APC 5115
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 5 Musculoskeletal Procedures
Buffalo, NY
See all hospitals reporting APC 5115 →Price type
Kaleida Health’s median price of $16.6k is 20% above the median hospital's median price ($13.8k), higher than 77% of the 681 hospitals reporting APC 5115. 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, 18 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 | UnitedHealthcare essentials medicaid managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 2 | UnitedHealthcare medicaid managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 3 | Blue Cross Blue Shield align - healthnow other commercial plan other · outpatient | $12.8k | $12.8k | — | — | 1–10 | $12.8k – $12.8k |
| 4 | Molina medicaid managed care plan other · outpatient | $13.0k | $13.0k | $6.4k | 49% | 2–20 | $6.7k – $19.4k |
| 5 | Tricare government other · outpatient | $13.5k | $13.5k | — | — | 1–10 | $13.5k – $13.5k |
| 6 | UnitedHealthcare dual medicare managed care plan other · outpatient | $14.9k | $14.9k | — | — | 1–10 | $14.9k – $14.9k |
| 7 | Aetna medicare managed care plan other · outpatient | $14.9k | $14.9k | — | — | 1–10 | $14.9k – $14.9k |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $15.2k | $15.2k | — | — | 29 | $15.2k – $15.2k |
| 9 | Aetna all commercial plans other · outpatient | $15.4k | $15.4k | $12.3k | 80% | 2–20 | $3.1k – $27.7k |
| 10 | WellCare medicare managed care plan other · outpatient | $15.5k | $15.5k | — | — | 1–10 | $15.5k – $15.5k |
| 11 | Cigna mvp medicare managed care plan other · outpatient | $16.7k | $16.7k | — | — | 1–10 | $16.7k – $16.7k |
| 12 | Blue Cross Blue Shield hmo select - healthnow medicare managed care - hmo other · outpatient | $17.3k | $17.3k | — | — | 1–10 | $17.3k – $17.3k |
| 13 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan other · outpatient | $17.3k | $17.3k | $39 | 0% | 47–56 | $17.3k – $17.3k |
| 14 | Blue Cross Blue Shield healthnow essential 1_2 medicaid managed care plan other · outpatient | $17.6k | $17.6k | — | — | 1–10 | $17.6k – $17.6k |
| 15 | Blue Cross Blue Shield healthnow hmo/pos other · outpatient | $20.2k | $20.2k | $3.8k | 19% | 27–36 | $16.5k – $24.0k |
| 16 | Cigna mvp all commercial plans other · outpatient | $20.9k | $20.9k | $739 | 4% | 2–20 | $20.2k – $21.6k |
| 17 | Blue Cross Blue Shield healthnow ppo/traditional other · outpatient | $22.2k | $22.2k | $1.7k | 8% | 50 | $20.5k – $24.0k |
| 18 | Blue Cross Blue Shield healthnow standard exchange other · outpatient | $24.0k | $24.0k | — | — | 1–10 | $24.0k – $24.0k |
Last updated: Apr 1, 2026
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