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
Akron, OH
See all hospitals reporting APC 5116 →Price type
Summa Health System’s median price of $17.9k is 6% below the median hospital's median price ($19.1k), higher than 21% 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: 8 payers, 17 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 | Caresource medicare managed care plan other · outpatient | $14.1k | $14.1k | — | — | 1–10 | $14.1k – $14.1k |
| 2 | Humana medicare managed care plan other · outpatient | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 3 | Molina medicaid managed care plan other · outpatient | $16.0k | $16.0k | — | — | 1–10 | $16.0k – $16.0k |
| 4 | Humana medicaid managed care plan other · outpatient | $16.2k | $16.2k | — | — | 1–10 | $16.2k – $16.2k |
| 5 | UnitedHealthcare community plan medicaid managed care plan other · outpatient | $16.2k | $16.2k | — | — | 1–10 | $16.2k – $16.2k |
| 6 | Caresource medicaid managed care plan other · outpatient | $16.6k | $16.6k | — | — | 1–10 | $16.6k – $16.6k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $16.7k | $16.7k | — | — | 1–10 | $16.7k – $16.7k |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $17.0k | $17.0k | — | — | 12 | $17.0k – $17.0k |
| 9 | Medical Mutual medicare managed care plan other · outpatient | $17.0k | $17.0k | — | — | 1–10 | $17.0k – $17.0k |
| 10 | Aetna medicare managed care plan other · outpatient | $18.7k | $18.7k | — | — | 1–10 | $18.7k – $18.7k |
| 11 | Aetna exchange other · outpatient | $24.3k | $24.3k | — | — | 1–10 | $24.3k – $24.3k |
| 12 | Medical Mutual aca exchange other · outpatient | $27.3k | $27.3k | — | — | 1–10 | $27.3k – $27.3k |
| 13 | Aetna all commercial plans other · outpatient | $29.1k | $29.1k | — | — | 1–10 | $29.1k – $29.1k |
| 14 | Cigna all commercial plans other · outpatient | $42.0k | $42.0k | — | — | 1–10 | $42.0k – $42.0k |
| 15 | Medical Mutual supermed hmo/pos/ppo other · outpatient | $46.5k | $46.5k | — | — | 1–10 | $46.5k – $46.5k |
| 16 | Blue Cross Blue Shield anthem blue access/blue preferred hmo/ppo other · outpatient | $58.6k | $58.6k | — | — | 21 | $58.6k – $58.6k |
| 17 | UnitedHealthcare all commercial plans other · outpatient | $61.8k | $61.8k | — | — | 1–10 | $61.8k – $61.8k |
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.