APC 5111

Level 1 musculoskeletal procedure at Metrohealth System

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Musculoskeletal Procedures

Cleveland, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Metrohealth System’s median price of $432 is 21% above the median hospital's median price ($357), higher than 54% of the 660 hospitals reporting APC 5111. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5111 at Metrohealth System

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Caresource medicare managed care plan facility · other · outpatient	$157	$157	—	—	1–10	$157 – $157
2	Aetna medicare managed care plan facility · other · outpatient	$218	$218	—	—	26	$218 – $218
3	Caresource dual medicare/medicaid managed care plan facility · other · outpatient	$265	$265	—	—	12	$265 – $265
4	Devoted medicare managed care facility · other · outpatient	$269	$269	—	—	24	$269 – $269
5	Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient	$275	$275	—	—	52	$275 – $275
6	Caresource exchange facility · other · outpatient	$310	$310	—	—	1–10	$310 – $310
7	Humana medicare managed care facility · other · outpatient	$317	$317	—	—	22	$317 – $317
8	UnitedHealthcare medicare managed care facility · other · outpatient	$338	$338	—	—	56	$338 – $338
9	UnitedHealthcare va ccn government facility · other · outpatient	$341	$341	—	—	1–10	$341 – $341
10	UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient	$355	$355	—	—	1–10	$355 – $355
11	Tricare government facility · other · outpatient	$453	$453	—	—	1–10	$453 – $453
12	Molina exchange facility · other · outpatient	$477	$477	—	—	24	$477 – $477
13	Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient	$479	$479	—	—	1–10	$479 – $479
14	UnitedHealthcare all commercial plans facility · other · outpatient	$531	$531	—	—	12	$531 – $531
15	Caresource medicaid managed care plan facility · other · outpatient	$683	$683	—	—	23	$683 – $683
16	UnitedHealthcare medicaid managed care plan facility · other · outpatient	$691	$691	—	—	1–10	$691 – $691
17	Molina medicaid managed care plan facility · other · outpatient	$701	$701	—	—	1–10	$701 – $701
18	Medical Mutual all commercial plans facility · other · outpatient	$728	$728	—	—	92	$728 – $728
19	Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges	$812	$812	—	—	1–10	$812 – $812
20	Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient	$839	$839	—	—	44	$839 – $839
21	Cigna all commercial plans facility · other · outpatient	$842	$842	—	—	17	$842 – $842
22	Aetna all commercial plans facility · other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k

Last updated: Apr 1, 2026

Compare to other hospitals

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.