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
Saint Petersburg, FL
See all hospitals reporting APC 5521 →Price type
OHI West, Inc.’s median price of $128 is 29% above the median hospital's median price ($99), higher than 66% 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: 13 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna better health - healthy kids medicaid managed care plan other · outpatient | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 2 | Aetna better health medicaid managed care plan other · outpatient | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 3 | Humana medicaid managed care plan other · outpatient | $55 | $55 | — | — | 27 | $55 – $55 |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $82 | $82 | — | — | 277 | $82 – $82 |
| 5 | Aetna medicare managed care plan other · outpatient | $87 | $87 | — | — | 112 | $87 – $87 |
| 6 | Blue Cross Blue Shield florida blue medicare managed care plan other · outpatient | $87 | $87 | — | — | 33 | $87 – $87 |
| 7 | Humana medicare managed care - hmo/ppo other · outpatient | $88 | $88 | — | — | 110 | $88 – $88 |
| 8 | Optum orlando va government other · outpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 9 | WellCare medicare managed care - hmo other · outpatient | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 10 | Devoted medicare managed care plan other · outpatient | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 11 | Molina medicaid managed care plan other · outpatient | $127 | $127 | — | — | 1–10 | $127 – $127 |
| 12 | Oscar all commercial plans other · outpatient | $128 | $128 | — | — | 21 | $128 – $128 |
| 13 | Ambetter sunshine exchange other · outpatient | $168 | $168 | — | — | 295 | $168 – $168 |
| 14 | Aetna qhp exchange other · outpatient | $169 | $169 | — | — | 20 | $169 – $169 |
| 15 | UnitedHealthcare choice select all commercial plans other · outpatient | $186 | $186 | — | — | 368 | $186 – $186 |
| 16 | UnitedHealthcare options ppo other · outpatient | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 17 | Cigna all commercial plans other · outpatient | $244 | $244 | — | — | 115 | $244 – $244 |
| 18 | Aetna hmo/ppo other · outpatient | $254 | $254 | — | — | 92 | $254 – $254 |
| 19 | Blue Cross Blue Shield blue select exchange other · outpatient | $277 | $277 | — | — | 55 | $277 – $277 |
| 20 | Blue Cross Blue Shield simply blue other commercial plan other · outpatient | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 21 | Blue Cross Blue Shield my blue exchange other · outpatient | $306 | $306 | — | — | 84 | $306 – $306 |
| 22 | Blue Cross Blue Shield blue care hmo other · outpatient | $330 | $330 | — | — | 16 | $330 – $330 |
| 23 | UnitedHealthcare neighborhood health partnership other commercial plan other · outpatient | $400 | $400 | — | — | 19 | $400 – $400 |
| 24 | Blue Cross Blue Shield network blue other commercial plan other · outpatient | $549 | $549 | — | — | 116 | $549 – $549 |
| 25 | Blue Cross Blue Shield ppo/phs/ppc other · outpatient | $582 | $582 | — | — | 160 | $582 – $582 |
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.