APC 5116
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 Procedures
Low
$9.6k
Average
$27.0k
Median
$22.6k
High
$85.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 2.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 163 | $35.4k | $39.0k | $27.5k | 70% | 2,221–5,794 | $2.3k – $194.9k |
| 2 | Cigna other · outpatient · +6 other terms | 91 | $35.2k | $44.0k | $31.2k | 71% | 198–1,305 | $285 – $172.2k |
| 3 | Excellus case rate · outpatient · +1 other terms | 5 | $49.8k | $50.1k | $12.8k | 26% | 132–150 | $30.9k – $72.9k |
| 4 | Medical Mutual other · outpatient · +5 other terms | 14 | $37.7k | $35.3k | $20.3k | 57% | 57–282 | $16.3k – $71.1k |
| 5 | Healthpartners other · outpatient | 5 | $80.3k | $85.3k | $27.2k | 32% | 39–138 | $52.3k – $140.7k |
| 6 | Caresource other · outpatient · +3 other terms | 17 | $14.5k | $13.4k | $5.4k | 41% | 38–218 | $2.7k – $25.8k |
| 7 | First Health other · outpatient · +2 other terms | 8 | $52.8k | $49.5k | $31.7k | 64% | 8–80 | $235 – $85.6k |
| 8 | Highmark facility · other · outpatient · +2 other terms | 6 | $28.2k | $25.3k | $15.2k | 60% | 6–60 | $3.7k – $57.2k |
| 9 | Magellan facility · other · outpatient · +2 other terms | 5 | $18.2k | $24.5k | $11.4k | 46% | 5–50 | $15.4k – $45.9k |
| 10 | MultiPlan other · outpatient · +2 other terms | 4 | $38.0k | $56.0k | $53.2k | 95% | 4–40 | $4.1k – $143.9k |
| 11 | Ucare facility · other · outpatient | 2 | $19.6k | $19.6k | — | — | 2–20 | $19.6k – $19.6k |
| 12 | Medcost facility · other · outpatient | 1 | $24.4k | $24.4k | $6.8k | 28% | 2–20 | $17.6k – $31.2k |
| 13 | Healthcare Highways other · outpatient | 1 | $39.6k | $39.6k | — | — | 1–10 | $39.6k – $39.6k |
| 14 | Phcs facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27.5k | $27.5k | — | — | 1–10 | $27.5k – $27.5k |
| 15 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 176 | $18.0k | $17.4k | $2.6k | 15% | — | $4.1k – $22.7k |
| 16 | Humana fee schedule · outpatient · +8 other terms | 162 | $17.7k | $18.6k | $5.3k | 29% | — | $15.4k – $73.2k |
| 17 | Aetna fee schedule · outpatient · +9 other terms | 156 | $18.3k | $18.4k | $2.5k | 14% | — | $15.5k – $32.2k |
| 18 | WellCare fee schedule · outpatient · +5 other terms | 132 | $18.2k | $18.2k | $857 | 5% | — | $15.7k – $22.2k |
| 19 | Devoted fee schedule · outpatient · +3 other terms | 122 | $17.6k | $17.6k | $498 | 3% | — | $15.4k – $18.5k |
| 20 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $18.5k | $18.2k | $1.1k | 6% | — | $17.6k – $22.9k |
| 21 | Molina fee schedule · outpatient · +7 other terms | 69 | $25.9k | $25.3k | $9.7k | 38% | — | $16.6k – $46.2k |
| 22 | Superior Healthplan fee schedule · outpatient | 40 | $18.5k | $18.5k | $11 | 0% | — | $18.5k – $18.5k |
| 23 | Anthem fee schedule · outpatient · +8 other terms | 31 | $18.5k | $18.4k | $980 | 5% | — | $16.6k – $22.6k |
| 24 | Oscar fee schedule · outpatient · +5 other terms | 27 | $17.3k | $19.6k | $4.5k | 23% | — | $17.3k – $32.2k |
| 25 | Optum facility · per diem · outpatient · +4 other terms | 22 | $18.4k | $18.5k | $865 | 5% | — | $15.8k – $19.9k |
← Hospitals reporting APC 5116 · Snapshot 20261111T120946Z-9134e7f7