APC 5524
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 4 Imaging without Contrast
Hampton, VA
See all hospitals reporting APC 5524 →Price type
Sentara Hospitals’s median price of $996 is 64% above the median hospital's median price ($608), higher than 81% of the 725 hospitals reporting APC 5524. 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, 15 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 anthem medicare managed care plan facility · other · outpatient | $243 | $243 | — | — | 93 | $243 – $243 |
| 2 | Humana medicare managed care plan facility · other · outpatient | $401 | $401 | — | — | 132 | $401 – $401 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $431 | $431 | — | — | 71 | $431 – $431 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $682 | $682 | — | — | 54 | $682 – $682 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $707 | $707 | — | — | 21 | $707 – $707 |
| 6 | UnitedHealthcare options ppo facility · other · outpatient | $810 | $810 | — | — | 1–10 | $810 – $810 |
| 7 | UnitedHealthcare all commercial plans facility · other · outpatient | $833 | $833 | — | — | 18 | $833 – $833 |
| 8 | Medcost virginia plus ppo facility · other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 9 | Aetna va preferred other commercial plan facility · other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 10 | Cigna open access plus b other commercial plan facility · other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 11 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $1.5k | $1.5k | — | — | 23 | $1.5k – $1.5k |
| 12 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $1.6k | $1.6k | — | — | 288 | $1.6k – $1.6k |
| 13 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $1.6k | $1.6k | — | — | 56 | $1.6k – $1.6k |
| 14 | Aetna all commercial plans facility · other · outpatient | $1.8k | $1.8k | — | — | 24 | $1.8k – $1.8k |
| 15 | Cigna ppo/pos facility · other · outpatient | $2.3k | $2.3k | — | — | 18 | $2.3k – $2.3k |
Last updated: Apr 1, 2026
See Imaging scan at level 4 without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.