APC 5116

Level 6 musculoskeletal procedure (outpatient) at Adventhealth Gordon

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 6 Musculoskeletal Procedures

Calhoun, GA

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How this price compares nationally

Adventhealth Gordon’s median price of $17.8k is 7% below the median hospital's median price ($19.1k), higher than 20% of the 636 hospitals reporting APC 5116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5116 at Adventhealth Gordon

Negotiated rates from the hospital’s own file: 3 payers, 3 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	Oscar individual plan hmo exchange other · outpatient	$123	$123	—	—	1–10	$123 – $123
2	Humana medicare managed care plan other · outpatient	$17.8k	$17.8k	—	—	1–10	$17.8k – $17.8k
3	Aetna medicare managed care plan other · outpatient	$18.2k	$18.2k	—	—	1–10	$18.2k – $18.2k

Last updated: Apr 1, 2026

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See Level 6 musculoskeletal procedure (outpatient) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.