APC 5111

Level 1 musculoskeletal procedure at Metropolitan Methodist

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 Pr

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Metropolitan Methodist’s median price of $255 is 28% below the median hospital's median price ($357), higher than 20% of the 658 hospitals reporting APC 5111. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5111 at Metropolitan Methodist

Negotiated rates from the hospital’s own file: 7 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 mgmcrhmo fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
4	Devoted dualeligible fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
5	Devoted mcrhmo fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
6	Devoted mcrpffs fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
7	Devoted mcrpos fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
8	Devoted mcrppo fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
9	Devoted mcrsnp fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
10	Aetna mcr fee schedule · outpatient	$252	$252	—	—	—	$252 – $252
11	UnitedHealthcare mcr fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
12	WellCare mcrhmo fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
13	WellCare mcrpos fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
14	WellCare mcrppo fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
15	WellCare mcrsnp fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
16	WellCare pffs fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
17	Clover mcr fee schedule · outpatient	$260	$260	—	—	—	$260 – $260
18	Molina mcr fee schedule · outpatient	$394	$394	—	—	—	$394 – $394
19	Molina mme-mmp fee schedule · outpatient	$394	$394	—	—	—	$394 – $394

Last updated: May 1, 2026

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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.