APC 5231
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 ICD and Similar Procedures
Norfolk, VA
See all hospitals reporting APC 5231 →Price type
Sentara Hospitals’s median price of $26.7k is 14% above the median hospital's median price ($23.5k), higher than 79% of the 476 hospitals reporting APC 5231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | $21.2k | $21.2k | — | — | 1–10 | $21.2k – $21.2k |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $21.2k | $21.2k | — | — | 1–10 | $21.2k – $21.2k |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $21.3k | $21.3k | — | — | 1–10 | $21.3k – $21.3k |
| 4 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $22.1k | $22.1k | — | — | 1–10 | $22.1k – $22.1k |
| 5 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $31.2k | $31.2k | — | — | 1–10 | $31.2k – $31.2k |
| 6 | Aetna all commercial plans facility · other · outpatient | $54.2k | $54.2k | — | — | 1–10 | $54.2k – $54.2k |
| 7 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $63.9k | $63.9k | — | — | 1–10 | $63.9k – $63.9k |
| 8 | UnitedHealthcare options ppo facility · other · outpatient | $67.0k | $67.0k | — | — | 1–10 | $67.0k – $67.0k |
| 9 | UnitedHealthcare all commercial plans facility · other · outpatient | $130.1k | $130.1k | — | — | 1–10 | $130.1k – $130.1k |
Last updated: Apr 1, 2026
See Implanted heart defibrillator procedure, level 1 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.