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
Houston, TX
See all hospitals reporting APC 5116 →Price type
Methodist West Houston Hospital’s median price of $20.1k is 5% above the median hospital's median price ($19.1k), higher than 63% 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: 6 payers, 13 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 | Humana medicare managed care - ppo other · outpatient | $18.2k | $18.2k | — | — | 20 | $18.2k – $18.2k |
| 2 | UnitedHealthcare medicare managed care - ppo other · outpatient | $18.3k | $18.3k | — | — | 19 | $18.3k – $18.3k |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
| 4 | UnitedHealthcare medicare managed care - hmo other · outpatient | $18.4k | $18.4k | — | — | 1–10 | $18.4k – $18.4k |
| 5 | Aetna medicare managed care - hmo/ppo other · outpatient | $18.6k | $18.6k | — | — | 18 | $18.6k – $18.6k |
| 6 | Devoted medicare managed care - hmo other · outpatient | $20.1k | $20.1k | — | — | 1–10 | $20.1k – $20.1k |
| 7 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $21.4k | $21.4k | — | — | 1–10 | $21.4k – $21.4k |
| 8 | Aetna hmo/pos/ppo other · outpatient | $32.2k | $32.2k | — | — | 1–10 | $32.2k – $32.2k |
| 9 | Cigna network c-24 hmo/ppo other · outpatient | $72.8k | $72.8k | — | — | 1–10 | $72.8k – $72.8k |
| 10 | Cigna all other benefit plans ppo other · outpatient | $75.0k | $75.0k | — | — | 1–10 | $75.0k – $75.0k |
| 11 | Blue Cross Blue Shield all commercial plans other · outpatient | $75.9k | $75.9k | — | — | 53 | $75.9k – $75.9k |
| 12 | UnitedHealthcare all commercial plans other · outpatient | $81.3k | $81.3k | — | — | 1–10 | $81.3k – $81.3k |
| 13 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $88.1k | $88.1k | — | — | 12 | $88.1k – $88.1k |
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.