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 Louis, MO
See all hospitals reporting APC 5521 →Price type
SSM-SLUH, Inc.’s median price of $99 is about the same as the median hospital's median price ($99), higher than 50% 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: 10 payers, 30 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 medicaid managed care plan other · outpatient | $46 | $46 | — | — | 273 | $46 – $46 |
| 2 | Aetna better health medicaid managed care plan other · outpatient | $46 | $46 | — | — | 92 | $46 – $46 |
| 3 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $46 | $46 | — | — | 107 | $46 – $46 |
| 4 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $47 | $47 | — | — | 98 | $47 – $47 |
| 5 | Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | 35 | $49 – $49 |
| 6 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $50 | $50 | — | — | 680 | $50 – $50 |
| 7 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $51 | $51 | — | — | 1,035 | $51 – $51 |
| 8 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $54 | $54 | — | — | 328 | $54 – $54 |
| 9 | Cigna all commercial plans other · outpatient | $57 | $57 | — | — | 366 | $57 – $57 |
| 10 | Humana all commercial plans percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 11 | UnitedHealthcare medicare managed care - behavioral health other · outpatient | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 12 | Optum transplant medicare managed care plan other · outpatient | $83 | $83 | — | — | 32 | $83 – $83 |
| 13 | Humana medicare managed care plan other · outpatient | $84 | $84 | — | — | 191 | $84 – $84 |
| 14 | UnitedHealthcare optum vaccn government other · outpatient | $84 | $84 | — | — | 166 | $84 – $84 |
| 15 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $93 | $93 | — | — | 303 | $93 – $93 |
| 16 | UnitedHealthcare medicare managed care plan other · outpatient | $94 | $94 | — | — | 1,585 | $94 – $94 |
| 17 | Aetna gold advantage medicare managed care plan other · outpatient | $94 | $94 | — | — | 688 | $94 – $94 |
| 18 | Medica exchange other · outpatient | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 19 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $103 | $103 | — | — | 1,076 | $103 – $103 |
| 20 | UnitedHealthcare options ppo other · outpatient | $103 | $103 | — | — | 195 | $103 – $103 |
| 21 | Molina dual eligible medicare/medicaid managed care plan other · outpatient | $106 | $106 | — | — | 23 | $106 – $106 |
| 22 | Oscar exchange other · outpatient | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 23 | UnitedHealthcare employee other · outpatient | $115 | $115 | — | — | 134 | $115 – $115 |
| 24 | Medica medicare managed care plan other · outpatient | $123 | $123 | — | — | 11 | $123 – $123 |
| 25 | Phcs all commercial plans other · outpatient | $164 | $164 | — | — | 25 | $164 – $164 |
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.