APC 5116
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 6 Musculoskeletal Procedures
Buffalo, NY
See all hospitals reporting APC 5116 →Price type
Kaleida Health’s median price of $20.8k is 9% above the median hospital's median price ($19.1k), higher than 67% of the 636 hospitals reporting APC 5116. 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, 9 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 | $208 | $208 | — | — | 1–10 | $208 – $208 |
| 2 | Molina medicaid managed care plan other · outpatient | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 3 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan other · outpatient | $13.8k | $13.8k | — | — | 1–10 | $13.8k – $13.8k |
| 4 | Tricare government other · outpatient | $17.4k | $17.4k | — | — | 1–10 | $17.4k – $17.4k |
| 5 | Blue Cross Blue Shield healthnow hmo/pos other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
| 6 | UnitedHealthcare dual medicare managed care plan other · outpatient | $21.0k | $21.0k | — | — | 1–10 | $21.0k – $21.0k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $21.5k | $21.5k | — | — | 1–10 | $21.5k – $21.5k |
| 8 | Blue Cross Blue Shield healthnow ppo/traditional other · outpatient | $23.0k | $23.0k | — | — | 1–10 | $23.0k – $23.0k |
| 9 | Aetna all commercial plans other · outpatient | $50.2k | $50.2k | — | — | 1–10 | $50.2k – $50.2k |
Last updated: Apr 1, 2026
See Level 6 musculoskeletal procedure (outpatient) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.