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
Houston, TX
See all hospitals reporting APC 5113 →Price type
Methodist West Houston Hospital’s median price of $5.4k is 51% above the median hospital's median price ($3.6k), higher than 75% 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: 8 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 | Molina medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 2 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 3 | Humana medicare managed care - ppo other · outpatient | $3.2k | $3.2k | — | — | 27 | $3.2k – $3.2k |
| 4 | Aetna medicare managed care - hmo/ppo other · outpatient | $3.2k | $3.2k | — | — | 28 | $3.2k – $3.2k |
| 5 | UnitedHealthcare medicare managed care - hmo other · outpatient | $3.3k | $3.3k | — | — | 15 | $3.3k – $3.3k |
| 6 | UnitedHealthcare medicare managed care - ppo other · outpatient | $3.3k | $3.3k | — | — | 31 | $3.3k – $3.3k |
| 7 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $3.3k | $3.3k | — | — | 14 | $3.3k – $3.3k |
| 8 | Devoted medicare managed care - hmo other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 9 | Aetna new business discount other commercial plan other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 10 | Aetna hmo/pos/ppo other · outpatient | $5.4k | $5.4k | — | — | 62 | $5.4k – $5.4k |
| 11 | Blue Cross Blue Shield all commercial plans other · outpatient | $5.7k | $5.7k | — | — | 213 | $5.7k – $5.7k |
| 12 | Molina exchange other · outpatient | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 13 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $6.7k | $6.7k | — | — | 63 | $6.7k – $6.7k |
| 14 | First Health first health/coventry ppo other · outpatient | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $8.5k | $8.5k | — | — | 73 | $8.5k – $8.5k |
| 16 | Cigna local plus/surefit hmo/ppo other · outpatient | $8.9k | $8.9k | — | — | 1–10 | $8.9k – $8.9k |
| 17 | Cigna network c-24 hmo/ppo other · outpatient | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 18 | Cigna all other benefit plans ppo other · outpatient | $66.9k | $66.9k | — | — | 1–10 | $66.9k – $66.9k |
Last updated: Apr 1, 2026
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