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
Naperville, IL
See all hospitals reporting APC 5116 →Price type
Edward Hospital’s median price of $21.2k is 11% above the median hospital's median price ($19.1k), higher than 69% of the 634 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: 6 payers, 16 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 mmai medicare managed care plan other · outpatient | $17.6k | $17.6k | — | — | 1–10 | $17.6k – $17.6k |
| 2 | Aetna all commercial plans other · outpatient | $18.2k | $18.2k | — | — | 13 | $18.2k – $18.2k |
| 3 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $18.6k | $18.6k | — | — | 14 | $18.6k – $18.6k |
| 4 | Cigna medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 5 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 6 | Aetna medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 26 | $18.8k – $18.8k |
| 7 | Humana medicare managed care plan other · outpatient | $18.9k | $18.9k | — | — | 41 | $18.9k – $18.9k |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $18.9k | $18.9k | — | — | 13 | $18.9k – $18.9k |
| 9 | Aetna medicaid managed care plan other · outpatient | $23.1k | $23.1k | — | — | 1–10 | $23.1k – $23.1k |
| 10 | Molina medicaid managed care plan other · outpatient | $26.8k | $26.8k | — | — | 1–10 | $26.8k – $26.8k |
| 11 | UnitedHealthcare all commercial plans other · outpatient | $29.2k | $29.2k | — | — | 14 | $29.2k – $29.2k |
| 12 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $30.8k | $30.8k | — | — | 1–10 | $30.8k – $30.8k |
| 13 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $32.9k | $32.9k | — | — | 11 | $32.9k – $32.9k |
| 14 | Blue Cross Blue Shield hmo other · outpatient | $131.5k | $131.5k | — | — | 16 | $131.5k – $131.5k |
| 15 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $153.5k | $153.5k | — | — | 1–10 | $153.5k – $153.5k |
| 16 | Blue Cross Blue Shield ppo other · outpatient | $158.0k | $158.0k | — | — | 59 | $158.0k – $158.0k |
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.