APC 5113
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 3 Musculoskeletal Procedures
Circleville, OH
See all hospitals reporting APC 5113 →Price type
Berger Hospital’s median price of $3.0k is 17% below the median hospital's median price ($3.6k), higher than 3% of the 707 hospitals reporting APC 5113. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | Blue Cross Blue Shield pathway exchange other · outpatient | $828 | $828 | — | — | 1–10 | $828 – $828 |
| 2 | Aetna all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 3 | Caresource medicaid managed care plan other · outpatient | $2.0k | $2.0k | — | — | 19 | $2.0k – $2.0k |
| 4 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 5 | Humana medicaid managed care plan other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 6 | Molina medicare managed care plan other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 8 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 13 | $2.8k – $2.8k |
| 9 | Humana medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 10 | Molina medicaid managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 12 | Aetna medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 14 | $3.0k – $3.0k |
| 13 | Medical Mutual medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 14 | UnitedHealthcare all commercial plans other · outpatient | $10.5k | $10.5k | — | — | 29 | $10.5k – $10.5k |
| 15 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $16.8k | $16.8k | — | — | 48 | $16.8k – $16.8k |
| 16 | Medical Mutual all commercial plans other · outpatient | $17.2k | $17.2k | — | — | 1–10 | $17.2k – $17.2k |
| 17 | Cigna hmo other · outpatient | $17.4k | $17.4k | — | — | 1–10 | $17.4k – $17.4k |
| 18 | Blue Cross Blue Shield traditional other · outpatient | $18.4k | $18.4k | — | — | 1–10 | $18.4k – $18.4k |
| 19 | Medical Mutual exchange other · outpatient | $37.5k | $37.5k | — | — | 1–10 | $37.5k – $37.5k |
Last updated: Apr 1, 2026
See Level 3 musculoskeletal outpatient procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.