APC 5111
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 1 Musculoskeletal Procedures
Houston, TX
See all hospitals reporting APC 5111 →Price type
The Methodist Hospital’s median price of $640 is 79% above the median hospital's median price ($357), higher than 61% of the 659 hospitals reporting APC 5111. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 2 | Molina exchange other · outpatient | $257 | $257 | — | — | 1–10 | $257 – $257 |
| 3 | Aetna medicare managed care - hmo/ppo other · outpatient | $398 | $398 | — | — | 1–10 | $398 – $398 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $405 | $405 | — | — | 1–10 | $405 – $405 |
| 5 | UnitedHealthcare medicare managed care - hmo other · outpatient | $640 | $640 | — | — | 1–10 | $640 – $640 |
| 6 | Cigna network c-24 hmo/ppo other · outpatient | $805 | $805 | — | — | 1–10 | $805 – $805 |
| 7 | Humana medicare managed care - ppo other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 8 | Blue Cross Blue Shield all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 24 | $2.0k – $2.0k |
| 9 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 10 | Aetna hmo/pos/ppo other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 11 | UnitedHealthcare all commercial plans other · outpatient | $9.6k | $9.6k | — | — | 11 | $9.6k – $9.6k |
Last updated: Apr 1, 2026
See Level 1 musculoskeletal procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.