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
Healdsburg, CA
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 2 | Blue Cross Blue Shield hmo/pos other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 3 | Blue Cross Blue Shield ppo other · outpatient | $5.2k | $5.2k | — | — | 11 | $5.2k – $5.2k |
| 4 | Blue Cross Blue Shield anthem ind1, inca, ncx3 all commercial plans other · outpatient | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 5 | Aetna all commercial plans other · outpatient | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 8 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 9 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | 1–10 | $13.2k – $13.2k |
| 10 | UnitedHealthcare all commercial plans percent of total billed charges · outpatientfrom % of charges | $19.8k | $19.8k | — | — | 1–10 | $19.8k – $19.8k |