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
Norfolk, VA
See all hospitals reporting APC 5116 →Price type
Sentara Hospitals’s median price of $20.4k is 7% above the median hospital's median price ($19.1k), higher than 64% 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: 5 payers, 12 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 | Cigna ppo/pos facility · other · outpatient | $16.4k | $16.4k | — | — | 1–10 | $16.4k – $16.4k |
| 2 | UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient | $16.8k | $16.8k | — | — | 19 | $16.8k – $16.8k |
| 3 | Humana medicare managed care plan facility · other · outpatient | $17.3k | $17.3k | — | — | 27 | $17.3k – $17.3k |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient | $17.7k | $17.7k | — | — | 22 | $17.7k – $17.7k |
| 5 | Aetna va preferred other commercial plan facility · other · outpatient | $23.8k | $23.8k | — | — | 1–10 | $23.8k – $23.8k |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient | $26.5k | $26.5k | — | — | 1–10 | $26.5k – $26.5k |
| 7 | Aetna all commercial plans facility · other · outpatient | $38.3k | $38.3k | — | — | 1–10 | $38.3k – $38.3k |
| 8 | UnitedHealthcare options ppo facility · other · outpatient | $41.4k | $41.4k | — | — | 1–10 | $41.4k – $41.4k |
| 9 | UnitedHealthcare all commercial plans facility · other · outpatient | $43.6k | $43.6k | — | — | 1–10 | $43.6k – $43.6k |
| 10 | Blue Cross Blue Shield anthem exchange facility · other · outpatient | $46.7k | $46.7k | — | — | 1–10 | $46.7k – $46.7k |
| 11 | Blue Cross Blue Shield anthem hmo facility · other · outpatient | $49.9k | $49.9k | — | — | 1–10 | $49.9k – $49.9k |
| 12 | Blue Cross Blue Shield anthem ppo facility · other · outpatient | $51.7k | $51.7k | — | — | 28 | $51.7k – $51.7k |
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.