APC 5223
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 Pacemaker and Similar Procedures
Norfolk, VA
See all hospitals reporting APC 5223 →Price type
Sentara Hospitals’s median price of $13.3k is 21% above the median hospital's median price ($11.0k), higher than 85% of the 541 hospitals reporting APC 5223. 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, 12 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 | $9.6k | $9.6k | — | — | 34 | $9.6k – $9.6k |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $10.4k | $10.4k | — | — | 16 | $10.4k – $10.4k |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $11.0k | $11.0k | — | — | 13 | $11.0k – $11.0k |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $11.1k | $11.1k | — | — | 1–10 | $11.1k – $11.1k |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $11.4k | $11.4k | — | — | 1–10 | $11.4k – $11.4k |
| 6 | Aetna va preferred other commercial plan facility · other · outpatient | $17.8k | $17.8k | — | — | 1–10 | $17.8k – $17.8k |
| 7 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $26.5k | $26.5k | — | — | 1–10 | $26.5k – $26.5k |
| 8 | Cigna ppo/pos facility · other · outpatient | $29.3k | $29.3k | — | — | 1–10 | $29.3k – $29.3k |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $32.4k | $32.4k | — | — | 1–10 | $32.4k – $32.4k |
| 10 | Aetna all commercial plans facility · other · outpatient | $33.7k | $33.7k | — | — | 1–10 | $33.7k – $33.7k |
| 11 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $33.9k | $33.9k | — | — | 1–10 | $33.9k – $33.9k |
| 12 | UnitedHealthcare options ppo facility · other · outpatient | $34.7k | $34.7k | — | — | 1–10 | $34.7k – $34.7k |
Last updated: Apr 1, 2026
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