APC 5521
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 Imaging without Contrast
Norfolk, VA
See all hospitals reporting APC 5521 →Price type
Sentara Hospitals’s median price of $308 is 211% above the median hospital's median price ($99), higher than 90% of the 743 hospitals reporting APC 5521. 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, 19 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 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $69 | $69 | — | — | 329 | $69 – $69 |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $73 | $73 | — | — | 382 | $73 – $73 |
| 3 | Humana medicare managed care plan facility · other · outpatient | $99 | $99 | — | — | 290 | $99 – $99 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $114 | $114 | — | — | 393 | $114 – $114 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $118 | $118 | — | — | 102 | $118 – $118 |
| 6 | Medcost virginia ultra ppo facility · other · outpatient | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 7 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $223 | $223 | — | — | 78 | $223 – $223 |
| 8 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $227 | $227 | — | — | 534 | $227 – $227 |
| 9 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $236 | $236 | — | — | 1,447 | $236 – $236 |
| 10 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $270 | $270 | — | — | 1–10 | $270 – $270 |
| 11 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $347 | $347 | — | — | 1–10 | $347 – $347 |
| 12 | WellCare medicaid managed care plan facility · other · outpatient | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 13 | Cigna open access plus b other commercial plan facility · other · outpatient | $514 | $514 | — | — | 25 | $514 – $514 |
| 14 | UnitedHealthcare all commercial plans facility · other · outpatient | $520 | $520 | — | — | 225 | $520 – $520 |
| 15 | UnitedHealthcare options ppo facility · other · outpatient | $560 | $560 | — | — | 80 | $560 – $560 |
| 16 | Aetna va preferred other commercial plan facility · other · outpatient | $590 | $590 | — | — | 50 | $590 – $590 |
| 17 | Cigna ppo/pos facility · other · outpatient | $637 | $637 | — | — | 286 | $637 – $637 |
| 18 | Aetna all commercial plans facility · other · outpatient | $699 | $699 | — | — | 238 | $699 – $699 |
| 19 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $966 | $966 | — | — | 1–10 | $966 – $966 |
Last updated: Apr 1, 2026
See Imaging without contrast, level 1 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.