APC 5072
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 Excision/ Biopsy/ Incision and Drainage
Norfolk, VA
See all hospitals reporting APC 5072 →Price type
Sentara Hospitals’s median price of $3.3k is 85% above the median hospital's median price ($1.8k), higher than 86% of the 741 hospitals reporting APC 5072. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 options ppo facility · other · outpatient | $465 | $465 | — | — | 20 | $465 – $465 |
| 2 | UnitedHealthcare all commercial plans facility · other · outpatient | $590 | $590 | — | — | 39 | $590 – $590 |
| 3 | Humana medicare managed care plan facility · other · outpatient | $1.2k | $1.2k | — | — | 88 | $1.2k – $1.2k |
| 4 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $1.4k | $1.4k | — | — | 26 | $1.4k – $1.4k |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $1.5k | $1.5k | — | — | 76 | $1.5k – $1.5k |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $1.9k | $1.9k | — | — | 58 | $1.9k – $1.9k |
| 7 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $2.1k | $2.1k | — | — | 18 | $2.1k – $2.1k |
| 8 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $3.2k | $3.2k | — | — | 17 | $3.2k – $3.2k |
| 9 | WellCare medicaid managed care plan facility · other · outpatient | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 10 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $3.6k | $3.6k | — | — | 112 | $3.6k – $3.6k |
| 11 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $4.1k | $4.1k | — | — | 253 | $4.1k – $4.1k |
| 12 | Aetna va preferred other commercial plan facility · other · outpatient | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 13 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 14 | Cigna open access plus b other commercial plan facility · other · outpatient | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 15 | Cigna ppo/pos facility · other · outpatient | $5.5k | $5.5k | — | — | 59 | $5.5k – $5.5k |
| 16 | Aetna all commercial plans facility · other · outpatient | $9.7k | $9.7k | — | — | 35 | $9.7k – $9.7k |
| 17 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $19.1k | $19.1k | — | — | 1–10 | $19.1k – $19.1k |
Last updated: Apr 1, 2026
See Excision, biopsy, or incision and drainage procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.