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
Houston, TX
See all hospitals reporting APC 5115 →Price type
Methodist West Houston Hospital’s median price of $14.2k is 3% above the median hospital's median price ($13.8k), higher than 59% 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: 9 payers, 19 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 medicare managed care - hmo other · outpatient | $12.8k | $12.8k | — | — | 1–10 | $12.8k – $12.8k |
| 2 | Humana medicare managed care - ppo other · outpatient | $12.8k | $12.8k | — | — | 55 | $12.8k – $12.8k |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $13.0k | $13.0k | — | — | 1–10 | $13.0k – $13.0k |
| 4 | UnitedHealthcare medicare managed care - ppo other · outpatient | $13.0k | $13.0k | — | — | 81 | $13.0k – $13.0k |
| 5 | UnitedHealthcare medicare managed care - hmo other · outpatient | $13.0k | $13.0k | — | — | 44 | $13.0k – $13.0k |
| 6 | Aetna medicare managed care - hmo/ppo other · outpatient | $13.1k | $13.1k | — | — | 64 | $13.1k – $13.1k |
| 7 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $13.1k | $13.1k | — | — | 17 | $13.1k – $13.1k |
| 8 | Devoted medicare managed care - hmo other · outpatient | $13.6k | $13.6k | — | — | 18 | $13.6k – $13.6k |
| 9 | Molina medicaid managed care plan other · outpatient | $14.7k | $14.7k | — | — | 1–10 | $14.7k – $14.7k |
| 10 | First Health first health/coventry ppo other · outpatient | $21.3k | $21.3k | — | — | 1–10 | $21.3k – $21.3k |
| 11 | Molina exchange other · outpatient | $26.9k | $26.9k | — | — | 1–10 | $26.9k – $26.9k |
| 12 | Aetna new business discount other commercial plan other · outpatient | $39.1k | $39.1k | — | — | 1–10 | $39.1k – $39.1k |
| 13 | UnitedHealthcare all commercial plans other · outpatient | $39.5k | $39.5k | — | — | 71 | $39.5k – $39.5k |
| 14 | Aetna hmo/pos/ppo other · outpatient | $40.6k | $40.6k | — | — | 39 | $40.6k – $40.6k |
| 15 | Cigna network c-24 hmo/ppo other · outpatient | $47.6k | $47.6k | — | — | 1–10 | $47.6k – $47.6k |
| 16 | Blue Cross Blue Shield all commercial plans other · outpatient | $48.7k | $48.7k | — | — | 163 | $48.7k – $48.7k |
| 17 | Cigna local plus/surefit hmo/ppo other · outpatient | $49.3k | $49.3k | — | — | 1–10 | $49.3k – $49.3k |
| 18 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $52.3k | $52.3k | — | — | 31 | $52.3k – $52.3k |
| 19 | Phcs ppo other · outpatient | $88.0k | $88.0k | — | — | 1–10 | $88.0k – $88.0k |
Last updated: Apr 1, 2026
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