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
Dahlonega, GA
See all hospitals reporting APC 5113 →Price type
NGMC Lumpkin, LLC’s median price of $10.6k is 195% above the median hospital's median price ($3.6k), higher than 94% 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, 17 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 | Aetna medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 23 | $2.9k – $2.9k |
| 2 | Humana medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 17 | $3.0k – $3.0k |
| 3 | Cigna healthspring medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 12 | $3.0k – $3.0k |
| 4 | UnitedHealthcare state health benefit plan medicare managed care plan other · outpatient | $3.2k | $3.2k | — | — | 12 | $3.2k – $3.2k |
| 5 | UnitedHealthcare optum community care network government other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 6 | Blue Cross Blue Shield state health benefit plan medicare managed care plan other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 7 | Caresource medicaid managed care plan other · outpatient | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 8 | Cigna connect hix ifp exchange other · outpatient | $10.6k | $10.6k | — | — | 1–10 | $10.6k – $10.6k |
| 9 | Healthpartners alliant all commercial plans other · outpatient | $12.4k | $12.4k | — | — | 42 | $12.4k – $12.4k |
| 10 | Aetna all commercial plans other · outpatient | $16.3k | $16.3k | — | — | 26 | $16.3k – $16.3k |
| 11 | Cigna local plus other commercial plan other · outpatient | $16.7k | $16.7k | — | — | 1–10 | $16.7k – $16.7k |
| 12 | Healthpartners lumpkin county boc all commercial plans other · outpatient | $18.6k | $18.6k | — | — | 1–10 | $18.6k – $18.6k |
| 13 | Blue Cross Blue Shield anthem hmo other · outpatient | $19.5k | $19.5k | — | — | 62 | $19.5k – $19.5k |
| 14 | First Health coventry ppo other · outpatient | $21.4k | $21.4k | — | — | 1–10 | $21.4k – $21.4k |
| 15 | Cigna all commercial plans other · outpatient | $21.7k | $21.7k | — | — | 24 | $21.7k – $21.7k |
| 16 | Blue Cross Blue Shield anthem ppo other · outpatient | $22.0k | $22.0k | — | — | 22 | $22.0k – $22.0k |
| 17 | Healthpartners city of gainesville all commercial plans other · outpatient | $23.6k | $23.6k | — | — | 1–10 | $23.6k – $23.6k |
Last updated: Apr 1, 2026
See Level 3 musculoskeletal outpatient procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.