APC 5573
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 3 Imaging with Contrast
Hampton, VA
See all hospitals reporting APC 5573 →Price type
Sentara Hospitals’s median price of $1.1k is 28% above the median hospital's median price ($872), higher than 65% of the 684 hospitals reporting APC 5573. 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, 14 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 | Humana medicare managed care plan facility · other · outpatient | $644 | $644 | — | — | 37 | $644 – $644 |
| 2 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $682 | $682 | — | — | 26 | $682 – $682 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $686 | $686 | — | — | 30 | $686 – $686 |
| 4 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $707 | $707 | — | — | 1–10 | $707 – $707 |
| 5 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $917 | $917 | — | — | 1–10 | $917 – $917 |
| 6 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $966 | $966 | — | — | 20 | $966 – $966 |
| 7 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 8 | Cigna open access plus b other commercial plan facility · other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 9 | UnitedHealthcare options ppo facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $2.3k | $2.3k | — | — | 70 | $2.3k – $2.3k |
| 11 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 12 | Aetna all commercial plans facility · other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 13 | Cigna ppo/pos facility · other · outpatient | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 14 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $7.9k | $7.9k | — | — | 1–10 | $7.9k – $7.9k |
Last updated: Apr 1, 2026
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