APC 5572
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 Imaging with Contrast
Norfolk, VA
See all hospitals reporting APC 5572 →Price type
Sentara Hospitals’s median price of $1.4k is 196% above the median hospital's median price ($461), higher than 87% of the 740 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 | $26 | $26 | — | — | 468 | $26 – $26 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $251 | $251 | — | — | 251 | $251 – $251 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $301 | $301 | — | — | 309 | $301 – $301 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $562 | $562 | — | — | 226 | $562 – $562 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $583 | $583 | — | — | 50 | $583 – $583 |
| 6 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $712 | $712 | — | — | 68 | $712 – $712 |
| 7 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $775 | $775 | — | — | 365 | $775 – $775 |
| 8 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $808 | $808 | — | — | 983 | $808 – $808 |
| 9 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.4k | $1.4k | — | — | 128 | $1.4k – $1.4k |
| 10 | UnitedHealthcare options ppo facility · other · outpatient | $1.4k | $1.4k | — | — | 53 | $1.4k – $1.4k |
| 11 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 12 | Cigna ppo/pos facility · other · outpatient | $1.9k | $1.9k | — | — | 158 | $1.9k – $1.9k |
| 13 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 14 | Aetna va preferred other commercial plan facility · other · outpatient | $2.4k | $2.4k | — | — | 26 | $2.4k – $2.4k |
| 15 | Cigna open access plus b other commercial plan facility · other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 16 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 17 | WellCare medicaid managed care plan facility · other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 18 | Aetna all commercial plans facility · other · outpatient | $4.7k | $4.7k | — | — | 137 | $4.7k – $4.7k |
Last updated: Apr 1, 2026
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