APC 5092
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 Breast/Lymphatic Surgery and Related Procedures
Norfolk, VA
See all hospitals reporting APC 5092 →Price type
Sentara Hospitals’s median price of $15.6k is 112% above the median hospital's median price ($7.3k), higher than 89% of the 585 hospitals reporting APC 5092. 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, 13 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 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 2 | Humana medicare managed care plan facility · other · outpatient | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 4 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $15.2k | $15.2k | — | — | 1–10 | $15.2k – $15.2k |
| 5 | Cigna ppo/pos facility · other · outpatient | $15.4k | $15.4k | — | — | 1–10 | $15.4k – $15.4k |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $15.5k | $15.5k | — | — | 1–10 | $15.5k – $15.5k |
| 7 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $16.2k | $16.2k | — | — | 1–10 | $16.2k – $16.2k |
| 8 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $16.4k | $16.4k | — | — | 19 | $16.4k – $16.4k |
| 9 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $17.9k | $17.9k | — | — | 50 | $17.9k – $17.9k |
| 10 | Cigna open access plus b other commercial plan facility · other · outpatient | $20.4k | $20.4k | — | — | 1–10 | $20.4k – $20.4k |
| 11 | UnitedHealthcare all commercial plans facility · other · outpatient | $28.6k | $28.6k | — | — | 1–10 | $28.6k – $28.6k |
| 12 | Aetna va preferred other commercial plan facility · other · outpatient | $29.4k | $29.4k | — | — | 1–10 | $29.4k – $29.4k |
| 13 | Aetna all commercial plans facility · other · outpatient | $29.7k | $29.7k | — | — | 15 | $29.7k – $29.7k |
Last updated: Apr 1, 2026
See Level 2 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.