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
Salem, OR
See all hospitals reporting APC 5521 →Price type
Salem Hospital’s median price of $200 is 101% above the median hospital's median price ($99), higher than 81% 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: 5 payers, 10 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 | Kaiser medicare managed care plan other · outpatient | $106 | $106 | — | — | 22 | $106 – $106 |
| 2 | Blue Cross Blue Shield regence medicare managed care plan other · outpatient | $108 | $108 | — | — | 41 | $108 – $108 |
| 3 | Aetna medicare managed care plan other · outpatient | $110 | $110 | — | — | 139 | $110 – $110 |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $112 | $112 | — | — | 977 | $112 – $112 |
| 5 | Kaiser pebb other commericial other · outpatient | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 6 | Kaiser oebb other commercial plan other · outpatient | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 7 | Kaiser all commercial plans other · outpatient | $316 | $316 | — | — | 19 | $316 – $316 |
| 8 | Cigna all commercial plans other · outpatient | $372 | $372 | — | — | 165 | $372 – $372 |
| 9 | Aetna all commercial plans other · outpatient | $390 | $390 | — | — | 84 | $390 – $390 |
| 10 | UnitedHealthcare all commercial plans other · outpatient | $390 | $390 | — | — | 231 | $390 – $390 |
Last updated: Apr 1, 2026
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