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
Suffolk, VA
See all hospitals reporting APC 5572 →Price type
Sentara Hospitals’s median price of $1.2k is 156% above the median hospital's median price ($459), higher than 85% of the 737 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: 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 | Humana medicare managed care plan facility · other · outpatient | $26 | $26 | — | — | 290 | $26 – $26 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $198 | $198 | — | — | 210 | $198 – $198 |
| 3 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $281 | $281 | — | — | 214 | $281 – $281 |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $554 | $554 | — | — | 198 | $554 – $554 |
| 5 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $575 | $575 | — | — | 35 | $575 – $575 |
| 6 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $908 | $908 | — | — | 56 | $908 – $908 |
| 7 | MultiPlan phcs ppo facility · other · outpatient | $926 | $926 | — | — | 1–10 | $926 – $926 |
| 8 | Aetna all commercial plans facility · other · outpatient | $1.0k | $1.0k | — | — | 113 | $1.0k – $1.0k |
| 9 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $1.0k | $1.0k | — | — | 285 | $1.0k – $1.0k |
| 10 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $1.1k | $1.1k | — | — | 1,197 | $1.1k – $1.1k |
| 11 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 12 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 13 | UnitedHealthcare options ppo facility · other · outpatient | $2.0k | $2.0k | — | — | 62 | $2.0k – $2.0k |
| 14 | UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 15 | Cigna ppo/pos facility · other · outpatient | $2.2k | $2.2k | — | — | 129 | $2.2k – $2.2k |
| 16 | UnitedHealthcare all commercial plans facility · other · outpatient | $2.2k | $2.2k | — | — | 96 | $2.2k – $2.2k |
| 17 | Cigna open access plus b other commercial plan facility · other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 18 | UnitedHealthcare qnbr other commercial plan facility · other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 19 | Medcost virginia plus ppo facility · other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
Last updated: Apr 1, 2026
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