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
Elmhurst, IL
See all hospitals reporting APC 5116 →Price type
Elmhurst Memorial Hospital’s median price of $18.9k is 1% below the median hospital's median price ($19.1k), higher than 47% 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: 5 payers, 15 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mmai medicare managed care plan other · outpatient | $16.7k | $16.7k | — | — | 1–10 | $16.7k – $16.7k |
| 2 | Aetna all commercial plans other · outpatient | $18.1k | $18.1k | — | — | 1–10 | $18.1k – $18.1k |
| 3 | Humana mmai medicare managed care plan other · outpatient | $18.4k | $18.4k | — | — | 1–10 | $18.4k – $18.4k |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 21 | $18.8k – $18.8k |
| 5 | Humana medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 45 | $18.8k – $18.8k |
| 6 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 7 | Cigna medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 8 | Aetna medicare managed care plan other · outpatient | $18.9k | $18.9k | — | — | 28 | $18.9k – $18.9k |
| 9 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $19.1k | $19.1k | — | — | 1–10 | $19.1k – $19.1k |
| 10 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $24.9k | $24.9k | — | — | 1–10 | $24.9k – $24.9k |
| 11 | UnitedHealthcare all commercial plans other · outpatient | $27.4k | $27.4k | — | — | 1–10 | $27.4k – $27.4k |
| 12 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $32.5k | $32.5k | — | — | 12 | $32.5k – $32.5k |
| 13 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $123.5k | $123.5k | — | — | 14 | $123.5k – $123.5k |
| 14 | Blue Cross Blue Shield hmo other · outpatient | $125.2k | $125.2k | — | — | 15 | $125.2k – $125.2k |
| 15 | Blue Cross Blue Shield ppo other · outpatient | $126.3k | $126.3k | — | — | 92 | $126.3k – $126.3k |
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.