APC 5521

Imaging without contrast, level 1 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 1 Imaging without Contrast

Suffolk, VA

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Pricing by billing methodology

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How this price compares nationally

Sentara Hospitals’s median price of $209 is 111% above the median hospital's median price ($99), higher than 82% of the 743 hospitals reporting APC 5521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5521 at Sentara Hospitals

Negotiated rates from the hospital’s own file: 9 payers, 20 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	$65	$65	—	—	169	$65 – $65
2	UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient	$69	$69	—	—	292	$69 – $69
3	MultiPlan phcs ppo facility · other · outpatient	$78	$78	—	—	1–10	$78 – $78
4	Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient	$80	$80	—	—	345	$80 – $80
5	UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient	$83	$83	—	—	105	$83 – $83
6	Humana medicare managed care plan facility · other · outpatient	$85	$85	—	—	134	$85 – $85
7	Medcost virginia link other commercial plan facility · other · outpatient	$95	$95	—	—	1–10	$95 – $95
8	Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient	$124	$124	—	—	1–10	$124 – $124
9	UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient	$135	$135	—	—	1–10	$135 – $135
10	Amerihealth Caritas medicaid managed care plan facility · other · outpatient	$142	$142	—	—	1–10	$142 – $142
11	Aetna all commercial plans facility · other · outpatient	$213	$213	—	—	171	$213 – $213
12	Cigna open access plus b other commercial plan facility · other · outpatient	$265	$265	—	—	12	$265 – $265
13	Blue Cross Blue Shield anthem hmo facility · other · outpatient	$269	$269	—	—	375	$269 – $269
14	Blue Cross Blue Shield anthem exchange facility · other · outpatient	$283	$283	—	—	52	$283 – $283
15	Blue Cross Blue Shield anthem ppo facility · other · outpatient	$292	$292	—	—	1,399	$292 – $292
16	UnitedHealthcare qnbr other commercial plan facility · other · outpatient	$320	$320	—	—	21	$320 – $320
17	UnitedHealthcare options ppo facility · other · outpatient	$320	$320	—	—	77	$320 – $320
18	UnitedHealthcare all commercial plans facility · other · outpatient	$475	$475	—	—	162	$475 – $475
19	WellCare medicaid managed care plan facility · other · outpatient	$475	$475	—	—	1–10	$475 – $475
20	Cigna ppo/pos facility · other · outpatient	$675	$675	—	—	149	$675 – $675

Last updated: Apr 1, 2026

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