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
Houston, TX
See all hospitals reporting APC 5116 →Price type
The Methodist Hospital’s median price of $18.9k is 1% below the median hospital's median price ($19.1k), higher than 46% of the 634 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: 9 payers, 18 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 | Cigna network c-24 hmo/ppo other · outpatient | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 2 | MultiPlan ppo other · outpatient | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 3 | UnitedHealthcare medicare managed care - hmo other · outpatient | $17.8k | $17.8k | — | — | 11 | $17.8k – $17.8k |
| 4 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
| 5 | Humana medicare managed care - ppo other · outpatient | $18.4k | $18.4k | — | — | 17 | $18.4k – $18.4k |
| 6 | First Health first health/coventry ppo other · outpatient | $18.4k | $18.4k | — | — | 1–10 | $18.4k – $18.4k |
| 7 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $18.5k | $18.5k | — | — | 1–10 | $18.5k – $18.5k |
| 8 | UnitedHealthcare medicare managed care - ppo other · outpatient | $18.5k | $18.5k | — | — | 37 | $18.5k – $18.5k |
| 9 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $18.9k | $18.9k | — | — | 1–10 | $18.9k – $18.9k |
| 10 | Aetna medicare managed care - hmo/ppo other · outpatient | $18.9k | $18.9k | — | — | 30 | $18.9k – $18.9k |
| 11 | Devoted medicare managed care - hmo other · outpatient | $19.8k | $19.8k | — | — | 1–10 | $19.8k – $19.8k |
| 12 | Aetna new business discount other commercial plan other · outpatient | $32.6k | $32.6k | — | — | 1–10 | $32.6k – $32.6k |
| 13 | Molina exchange other · outpatient | $37.6k | $37.6k | — | — | 1–10 | $37.6k – $37.6k |
| 14 | Aetna hmo/pos/ppo other · outpatient | $49.4k | $49.4k | — | — | 21 | $49.4k – $49.4k |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $60.3k | $60.3k | — | — | 47 | $60.3k – $60.3k |
| 16 | Blue Cross Blue Shield all commercial plans other · outpatient | $70.5k | $70.5k | — | — | 86 | $70.5k – $70.5k |
| 17 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $84.5k | $84.5k | — | — | 14 | $84.5k – $84.5k |
| 18 | Cigna all other benefit plans ppo other · outpatient | $91.4k | $91.4k | — | — | 1–10 | $91.4k – $91.4k |
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.