APC 05116
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 6 Musculoskeletal P
Low
$10.4k
Average
$25.7k
Median
$19.9k
High
$55.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 3.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 86 | $17.4k | $17.6k | $630 | 4% | — | $12.8k – $18.6k |
| 2 | Caresource fee schedule · outpatient | 20 | $18.0k | $17.9k | $105 | 1% | — | $17.8k – $18.0k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 15 | $18.7k | $24.0k | $18.5k | 77% | — | $9.6k – $98.2k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $16.9k | $17.4k | $153 | 1% | — | $16.9k – $17.5k |
| 5 | Aetna facility · fee schedule · outpatient · +3 other terms | 10 | $19.5k | $21.3k | $6.6k | 31% | — | $15.5k – $54.3k |
| 6 | Medicare facility · fee schedule · outpatient · +2 other terms | 10 | $18.0k | $18.1k | $2.2k | 12% | — | $15.6k – $22.6k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $22.8k | $22.6k | $3.5k | 15% | — | $18.7k – $26.5k |
| 8 | Clover fee schedule · outpatient | 5 | $18.4k | $18.3k | $113 | 1% | — | $18.1k – $18.4k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $18.0k | $17.9k | $111 | 1% | — | $17.8k – $18.0k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $18.0k | $17.9k | $111 | 1% | — | $17.8k – $18.0k |
| 11 | Ambetter facility · fee schedule · outpatient | 4 | $28.5k | $32.9k | $3.1k | 9% | — | $22.2k – $33.9k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $55.1k | $54.9k | $19.5k | 35% | — | $18.9k – $71.3k |
| 13 | Devoted facility · fee schedule · outpatient | 4 | $17.8k | $18.2k | $313 | 2% | — | $16.7k – $18.3k |
| 14 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $19.7k | $19.8k | $1.1k | 6% | — | $17.9k – $20.7k |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $28.8k | $28.8k | $10.5k | 37% | — | $17.4k – $39.4k |
| 16 | Carefirst facility · fee schedule · outpatient | 3 | $20.7k | $19.9k | $1.1k | 6% | — | $18.3k – $20.7k |
| 17 | Aetna Better Health facility · other · outpatient | 2 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 18 | Anthem facility · fee schedule · outpatient | 2 | $55.3k | $52.5k | $19.2k | 37% | — | $16.7k – $69.2k |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 2 | $17.2k | $17.2k | $149 | 1% | — | $17.0k – $17.3k |
| 20 | MultiPlan facility · other · outpatient | 2 | $28.7k | $28.8k | $6.6k | 23% | — | $13.9k – $35k |
| 21 | Bcbs Ca facility · fee schedule · outpatient | 1 | $54.0k | $54.0k | $31.5k | 58% | — | $22.4k – $85.5k |
| 22 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 23 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $17.3k | $17.3k | $1.1k | 6% | — | $16.0k – $18.7k |
| 24 | Medica facility · fee schedule · outpatient | 1 | $18.8k | $18.8k | — | — | — | $18.8k – $18.8k |
| 25 | Medical Mutual facility · other · outpatient | 1 | $55.4k | $55.4k | — | — | — | $55.4k – $55.4k |
← Hospitals reporting APC 05116 · Snapshot 20261111T120946Z-9134e7f7