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
Lagrange, IN
See all hospitals reporting APC 5521 →Price type
Parkview Lagrange Hospital’s median price of $137 is 39% above the median hospital's median price ($99), higher than 68% 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: 7 payers, 20 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 hoosier care connect medicaid managed care plan facility · other · outpatient | $68 | $68 | — | — | 15 | $68 – $68 |
| 2 | Blue Cross Blue Shield anthem hoosier healthwise medicaid managed care plan facility · other · outpatient | $72 | $72 | — | — | 41 | $72 – $72 |
| 3 | Caresource hoosier healthwise medicaid managed care plan facility · other · outpatient | $74 | $74 | — | — | 21 | $74 – $74 |
| 4 | Caresource healthy indiana plan medicaid managed care plan facility · other · outpatient | $75 | $75 | — | — | 19 | $75 – $75 |
| 5 | Humana medicaid managed care plan facility · other · outpatient | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 6 | Humana medicare managed care plan facility · other · outpatient | $101 | $101 | — | — | 200 | $101 – $101 |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | 95 | $102 – $102 |
| 8 | UnitedHealthcare medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | 349 | $102 – $102 |
| 9 | Aetna medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | 23 | $102 – $102 |
| 10 | Blue Cross Blue Shield anthem healthy indiana plan medicaid managed care plan facility · other · outpatient | $113 | $113 | — | — | 79 | $113 – $113 |
| 11 | Blue Cross Blue Shield anthem exchange facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | 39 | $144 – $144 |
| 12 | Blue Cross Blue Shield anthem dual medicare/medicaid managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 13 | UnitedHealthcare all commercial plans facility · other · outpatient | $169 | $169 | — | — | 131 | $169 – $169 |
| 14 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $188 | $188 | — | — | 426 | $188 – $188 |
| 15 | Caresource exchange facility · percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | 21 | $212 – $212 |
| 16 | Blue Cross Blue Shield anthem pathways medicaid managed care plan facility · other · outpatient | $227 | $227 | — | — | 16 | $227 – $227 |
| 17 | Cigna all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $289 | $289 | — | — | 34 | $289 – $289 |
| 18 | Aetna all commercial plans facility · other · outpatient | $343 | $343 | — | — | 29 | $343 – $343 |
| 19 | UnitedHealthcare pathways medicaid managed care plan facility · other · outpatient | $423 | $423 | — | — | 1–10 | $423 – $423 |
| 20 | First Health all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $620 | $620 | — | — | 1–10 | $620 – $620 |
Last updated: Sep 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.