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
Buffalo, NY
See all hospitals reporting APC 5113 →Price type
Kaleida Health’s median price of $3.8k is 5% above the median hospital's median price ($3.6k), higher than 55% 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: 7 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 | Blue Cross Blue Shield align - healthnow other commercial plan other · outpatient | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 2 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 3 | UnitedHealthcare medicaid managed care plan other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 4 | Molina medicaid managed care plan other · outpatient | $2.9k | $2.9k | $895 | 31% | 2–20 | $2.0k – $3.8k |
| 5 | Tricare government other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 6 | UnitedHealthcare dual medicare managed care plan other · outpatient | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 7 | Blue Cross Blue Shield healthnow hmo/pos other · outpatient | $3.7k | $3.7k | $496 | 14% | 15–24 | $3.2k – $4.1k |
| 8 | WellCare medicare managed care plan other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 9 | UnitedHealthcare medicare managed care plan other · outpatient | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 10 | Blue Cross Blue Shield healthnow standard exchange other · outpatient | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 11 | Blue Cross Blue Shield healthnow ppo/traditional other · outpatient | $4.5k | $4.5k | $444 | 10% | 15–24 | $4.1k – $5.0k |
| 12 | Cigna mvp all commercial plans other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 13 | Aetna all commercial plans other · outpatient | $8.1k | $8.1k | $4.2k | 52% | 2–20 | $3.9k – $12.3k |
| 14 | Blue Cross Blue Shield hmo select - healthnow medicare managed care - hmo other · outpatient | $9.6k | $9.6k | — | — | 1–10 | $9.6k – $9.6k |
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.