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
Hamilton, OH
See all hospitals reporting APC 5113 →Price type
Fort Hamilton Hospital’s median price of $6.6k is 84% above the median hospital's median price ($3.6k), higher than 84% 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: 9 payers, 22 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 | Humana medicaid managed care plan other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 2 | Molina medicare managed care plan other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 3 | Caresource dual advantage d-snp medicare/medicaid managed care plan other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 4 | Blue Cross Blue Shield anthem pathway hmox exchange other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 5 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 6 | Caresource medicaid managed care plan other · outpatient | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 7 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 8 | Molina medicaid managed care plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 9 | Blue Cross Blue Shield anthem senior advantage medicare managed care plan other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 10 | UnitedHealthcare complete medicare managed care plan other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 11 | Aetna medicare managed care plan other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 12 | Medical Mutual medicare managed care plan other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 13 | Humana gold medicare managed care plan other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 14 | Medical Mutual new buisness other commercial plan other · outpatient | $8.5k | $8.5k | — | — | 1–10 | $8.5k – $8.5k |
| 15 | Aetna new business/oh ky preferred other commercial plan other · outpatient | $15.1k | $15.1k | — | — | 1–10 | $15.1k – $15.1k |
| 16 | UnitedHealthcare employee other · outpatient | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 17 | Devoted medicare managed care plan other · outpatient | $16.8k | $16.8k | — | — | 1–10 | $16.8k – $16.8k |
| 18 | Cigna new business other commercial plan other · outpatient | $21.0k | $21.0k | — | — | 1–10 | $21.0k – $21.0k |
| 19 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo other · outpatient | $21.4k | $21.4k | — | — | 22 | $21.4k – $21.4k |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $23.8k | $23.8k | — | — | 1–10 | $23.8k – $23.8k |
| 21 | Cigna all commercial plans other · outpatient | $25.0k | $25.0k | — | — | 1–10 | $25.0k – $25.0k |
| 22 | Aetna all commercial plans other · outpatient | $37.8k | $37.8k | — | — | 1–10 | $37.8k – $37.8k |
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.