APC 5115
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 5 Musculoskeletal Procedures
Low
$9.2k
Average
$21.0k
Median
$16.1k
High
$64.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 2.9× 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 | 203 | $25.4k | $27.3k | $19.2k | 70% | 15,015–18,930 | $6 – $216.0k |
| 2 | UnitedHealthcare other · outpatient · +9 other terms | 205 | $20.9k | $22.4k | $15.8k | 70% | 10,812–13,287 | $45 – $122.4k |
| 3 | Aetna other · outpatient · +9 other terms | 191 | $18.3k | $23.2k | $17.3k | 75% | 5,698–7,804 | $9 – $96.7k |
| 4 | Excellus facility · other · outpatient · +1 other terms | 7 | $19.5k | $21.9k | $22.3k | 102% | 2,158–2,194 | $3.6k – $79.6k |
| 5 | Cigna other · outpatient · +6 other terms | 153 | $31.9k | $36.2k | $24.4k | 67% | 1,795–3,307 | $140 – $137.7k |
| 6 | Molina other · outpatient · +7 other terms | 74 | $10.5k | $12.2k | $7.3k | 59% | 631–1,423 | $880 – $45.7k |
| 7 | Medical Mutual other · outpatient · +5 other terms | 24 | $31.5k | $30.5k | $19.5k | 64% | 385–718 | $11.9k – $79.8k |
| 8 | Kaiser other · outpatient · +5 other terms | 17 | $26.8k | $30.0k | $13.2k | 44% | 341–494 | $13.5k – $57.9k |
| 9 | Caresource other · outpatient · +4 other terms | 25 | $12.4k | $14.5k | $9.6k | 66% | 321–645 | $5.4k – $47.2k |
| 10 | Ambetter facility · other · outpatient · +5 other terms | 26 | $20.0k | $22.2k | $6.8k | 31% | 291–408 | $12.7k – $47.3k |
| 11 | Healthpartners other · outpatient | 5 | $48.3k | $64.6k | $27.5k | 43% | 211–274 | $38.7k – $107.1k |
| 12 | Highmark facility · other · outpatient · +2 other terms | 6 | $15.4k | $16.0k | $7.8k | 49% | 70–151 | $3.7k – $28.4k |
| 13 | First Health other · outpatient · +1 other terms | 16 | $24.1k | $33.7k | $22.4k | 67% | 16–160 | $367 – $72.4k |
| 14 | Healthcare Highways other · outpatient | 3 | $37.5k | $37.3k | $9.5k | 25% | 15–33 | $25.7k – $48.9k |
| 15 | Carefirst facility · other · outpatient | 1 | $13.7k | $13.7k | $256 | 2% | 14–23 | $13.4k – $13.9k |
| 16 | Magellan facility · other · outpatient · +2 other terms | 7 | $13.4k | $14.0k | $3.4k | 24% | 7–70 | $9.6k – $18.0k |
| 17 | Medicaid other · outpatient · +1 other terms | 5 | $8.3k | $9.7k | $3.8k | 39% | 5–50 | $6.4k – $17.1k |
| 18 | MultiPlan other · outpatient · +2 other terms | 5 | $40.9k | $37.3k | $21.3k | 57% | 5–50 | $1.3k – $67.3k |
| 19 | Phcs other · outpatient · +2 other terms | 5 | $48.1k | $49.7k | $32.8k | 66% | 5–50 | $3.9k – $88.0k |
| 20 | Ucare facility · other · outpatient | 3 | $13.7k | $13.5k | $321 | 2% | 5–50 | $12.9k – $13.7k |
| 21 | Medcost facility · other · outpatient · +1 other terms | 2 | $29.2k | $29.2k | $14.6k | 50% | 2–20 | $14.5k – $43.8k |
| 22 | Humana fee schedule · outpatient · +8 other terms | 162 | $12.9k | $13.5k | $3.8k | 28% | — | $11.3k – $53.6k |
| 23 | WellCare fee schedule · outpatient · +5 other terms | 132 | $13.3k | $13.3k | $615 | 5% | — | $11.5k – $16.3k |
| 24 | Devoted fee schedule · outpatient · +4 other terms | 122 | $12.9k | $12.9k | $365 | 3% | — | $11.3k – $13.5k |
| 25 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $13.5k | $13.4k | $819 | 6% | — | $12.9k – $16.8k |
← Hospitals reporting APC 5115 · Snapshot 20261111T120946Z-9134e7f7