APC 5091
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 Breast/Lymphatic Surgery and Related Procedures
Norfolk, VA
See all hospitals reporting APC 5091 →Price type
Sentara Hospitals’s median price of $9.7k is 123% above the median hospital's median price ($4.4k), higher than 89% of the 663 hospitals reporting APC 5091. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $3.4k | $3.4k | — | — | 11 | $3.4k – $3.4k |
| 2 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 3 | Cigna ppo/pos facility · other · outpatient | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 4 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 5 | Humana medicare managed care plan facility · other · outpatient | $5.8k | $5.8k | — | — | 18 | $5.8k – $5.8k |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 7 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $10.0k | $10.0k | — | — | 1–10 | $10.0k – $10.0k |
| 8 | UnitedHealthcare all commercial plans facility · other · outpatient | $11.2k | $11.2k | — | — | 1–10 | $11.2k – $11.2k |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $11.7k | $11.7k | — | — | 19 | $11.7k – $11.7k |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $12.4k | $12.4k | — | — | 34 | $12.4k – $12.4k |
| 11 | UnitedHealthcare options ppo facility · other · outpatient | $12.5k | $12.5k | — | — | 1–10 | $12.5k – $12.5k |
| 12 | Cigna open access plus b other commercial plan facility · other · outpatient | $12.7k | $12.7k | — | — | 1–10 | $12.7k – $12.7k |
| 13 | Aetna va preferred other commercial plan facility · other · outpatient | $17.5k | $17.5k | — | — | 1–10 | $17.5k – $17.5k |
| 14 | Aetna all commercial plans facility · other · outpatient | $31.8k | $31.8k | — | — | 1–10 | $31.8k – $31.8k |
Last updated: Apr 1, 2026
See Level 1 breast or lymphatic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.