APC 5523
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 Imaging without Contrast
Norfolk, VA
See all hospitals reporting APC 5523 →Price type
Sentara Hospitals’s median price of $898 is 191% above the median hospital's median price ($309), higher than 87% of the 744 hospitals reporting APC 5523. 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, 21 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 | $178 | $178 | — | — | 106 | $178 – $178 |
| 2 | Humana medicare managed care plan facility · other · outpatient | $196 | $196 | — | — | 75 | $196 – $196 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $207 | $207 | — | — | 275 | $207 – $207 |
| 4 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $307 | $307 | — | — | 35 | $307 – $307 |
| 5 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $334 | $334 | — | — | 189 | $334 – $334 |
| 6 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $361 | $361 | — | — | 51 | $361 – $361 |
| 7 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $520 | $520 | — | — | 251 | $520 – $520 |
| 8 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $547 | $547 | — | — | 759 | $547 – $547 |
| 9 | Medcost virginia ultra ppo facility · other · outpatient | $827 | $827 | — | — | 1–10 | $827 – $827 |
| 10 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $880 | $880 | — | — | 1–10 | $880 – $880 |
| 11 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $898 | $898 | — | — | 1–10 | $898 – $898 |
| 12 | WellCare medicaid managed care plan facility · other · outpatient | $898 | $898 | — | — | 1–10 | $898 – $898 |
| 13 | Aetna va preferred other commercial plan facility · other · outpatient | $1.3k | $1.3k | — | — | 26 | $1.3k – $1.3k |
| 14 | Cigna ppo/pos facility · other · outpatient | $1.3k | $1.3k | — | — | 150 | $1.3k – $1.3k |
| 15 | Cigna open access plus b other commercial plan facility · other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 16 | Medcost virginia standard ppo facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 17 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.8k | $1.8k | — | — | 132 | $1.8k – $1.8k |
| 18 | Medcost virginia plus ppo facility · other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 19 | UnitedHealthcare options ppo facility · other · outpatient | $2.2k | $2.2k | — | — | 68 | $2.2k – $2.2k |
| 20 | Aetna all commercial plans facility · other · outpatient | $2.7k | $2.7k | — | — | 124 | $2.7k – $2.7k |
| 21 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
Last updated: Apr 1, 2026
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