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
Dahlonega, GA
See all hospitals reporting APC 5116 →Price type
NGMC Lumpkin, LLC’s median price of $19.1k is about the same as the median hospital's median price ($19.1k), higher than 50% 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, 8 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 | UnitedHealthcare state health benefit plan medicare managed care plan other · outpatient | $14.8k | $14.8k | — | — | 1–10 | $14.8k – $14.8k |
| 2 | Aetna medicare managed care plan other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
| 3 | Blue Cross Blue Shield state health benefit plan medicare managed care plan other · outpatient | $18.4k | $18.4k | — | — | 1–10 | $18.4k – $18.4k |
| 4 | Cigna healthspring medicare managed care plan other · outpatient | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 5 | Humana medicare managed care plan other · outpatient | $19.5k | $19.5k | — | — | 1–10 | $19.5k – $19.5k |
| 6 | Blue Cross Blue Shield anthem hmo other · outpatient | $60.5k | $60.5k | — | — | 1–10 | $60.5k – $60.5k |
| 7 | Blue Cross Blue Shield anthem ppo other · outpatient | $64.1k | $64.1k | — | — | 1–10 | $64.1k – $64.1k |
| 8 | Healthpartners alliant all commercial plans other · outpatient | $70.3k | $70.3k | — | — | 1–10 | $70.3k – $70.3k |
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.