APC 5023

Emergency department visit, level 3 at Sentara Hospitals

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 3 Type A ED Visits

Suffolk, VA

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Pricing by billing methodology

Price type

How this price compares nationally

Sentara Hospitals’s median price of $527 is 67% above the median hospital's median price ($316), higher than 78% of the 732 hospitals reporting APC 5023. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5023 at Sentara Hospitals

Negotiated rates from the hospital’s own file: 9 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	Humana medicare managed care plan facility · other · outpatient	$159	$159	—	—	792	$159 – $159
2	Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient	$168	$168	—	—	754	$168 – $168
3	UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient	$236	$236	—	—	657	$236 – $236
4	Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient	$270	$270	—	—	3,406	$270 – $270
5	UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient	$284	$284	—	—	776	$284 – $284
6	Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient	$407	$407	—	—	92	$407 – $407
7	UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient	$423	$423	—	—	60	$423 – $423
8	WellCare medicaid managed care plan facility · other · outpatient	$427	$427	—	—	89	$427 – $427
9	Amerihealth Caritas medicaid managed care plan facility · other · outpatient	$450	$450	—	—	41	$450 – $450
10	MultiPlan phcs ppo facility · other · outpatient	$511	$511	—	—	1–10	$511 – $511
11	Blue Cross Blue Shield anthem exchange facility · other · outpatient	$704	$704	—	—	176	$704 – $704
12	UnitedHealthcare qnbr other commercial plan facility · other · outpatient	$715	$715	—	—	88	$715 – $715
13	Cigna open access plus b other commercial plan facility · other · outpatient	$742	$742	—	—	15	$742 – $742
14	Blue Cross Blue Shield anthem hmo facility · other · outpatient	$803	$803	—	—	857	$803 – $803
15	Blue Cross Blue Shield anthem ppo facility · other · outpatient	$877	$877	—	—	3,767	$877 – $877
16	Aetna all commercial plans facility · other · outpatient	$994	$994	—	—	463	$994 – $994
17	Cigna ppo/pos facility · other · outpatient	$1.1k	$1.1k	—	—	621	$1.1k – $1.1k
18	UnitedHealthcare options ppo facility · other · outpatient	$1.4k	$1.4k	—	—	154	$1.4k – $1.4k
19	UnitedHealthcare all commercial plans facility · other · outpatient	$1.5k	$1.5k	—	—	408	$1.5k – $1.5k
20	Medcost virginia plus ppo facility · other · outpatient	$2.6k	$2.6k	—	—	1–10	$2.6k – $2.6k
21	UnitedHealthcare onenet workers compensation plan facility · other · outpatient	$3.2k	$3.2k	—	—	1–10	$3.2k – $3.2k

Last updated: Apr 1, 2026

Compare to other hospitals

See Emergency department visit, level 3 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.