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
River, SC
See all hospitals reporting APC 5111 →Price type
McLeod Health’s median price of $230 is 36% below the median hospital's median price ($357), higher than 5% of the 659 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: 10 payers, 10 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 | Tricare dha case rate · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Medicare medicare case rate · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 5 | Aetna medicare advantage case rate · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 6 | Clover medicare advantage case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 7 | Humana medicare advantage case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 8 | WellCare medicare advantage case rate · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 9 | Molina medicare advantage case rate · outpatient | $233 | $297 | $91 | 31% | — | $233 – $426 |
| 10 | Ambetter medicare advantage case rate · outpatient | $393 | $393 | — | — | — | $393 – $393 |
Last updated: Jul 20, 2026
See Level 1 musculoskeletal procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.