APC 5023

Emergency department visit, level 3 at Sentara Hospitals

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 3 Type A ED Visits

Hampton, VA

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Pricing by billing methodology

Price type

How this price compares nationally

Sentara Hospitals’s median price of $540 is 71% above the median hospital's median price ($315), higher than 79% of the 728 hospitals reporting APC 5023. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5023 at Sentara Hospitals

Negotiated rates from the hospital’s own file: 10 payers, 23 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	First Health ppo facility · other · outpatient	$100	$100	—	—	1–10	$100 – $100
2	Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient	$180	$180	—	—	800	$180 – $180
3	Humana medicare managed care plan facility · other · outpatient	$215	$215	—	—	878	$215 – $215
4	UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient	$244	$244	—	—	785	$244 – $244
5	Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient	$276	$276	—	—	6,398	$276 – $276
6	UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient	$283	$283	—	—	1,319	$283 – $283
7	MultiPlan phcs ppo facility · other · outpatient	$317	$317	—	—	1–10	$317 – $317
8	Amerihealth Caritas medicaid managed care plan facility · other · outpatient	$338	$338	—	—	1–10	$338 – $338
9	WellCare medicaid managed care plan facility · other · outpatient	$439	$439	—	—	1–10	$439 – $439
10	Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient	$466	$466	—	—	1–10	$466 – $466
11	Medcost virginia link other commercial plan facility · other · outpatient	$500	$500	—	—	1–10	$500 – $500
12	UnitedHealthcare qnbr other commercial plan facility · other · outpatient	$586	$586	—	—	48	$586 – $586
13	UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient	$592	$592	—	—	1–10	$592 – $592
14	Aetna va preferred other commercial plan facility · other · outpatient	$600	$600	—	—	53	$600 – $600
15	Blue Cross Blue Shield anthem exchange facility · other · outpatient	$608	$608	—	—	166	$608 – $608
16	Blue Cross Blue Shield anthem hmo facility · other · outpatient	$716	$716	—	—	519	$716 – $716
17	Blue Cross Blue Shield anthem ppo facility · other · outpatient	$724	$724	—	—	3,472	$724 – $724
18	Cigna open access plus b other commercial plan facility · other · outpatient	$846	$846	—	—	14	$846 – $846
19	Aetna all commercial plans facility · other · outpatient	$1.0k	$1.0k	—	—	461	$1.0k – $1.0k
20	Cigna ppo/pos facility · other · outpatient	$1.1k	$1.1k	—	—	369	$1.1k – $1.1k
21	UnitedHealthcare options ppo facility · other · outpatient	$1.2k	$1.2k	—	—	133	$1.2k – $1.2k
22	UnitedHealthcare all commercial plans facility · other · outpatient	$1.3k	$1.3k	—	—	299	$1.3k – $1.3k
23	UnitedHealthcare onenet workers compensation plan facility · other · outpatient	$2.6k	$2.6k	—	—	1–10	$2.6k – $2.6k

Last updated: Apr 1, 2026

Compare to other hospitals

See Emergency department visit, level 3 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.