $87 – $87 |
| 5 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $88 | $88 | — | — | 25 | $88 – $88 |
| 6 | Humana hmo/pos other · outpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 7 | Humana medicare managed care - ppo other · outpatient | $88 | $88 | — | — | 459 | $88 – $88 |
| 8 | Aetna medicare managed care - hmo/ppo other · outpatient | $88 | $88 | — | — | 550 | $88 – $88 |
| 9 | Aetna transplant other · outpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 10 | UnitedHealthcare medicare managed care - hmo other · outpatient | $89 | $89 | — | — | 378 | $89 – $89 |
| 11 | Optum transplant medicare managed care plan other · outpatient | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 12 | Devoted medicare managed care - hmo other · outpatient | $94 | $94 | — | — | 101 | $94 – $94 |
| 13 | MultiPlan ppo other · outpatient | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 14 | Aetna new business discount other commercial plan other · outpatient | $137 | $137 | — | — | 19 | $137 – $137 |
| 15 | Aetna hmo/pos/ppo other · outpatient | $138 | $138 | — | — | 458 | $138 – $138 |
| 16 | Molina exchange other · outpatient | $176 | $176 | — | — | 18 | $176 – $176 |
| 17 | Blue Cross Blue Shield all commercial plans other · outpatient | $316 | $316 | — | — | 2,259 | $316 – $316 |
| 18 | First Health first health/coventry ppo other · outpatient | $437 | $437 | — | — | 13 | $437 – $437 |
| 19 | Molina advantage medicare managed care plan other · outpatient | $454 | $454 | — | — | 1–10 | $454 – $454 |
| 20 | Cigna network c-24 hmo/ppo other · outpatient | $815 | $815 | — | — | 136 | $815 – $815 |
| 21 | Cigna local plus/surefit hmo/ppo other · outpatient | $875 | $875 | — | — | 19 | $875 – $875 |
| 22 | Cigna all other benefit plans ppo other · outpatient | $905 | $905 | — | — | 31 | $905 – $905 |
| 23 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $972 | $972 | — | — | 585 | $972 – $972 |
| 24 | Phcs ppo other · outpatient | $989 | $989 | — | — | 16 | $989 – $989 |
| 25 | UnitedHealthcare all commercial plans other · outpatient | $1.0k | $1.0k | — | — | 630 | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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