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
Jackson, CA
See all hospitals reporting APC 5521 →Price type
Sutter Amador Hospital’s median price of $646 is 552% above the median hospital's median price ($99), higher than 96% 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: 5 payers, 11 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 | Anthem medi-cal facility · other · outpatient | $41 | $41 | — | — | 124 | $41 – $41 |
| 2 | Blue Cross Blue Shield medicare adv_ hmo / ppo facility · other · outpatient | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 3 | Anthem medicare adv_ hmo / ppo facility · other · outpatient | $122 | $122 | — | — | 38 | $122 – $122 |
| 4 | UnitedHealthcare medicare adv_ hmo / ppo facility · other · outpatient | $122 | $122 | — | — | 50 | $122 – $122 |
| 5 | Anthem individual facility · percent of total billed charges · outpatientfrom % of charges | $580 | $580 | — | — | 23 | $580 – $580 |
| 6 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $646 | $646 | — | — | 51 | $646 – $646 |
| 7 | Blue Cross Blue Shield individual facility · percent of total billed charges · outpatientfrom % of charges | $685 | $685 | — | — | 18 | $685 – $685 |
| 8 | Blue Cross Blue Shield hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $706 | $706 | — | — | 43 | $706 – $706 |
| 9 | UnitedHealthcare hmo / ppo facility · percent of total billed charges · outpatientfrom % of charges | $709 | $709 | — | — | 1–10 | $709 – $709 |
| 10 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $729 | $729 | — | — | 1–10 | $729 – $729 |
| 11 | Aetna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $740 | $740 | — | — | 1–10 | $740 – $740 |
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.