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
Elmhurst, IL
See all hospitals reporting APC 5113 →Price type
Elmhurst Memorial Hospital’s median price of $3.3k is 8% below the median hospital's median price ($3.6k), higher than 22% 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: 6 payers, 17 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 | Molina medicaid managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 2 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $2.7k | $2.7k | — | — | 39 | $2.7k – $2.7k |
| 3 | Aetna medicaid managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 4 | Blue Cross Blue Shield mmai medicare managed care plan other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 5 | Humana mmai medicare managed care plan other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 6 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 7 | Humana medicare managed care plan other · outpatient | $3.3k | $3.3k | — | — | 25 | $3.3k – $3.3k |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $3.3k | $3.3k | — | — | 12 | $3.3k – $3.3k |
| 9 | Aetna medicare managed care plan other · outpatient | $3.3k | $3.3k | — | — | 19 | $3.3k – $3.3k |
| 10 | UnitedHealthcare all commercial plans other · outpatient | $5.8k | $5.8k | — | — | 29 | $5.8k – $5.8k |
| 11 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 12 | Cigna medicare managed care plan other · outpatient | $7.3k | $7.3k | — | — | 1–10 | $7.3k – $7.3k |
| 13 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | — | — | 39 | $7.6k – $7.6k |
| 14 | Aetna all commercial plans other · outpatient | $8.3k | $8.3k | — | — | 42 | $8.3k – $8.3k |
| 15 | Blue Cross Blue Shield ppo other · outpatient | $24.4k | $24.4k | — | — | 149 | $24.4k – $24.4k |
| 16 | Blue Cross Blue Shield hmo other · outpatient | $26.0k | $26.0k | — | — | 56 | $26.0k – $26.0k |
| 17 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $26.1k | $26.1k | — | — | 31 | $26.1k – $26.1k |
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.