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
Suffolk, VA
See all hospitals reporting APC 5523 →Price type
Sentara Hospitals’s median price of $747 is 142% above the median hospital's median price ($308), higher than 80% of the 741 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, 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 | $142 | $142 | — | — | 268 | $142 – $142 |
| 2 | Humana medicare managed care plan facility · other · outpatient | $184 | $184 | — | — | 209 | $184 – $184 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $190 | $190 | — | — | 312 | $190 – $190 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $329 | $329 | — | — | 313 | $329 – $329 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $342 | $342 | — | — | 58 | $342 – $342 |
| 6 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $383 | $383 | — | — | 1–10 | $383 – $383 |
| 7 | Aetna all commercial plans facility · other · outpatient | $481 | $481 | — | — | 140 | $481 – $481 |
| 8 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $581 | $581 | — | — | 1–10 | $581 – $581 |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $701 | $701 | — | — | 373 | $701 – $701 |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $729 | $729 | — | — | 1,607 | $729 – $729 |
| 11 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $765 | $765 | — | — | 37 | $765 – $765 |
| 12 | WellCare medicaid managed care plan facility · other · outpatient | $867 | $867 | — | — | 1–10 | $867 – $867 |
| 13 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 14 | Cigna ppo/pos facility · other · outpatient | $1.3k | $1.3k | — | — | 159 | $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 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.7k | $1.7k | — | — | 147 | $1.7k – $1.7k |
| 17 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $1.7k | $1.7k | — | — | 13 | $1.7k – $1.7k |
| 18 | UnitedHealthcare options ppo facility · other · outpatient | $2.0k | $2.0k | — | — | 84 | $2.0k – $2.0k |
| 19 | Medcost virginia link other commercial plan facility · other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
Last updated: Apr 1, 2026
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