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
Norfolk, VA
See all hospitals reporting APC 5113 →Price type
Sentara Hospitals’s median price of $5.4k is 50% above the median hospital's median price ($3.6k), higher than 75% 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, 20 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 community plan - nc medicaid managed care plan facility · other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $2.6k | $2.6k | — | — | 23 | $2.6k – $2.6k |
| 3 | Humana medicare managed care plan facility · other · outpatient | $2.7k | $2.7k | — | — | 47 | $2.7k – $2.7k |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $2.8k | $2.8k | — | — | 35 | $2.8k – $2.8k |
| 5 | Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 6 | Cigna open access plus b other commercial plan facility · other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 7 | WellCare medicaid managed care plan facility · other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 8 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $4.8k | $4.8k | — | — | 32 | $4.8k – $4.8k |
| 9 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $5.4k | $5.4k | — | — | 15 | $5.4k – $5.4k |
| 10 | Amerihealth Caritas medicaid managed care plan facility · other · outpatient | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 11 | Aetna va preferred other commercial plan facility · other · outpatient | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 12 | Cigna ppo/pos facility · other · outpatient | $7.3k | $7.3k | — | — | 24 | $7.3k – $7.3k |
| 13 | UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 14 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $7.6k | $7.6k | — | — | 42 | $7.6k – $7.6k |
| 15 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $8.5k | $8.5k | — | — | 124 | $8.5k – $8.5k |
| 16 | Medcost virginia ultra ppo facility · other · outpatient | $8.9k | $8.9k | — | — | 1–10 | $8.9k – $8.9k |
| 17 | Medcost virginia standard ppo facility · other · outpatient | $9.5k | $9.5k | — | — | 1–10 | $9.5k – $9.5k |
| 18 | UnitedHealthcare all commercial plans facility · other · outpatient | $12.5k | $12.5k | — | — | 13 | $12.5k – $12.5k |
| 19 | Aetna all commercial plans facility · other · outpatient | $12.9k | $12.9k | — | — | 30 | $12.9k – $12.9k |
| 20 | UnitedHealthcare options ppo facility · other · outpatient | $16.1k | $16.1k | — | — | 1–10 | $16.1k – $16.1k |
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.