APC 5111
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 1 Musculoskeletal Procedures
Low
$214
Average
$1.1k
Median
$611
High
$10.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 6.3× 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 | Blue Cross Blue Shield other · outpatient · +8 other terms | 153 | $1.7k | $4.3k | $9.7k | 222% | 2,150–4,805 | $33 – $111.4k |
| 2 | Caresource other · outpatient · +3 other terms | 27 | $697 | $1.4k | $1.5k | 112% | 228–435 | $100 – $5.8k |
| 3 | Cigna other · outpatient · +6 other terms | 69 | $1.5k | $4.1k | $6.5k | 160% | 162–846 | $50 – $38.4k |
| 4 | Excellus facility · other · outpatient · +1 other terms | 6 | $454 | $544 | $487 | 89% | 161–233 | $60 – $1.7k |
| 5 | Kaiser other · outpatient · +6 other terms | 17 | $1.8k | $2.6k | $2.5k | 94% | 66–300 | $70 – $7.2k |
| 6 | Medical Mutual other · outpatient · +5 other terms | 19 | $2.1k | $2.5k | $2.7k | 112% | 56–335 | $137 – $12.2k |
| 7 | First Health other · outpatient · +2 other terms | 9 | $1.0k | $1.4k | $971 | 70% | 24–96 | $387 – $3.1k |
| 8 | Ucare facility · other · outpatient | 3 | $370 | $372 | $16 | 4% | 5–50 | $352 – $387 |
| 9 | Highmark facility · other · outpatient · +2 other terms | 6 | $403 | $434 | $505 | 116% | 3–30 | $2 – $9.4k |
| 10 | Healthcare Highways other · outpatient | 3 | $859 | $1.1k | $349 | 33% | 3–30 | $788 – $1.6k |
| 11 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $1.2k | $1.2k | $70 | 6% | 3–30 | $1.1k – $1.3k |
| 12 | Healthpartners other · outpatient | 2 | $10.9k | $10.9k | — | — | 2–20 | $10.9k – $10.9k |
| 13 | Bcbs Mi percent of total billed charges · outpatientfrom % of charges | 1 | $600 | $600 | — | — | 1–10 | $600 – $600 |
| 14 | Medicaid other · outpatient · +1 other terms | 1 | $303 | $303 | — | — | 1–10 | $303 – $303 |
| 15 | Phcs other · outpatient · +1 other terms | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 16 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 176 | $253 | $482 | $473 | 98% | — | $220 – $1.5k |
| 17 | Humana fee schedule · outpatient · +8 other terms | 162 | $248 | $258 | $72 | 28% | — | $216 – $1.0k |
| 18 | Aetna fee schedule · outpatient · +9 other terms | 156 | $252 | $255 | $29 | 11% | — | $219 – $420 |
| 19 | WellCare fee schedule · outpatient · +5 other terms | 132 | $255 | $255 | $12 | 5% | — | $221 – $312 |
| 20 | Devoted fee schedule · outpatient · +4 other terms | 122 | $248 | $248 | $7 | 3% | — | $216 – $260 |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $260 | $255 | $11 | 4% | — | $248 – $276 |
| 22 | Molina fee schedule · outpatient · +7 other terms | 69 | $365 | $354 | $137 | 39% | — | $234 – $650 |
| 23 | Superior Healthplan fee schedule · outpatient | 40 | $260 | $260 | $0 | 0% | — | $260 – $261 |
| 24 | Anthem fee schedule · outpatient · +8 other terms | 31 | $260 | $254 | $16 | 6% | — | $234 – $317 |
| 25 | Oscar fee schedule · outpatient · +4 other terms | 27 | $243 | $273 | $54 | 20% | — | $243 – $420 |
← Hospitals reporting APC 5111 · Snapshot 20261111T120946Z-9134e7f7