APC 5111

Level 1 musculoskeletal procedure at Grove City Methodist

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Musculoskeletal Procedures

Grove City, OH

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Pricing by billing methodology

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How this price compares nationally

Grove City Methodist’s median price of $921 is 158% above the median hospital's median price ($357), higher than 69% of the 660 hospitals reporting APC 5111. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5111 at Grove City Methodist

Negotiated rates from the hospital’s own file: 8 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	Aetna medicare managed care plan other · outpatient	$457	$457	—	—	1–10	$457 – $457
2	UnitedHealthcare medicare managed care plan other · outpatient	$580	$580	—	—	1–10	$580 – $580
3	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$596	$596	—	—	1–10	$596 – $596
4	Humana medicaid managed care plan other · outpatient	$622	$622	—	—	1–10	$622 – $622
5	Molina medicaid managed care plan other · outpatient	$622	$622	—	—	1–10	$622 – $622
6	Medical Mutual medicare managed care plan other · outpatient	$680	$680	—	—	1–10	$680 – $680
7	Caresource medicaid managed care plan other · outpatient	$697	$697	—	—	21	$697 – $697
8	UnitedHealthcare medicaid managed care plan other · outpatient	$867	$867	—	—	1–10	$867 – $867
9	Humana medicare managed care plan other · outpatient	$928	$928	—	—	1–10	$928 – $928
10	UnitedHealthcare all commercial plans other · outpatient	$1.0k	$1.0k	—	—	1–10	$1.0k – $1.0k
11	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
12	Aetna all commercial plans other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
13	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$2.4k	$2.4k	—	—	1–10	$2.4k – $2.4k
14	Blue Cross Blue Shield pathway exchange other · outpatient	$2.9k	$2.9k	—	—	1–10	$2.9k – $2.9k
15	Medical Mutual all commercial plans other · outpatient	$3.2k	$3.2k	—	—	1–10	$3.2k – $3.2k
16	Cigna hmo other · outpatient	$4.5k	$4.5k	—	—	1–10	$4.5k – $4.5k
17	UnitedHealthcare options other commercial plan other · outpatient	$4.9k	$4.9k	—	—	1–10	$4.9k – $4.9k

Last updated: Apr 1, 2026

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