APC 5313
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 Lower GI Procedures
Norfolk, VA
See all hospitals reporting APC 5313 →Price type
Sentara Hospitals’s median price of $4.8k is 57% above the median hospital's median price ($3.1k), higher than 80% of the 687 hospitals reporting APC 5313. 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 | $2.2k | $2.2k | — | — | 14 | $2.2k – $2.2k |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 6 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 7 | Cigna ppo/pos facility · other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 8 | Cigna open access plus b other commercial plan facility · other · outpatient | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $6.3k | $6.3k | — | — | 17 | $6.3k – $6.3k |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $7.2k | $7.2k | — | — | 46 | $7.2k – $7.2k |
| 11 | Aetna va preferred other commercial plan facility · other · outpatient | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 12 | UnitedHealthcare options ppo facility · other · outpatient | $10.4k | $10.4k | — | — | 1–10 | $10.4k – $10.4k |
| 13 | UnitedHealthcare all commercial plans facility · other · outpatient | $12.3k | $12.3k | — | — | 1–10 | $12.3k – $12.3k |
| 14 | Aetna all commercial plans facility · other · outpatient | $13.1k | $13.1k | — | — | 1–10 | $13.1k – $13.1k |
Last updated: Apr 1, 2026
See Level 3 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.