APC 5091
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 Breast/Lymphatic Surgery and Related Procedures
Norfolk, VA
See all hospitals reporting APC 5091 →Price type
Sentara Hospitals’s median price of $7.4k is 70% above the median hospital's median price ($4.4k), higher than 80% of the 663 hospitals reporting APC 5091. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 14 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 | $3.2k | $3.2k | — | — | 42 | $3.2k – $3.2k |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $3.4k | $3.4k | — | — | 25 | $3.4k – $3.4k |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 5 | Cigna ppo/pos facility · other · outpatient | $5.5k | $5.5k | — | — | 14 | $5.5k – $5.5k |
| 6 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $7.3k | $7.3k | — | — | 1–10 | $7.3k – $7.3k |
| 7 | Aetna va preferred other commercial plan facility · other · outpatient | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 8 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $9.8k | $9.8k | — | — | 1–10 | $9.8k – $9.8k |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $10.2k | $10.2k | — | — | 32 | $10.2k – $10.2k |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $10.7k | $10.7k | — | — | 66 | $10.7k – $10.7k |
| 11 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 12 | UnitedHealthcare options ppo facility · other · outpatient | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 13 | UnitedHealthcare all commercial plans facility · other · outpatient | $17.1k | $17.1k | — | — | 11 | $17.1k – $17.1k |
| 14 | Aetna all commercial plans facility · other · outpatient | $18.2k | $18.2k | — | — | 14 | $18.2k – $18.2k |
Last updated: Apr 1, 2026
See Level 1 breast or lymphatic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.