APC 5521

Imaging without contrast, level 1 at The Methodist Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Imaging without Contrast

Houston, TX

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Pricing by billing methodology

Price type

How this price compares nationally

The Methodist Hospital’s median price of $409 is 313% above the median hospital's median price ($99), higher than 93% of the 743 hospitals reporting APC 5521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5521 at The Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 27 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 medicare managed care - ppo other · outpatient	$86	$86	—	—	259	$86 – $86
2	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$87	$87	—	—	302	$87 – $87
3	UnitedHealthcare medicare managed care - ppo other · outpatient	$87	$87	—	—	934	$87 – $87
4	Humana medicare managed care - ppo other · outpatient	$88	$88	—	—	438	$88 – $88
5	Aetna medicare managed care - hmo/ppo other · outpatient	$88	$88	—	—	740	$88 – $88
6	UnitedHealthcare medicare managed care - hmo other · outpatient	$89	$89	—	—	425	$89 – $89
7	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$100	$100	—	—	27	$100 – $100
8	Aetna new business discount other commercial plan other · outpatient	$125	$125	—	—	13	$125 – $125
9	Devoted medicare managed care - hmo other · outpatient	$130	$130	—	—	123	$130 – $130
10	Aetna hmo/pos/ppo other · outpatient	$146	$146	—	—	761	$146 – $146
11	Molina advantage medicare managed care plan other · outpatient	$179	$179	—	—	1–10	$179 – $179
12	Molina exchange other · outpatient	$190	$190	—	—	92	$190 – $190
13	Phcs ppo other · outpatient	$205	$205	—	—	1–10	$205 – $205
14	Blue Cross Blue Shield all commercial plans other · outpatient	$316	$316	—	—	3,900	$316 – $316
15	Optum transplant medicare managed care plan other · outpatient	$413	$413	—	—	152	$413 – $413
16	First Health first health/coventry ppo other · outpatient	$437	$437	—	—	1–10	$437 – $437
17	Cigna network c-24 hmo/ppo other · outpatient	$524	$524	—	—	187	$524 – $524
18	Cigna local plus/surefit hmo/ppo other · outpatient	$587	$587	—	—	32	$587 – $587
19	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$620	$620	—	—	1,400	$620 – $620
20	Cigna all other benefit plans ppo other · outpatient	$652	$652	—	—	37	$652 – $652
21	Molina medicaid managed care plan other · outpatient	$706	$706	—	—	27	$706 – $706
22	MultiPlan ppo other · outpatient	$833	$833	—	—	1–10	$833 – $833
23	UnitedHealthcare all commercial plans other · outpatient	$1.1k	$1.1k	—	—	1,033	$1.1k – $1.1k
24	Aetna transplant other · outpatient	$7.3k	$7.3k	—	—	33	$7.3k – $7.3k
25	Optum transplant other · outpatient	$7.8k	$7.8k	—	—	138	$7.8k – $7.8k

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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