APC 5523
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 without Contrast
Norfolk, VA
See all hospitals reporting APC 5523 →Price type
Sentara Hospitals’s median price of $965 is 213% above the median hospital's median price ($309), higher than 88% of the 744 hospitals reporting APC 5523. 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, 18 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 | $178 | $178 | — | — | 194 | $178 – $178 |
| 2 | Humana medicare managed care plan facility · other · outpatient | $184 | $184 | — | — | 183 | $184 – $184 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $190 | $190 | — | — | 263 | $190 – $190 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $334 | $334 | — | — | 227 | $334 – $334 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $361 | $361 | — | — | 64 | $361 – $361 |
| 6 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $600 | $600 | — | — | 1–10 | $600 – $600 |
| 7 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $617 | $617 | — | — | 177 | $617 – $617 |
| 8 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $672 | $672 | — | — | 575 | $672 – $672 |
| 9 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $673 | $673 | — | — | 36 | $673 – $673 |
| 10 | Cigna open access plus b other commercial plan facility · other · outpatient | $984 | $984 | — | — | 1–10 | $984 – $984 |
| 11 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 12 | Cigna ppo/pos facility · other · outpatient | $1.3k | $1.3k | — | — | 100 | $1.3k – $1.3k |
| 13 | Aetna va preferred other commercial plan facility · other · outpatient | $1.5k | $1.5k | — | — | 20 | $1.5k – $1.5k |
| 14 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.7k | $1.7k | — | — | 70 | $1.7k – $1.7k |
| 15 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 16 | UnitedHealthcare options ppo facility · other · outpatient | $2.1k | $2.1k | — | — | 25 | $2.1k – $2.1k |
| 17 | Aetna all commercial plans facility · other · outpatient | $2.4k | $2.4k | — | — | 81 | $2.4k – $2.4k |
| 18 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
Last updated: Apr 1, 2026
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