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
Saint Louis, MO
See all hospitals reporting APC 5113 →Price type
SSM-SLUH, Inc.’s median price of $3.3k is 9% below the median hospital's median price ($3.6k), higher than 19% 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: 7 payers, 21 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 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 2 | Phcs all commercial plans other · outpatient | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 3 | Aetna better health medicaid managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 4 | Aetna all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 5 | Humana medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 7 | Aetna gold advantage medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 8 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 9 | UnitedHealthcare optum vaccn government other · outpatient | $3.1k | $3.1k | — | — | 11 | $3.1k – $3.1k |
| 10 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 11 | UnitedHealthcare employee other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 12 | Molina medicaid managed care plan other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 13 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $4.4k | $4.4k | — | — | 25 | $4.4k – $4.4k |
| 14 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 15 | UnitedHealthcare options ppo other · outpatient | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 16 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 17 | Cigna all commercial plans other · outpatient | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 18 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $6.3k | $6.3k | — | — | 18 | $6.3k – $6.3k |
| 19 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 20 | Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 21 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
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.