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
Circleville, OH
See all hospitals reporting APC 5116 →Price type
Berger Hospital’s median price of $16.8k is 12% below the median hospital's median price ($19.1k), higher than 8% of the 636 hospitals reporting APC 5116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 | Aetna all commercial plans other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 2 | Caresource medicaid managed care plan other · outpatient | $9.8k | $9.8k | — | — | 1–10 | $9.8k – $9.8k |
| 3 | Molina medicaid managed care plan other · outpatient | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 4 | Molina medicare managed care plan other · outpatient | $13.7k | $13.7k | — | — | 1–10 | $13.7k – $13.7k |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $13.7k | $13.7k | — | — | 1–10 | $13.7k – $13.7k |
| 6 | Humana medicare managed care plan other · outpatient | $16.8k | $16.8k | — | — | 1–10 | $16.8k – $16.8k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $16.8k | $16.8k | — | — | 1–10 | $16.8k – $16.8k |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $17.2k | $17.2k | — | — | 1–10 | $17.2k – $17.2k |
| 10 | Aetna medicare managed care plan other · outpatient | $17.2k | $17.2k | — | — | 1–10 | $17.2k – $17.2k |
| 11 | Blue Cross Blue Shield pathway exchange other · outpatient | $29.2k | $29.2k | — | — | 1–10 | $29.2k – $29.2k |
| 12 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $70.3k | $70.3k | — | — | 1–10 | $70.3k – $70.3k |
Last updated: Apr 1, 2026
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.