APC 5521
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 Imaging without Contrast
Norfolk, VA
See all hospitals reporting APC 5521 →Price type
Sentara Hospitals’s median price of $266 is 168% above the median hospital's median price ($99), higher than 87% of the 743 hospitals reporting APC 5521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $69 | $69 | — | — | 206 | $69 – $69 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $72 | $72 | — | — | 168 | $72 – $72 |
| 3 | Medcost virginia plus ppo facility · other · outpatient | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 4 | Humana medicare managed care plan facility · other · outpatient | $99 | $99 | — | — | 103 | $99 – $99 |
| 5 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $119 | $119 | — | — | 313 | $119 – $119 |
| 6 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $121 | $121 | — | — | 117 | $121 – $121 |
| 7 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 8 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 9 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $244 | $244 | — | — | 32 | $244 – $244 |
| 10 | WellCare medicaid managed care plan facility · other · outpatient | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 11 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $261 | $261 | — | — | 204 | $261 – $261 |
| 12 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $271 | $271 | — | — | 692 | $271 – $271 |
| 13 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $398 | $398 | — | — | 1–10 | $398 – $398 |
| 14 | UnitedHealthcare all commercial plans facility · other · outpatient | $544 | $544 | — | — | 90 | $544 – $544 |
| 15 | UnitedHealthcare options ppo facility · other · outpatient | $566 | $566 | — | — | 42 | $566 – $566 |
| 16 | Aetna va preferred other commercial plan facility · other · outpatient | $634 | $634 | — | — | 33 | $634 – $634 |
| 17 | Cigna ppo/pos facility · other · outpatient | $687 | $687 | — | — | 107 | $687 – $687 |
| 18 | Cigna open access plus b other commercial plan facility · other · outpatient | $705 | $705 | — | — | 1–10 | $705 – $705 |
| 19 | Aetna all commercial plans facility · other · outpatient | $740 | $740 | — | — | 143 | $740 – $740 |
| 20 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 21 | Medcost virginia ultra ppo facility · other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
Last updated: Apr 1, 2026
See Imaging without contrast, level 1 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.