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
Hampton, VA
See all hospitals reporting APC 5521 →Price type
Sentara Hospitals’s median price of $256 is 158% above the median hospital's median price ($99), higher than 86% 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: 8 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medcost virginia link other commercial plan facility · other · outpatient | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $73 | $73 | — | — | 309 | $73 – $73 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $74 | $74 | — | — | 131 | $74 – $74 |
| 4 | MultiPlan phcs ppo facility · other · outpatient | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $84 | $84 | — | — | 159 | $84 – $84 |
| 6 | Humana medicare managed care plan facility · other · outpatient | $99 | $99 | — | — | 224 | $99 – $99 |
| 7 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $121 | $121 | — | — | 449 | $121 – $121 |
| 8 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $245 | $245 | — | — | 67 | $245 – $245 |
| 9 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $248 | $248 | — | — | 1,325 | $248 – $248 |
| 10 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $254 | $254 | — | — | 217 | $254 – $254 |
| 11 | UnitedHealthcare onenet workers compensation plan facility · other · outpatient | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 12 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $261 | $261 | — | — | 1–10 | $261 – $261 |
| 13 | Cigna open access plus b other commercial plan facility · other · outpatient | $262 | $262 | — | — | 14 | $262 – $262 |
| 14 | Aetna va preferred other commercial plan facility · other · outpatient | $324 | $324 | — | — | 31 | $324 – $324 |
| 15 | UnitedHealthcare options ppo facility · other · outpatient | $327 | $327 | — | — | 61 | $327 – $327 |
| 16 | UnitedHealthcare all commercial plans facility · other · outpatient | $405 | $405 | — | — | 136 | $405 – $405 |
| 17 | WellCare medicaid managed care plan facility · other · outpatient | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 18 | Aetna all commercial plans facility · other · outpatient | $677 | $677 | — | — | 143 | $677 – $677 |
| 19 | Cigna ppo/pos facility · other · outpatient | $814 | $814 | — | — | 121 | $814 – $814 |
| 20 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $979 | $979 | — | — | 1–10 | $979 – $979 |
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.