APC 5572
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 2 Imaging with Contrast
Norfolk, VA
See all hospitals reporting APC 5572 →Price type
Sentara Hospitals’s median price of $1.1k is 149% above the median hospital's median price ($461), higher than 84% of the 740 hospitals reporting APC 5572. 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, 20 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 | $26 | $26 | — | — | 573 | $26 – $26 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $279 | $279 | — | — | 371 | $279 – $279 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $285 | $285 | — | — | 409 | $285 – $285 |
| 4 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $393 | $393 | — | — | 1–10 | $393 – $393 |
| 5 | MultiPlan phcs ppo facility · other · outpatient | $500 | $500 | — | — | 1–10 | $500 – $500 |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $574 | $574 | — | — | 317 | $574 – $574 |
| 7 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $583 | $583 | — | — | 106 | $583 – $583 |
| 8 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $787 | $787 | — | — | 97 | $787 – $787 |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $897 | $897 | — | — | 432 | $897 – $897 |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $973 | $973 | — | — | 1,352 | $973 – $973 |
| 11 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 12 | WellCare medicaid managed care plan facility · other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 13 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 14 | Cigna ppo/pos facility · other · outpatient | $2.0k | $2.0k | — | — | 216 | $2.0k – $2.0k |
| 15 | UnitedHealthcare all commercial plans facility · other · outpatient | $2.1k | $2.1k | — | — | 172 | $2.1k – $2.1k |
| 16 | UnitedHealthcare options ppo facility · other · outpatient | $2.2k | $2.2k | — | — | 93 | $2.2k – $2.2k |
| 17 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 18 | Aetna va preferred other commercial plan facility · other · outpatient | $2.5k | $2.5k | — | — | 30 | $2.5k – $2.5k |
| 19 | Cigna open access plus b other commercial plan facility · other · outpatient | $2.8k | $2.8k | — | — | 14 | $2.8k – $2.8k |
| 20 | Aetna all commercial plans facility · other · outpatient | $3.8k | $3.8k | — | — | 214 | $3.8k – $3.8k |
Last updated: Apr 1, 2026
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