APC 5111
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 1 Musculoskeletal Procedures
Buffalo, NY
See all hospitals reporting APC 5111 →Price type
Kaleida Health’s median price of $1.0k is 187% above the median hospital's median price ($357), higher than 72% of the 660 hospitals reporting APC 5111. 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, 14 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 | $634 | $634 | $298 | 47% | 2–20 | $336 – $932 |
| 2 | Aetna medicare managed care plan other · outpatient | $637 | $637 | — | — | 1–10 | $637 – $637 |
| 3 | UnitedHealthcare medicaid managed care plan other · outpatient | $719 | $719 | $37 | 5% | 2–20 | $682 – $756 |
| 4 | UnitedHealthcare dual medicare managed care plan other · outpatient | $808 | $808 | — | — | 1–10 | $808 – $808 |
| 5 | Blue Cross Blue Shield align - healthnow other commercial plan other · outpatient | $1.0k | $1.0k | $958 | 93% | 2–20 | $72 – $2.0k |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 7 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 21 | $1.1k – $1.1k |
| 8 | Blue Cross Blue Shield hmo select - healthnow medicare managed care - hmo other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 9 | Aetna all commercial plans other · outpatient | $1.3k | $1.3k | $48 | 4% | 2–20 | $1.2k – $1.3k |
| 10 | Blue Cross Blue Shield healthnow hmo/pos other · outpatient | $1.3k | $1.3k | $17 | 1% | 16–25 | $1.3k – $1.4k |
| 11 | Blue Cross Blue Shield healthnow essential 3_4 medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 12 | Blue Cross Blue Shield healthnow standard exchange other · outpatient | $1.7k | $1.7k | $59 | 3% | 2–20 | $1.6k – $1.8k |
| 13 | Cigna mvp all commercial plans other · outpatient | $1.7k | $1.7k | $436 | 25% | 2–20 | $1.3k – $2.1k |
| 14 | Blue Cross Blue Shield healthnow ppo/traditional other · outpatient | $1.8k | $1.8k | $145 | 8% | 46 | $1.6k – $1.9k |
Last updated: Apr 1, 2026
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