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
Winona, MN
See all hospitals reporting APC 5521 →Price type
Winona Health Services’s median price of $105 is 6% above the median hospital's median price ($99), higher than 55% 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: 6 payers, 17 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 | UnitedHealthcare wisconsin medicaid managed care plan facility · other · outpatient | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 2 | Blue Cross Blue Shield blue plus pmap medicaid managed care plans facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | 326 | $71 – $71 |
| 3 | Humana medicare managed care plan facility · other · outpatient | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 4 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $76 | $76 | — | — | 21 | $76 – $76 |
| 5 | Ucare medicare managed care plan facility · other · outpatient | $82 | $82 | — | — | 52 | $82 – $82 |
| 6 | Blue Cross Blue Shield medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | 34 | $90 – $90 |
| 7 | Ucare minnesota pmap medicaid managed care plan facility · other · outpatient | $90 | $90 | — | — | 197 | $90 – $90 |
| 8 | Healthpartners medicare managed care plan facility · other · outpatient | $91 | $91 | — | — | 1–10 | $91 – $91 |
| 9 | Ucare all commercial plans facility · other · outpatient | $118 | $118 | — | — | 1–10 | $118 – $118 |
| 10 | Medica minnesota pmap medicaid managed care plan facility · other · outpatient | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 11 | Medica medicare managed care plan facility · other · outpatient | $160 | $160 | — | — | 1–10 | $160 – $160 |
| 12 | Blue Cross Blue Shield wisconsin medicaid managed care plan facility · other · outpatient | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 13 | Medica all commercial plans facility · other · outpatient | $230 | $230 | — | — | 58 | $230 – $230 |
| 14 | Blue Cross Blue Shield state employee health plan facility · other · outpatient | $233 | $233 | — | — | 16 | $233 – $233 |
| 15 | UnitedHealthcare all commercial plans facility · other · outpatient | $240 | $240 | — | — | 95 | $240 – $240 |
| 16 | Blue Cross Blue Shield winona health employee plan facility · percent of total billed charges · outpatientfrom % of charges | $242 | $242 | — | — | 128 | $242 – $242 |
| 17 | Blue Cross Blue Shield all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | — | — | 332 | $261 – $261 |
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.