facebook tracking Level 1 ICD and Similar Procedures cost in Mississippi: 23 hospitals compared (APC 5231)

Level 1 ICD and Similar Procedures in Mississippi

What 23 hospitals in Mississippi charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.

APC 5231 Outpatient 2024 Medicare data
Average charge $85,378 Hospital list price billed
Average allowed $21,084 Medicare's payment + patient's share
Medicare paid $19,452 Average per service
State rank #17 of 34 1 = lowest average payment

Hospitals in Mississippi billed an average of $85,378 for level 1 icd and similar procedures, about 4.0 times the average medicare-allowed amount of $21,084. That payment is 7% below the U.S. average of $22,647.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $21,084Billed $85,378

About 25¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 1 icd and similar procedures

Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
North Mississippi Medical CenterTupelo 11 $85,378 $21,084 $19,452
University of Mississippi Med CenterJackson – – – –
Magnolia Regional Health CenterCorinth – – – –
Memorial Hospital at GulfportGulfport – – – –
Merit Health River RegionVicksburg – – – –
Baptist Memorial Hospital North MsOxford – – – –
Singing River HospitalPascagoula – – – –
St Dominic-Jackson Memorial HospitalJackson – – – –
South Central Regional Med CtrLaurel – – – –
Rush Foundation HospitalMeridian – – – –
Central Mississippi Medical CenterJackson – – – –
Forrest General HospitalHattiesburg – – – –
Delta Regional Medical CenterGreenville – – – –
Natchez Regional Medical CtrNatchez – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Baptist Mem Hosp/Golden Triangle INCColumbus – – – –
Mississippi Baptist Medical CenterJackson – – – –
Anderson Regional Medical CenterMeridian – – – –
Singing River GulfportGulfport – – – –
River Oaks HospitalFlowood – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
Methodist Healthcare - Olive Branch HospitalOlive Branch – – – –
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Level 1 ICD and Similar Procedures in other states

Questions

How much does level 1 icd and similar procedures cost in Mississippi?

In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 23 hospitals in Mississippi was billed at $85,378 on average, while the average medicare-allowed amount was $21,084, of which Medicare paid $19,452. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Mississippi, average charges were 4.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.