Level 2 Musculoskeletal Procedures
What 2,801 hospitals in the U.S. charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$12,397
Hospital list price billed
Average allowed
$1,511
Medicare's payment + patient's share
Medicare paid
$1,196
Average per service
Volume
74,793
Medicare services
Hospitals in the U.S. billed an average of $12,397 for level 2 musculoskeletal procedures, about 8.2 times the average medicare-allowed amount of $1,511.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Central Vermont Medical CenterGraniteville-East Barre, VT | $552 |
|---|---|
| Fletcher Allen Hospital of VermontBurlington, VT | $602 |
| Memorial Hospital at GulfportGulfport, MS | $633 |
| Townsen Memorial HospitalHumble, TX | $698 |
| Hospital of the Univ of PaPhiladelphia, PA | $754 |
| MUSC Medical CenterCharleston, SC | $783 |
| Athens-Limestone HospitalAthens, AL | $792 |
| Northwestern Medical CenterSt Albans, VT | $814 |
| Metrohealth SystemCleveland, OH | $841 |
| Gettysburg HospitalGettysburg, PA | $841 |
Highest
| Northbay Medical CenterFairfield, CA | $2,312 |
|---|---|
| St Mary's Medical CenterSan Francisco, CA | $2,297 |
| Santa Clara Valley Medical CenterSan Jose, CA | $2,264 |
| Good Samaritan HospitalSan Jose, CA | $2,263 |
| Washington HospitalFremont, CA | $2,263 |
| El Camino HospitalMountain View, CA | $2,263 |
| UCSF Medical CenterSan Francisco, CA | $2,263 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $2,263 |
| San Francisco General HospitalSan Francisco, CA | $2,263 |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA | $2,256 |
Level 2 Musculoskeletal Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 60 | $21,504 | $1,311 | $792 – $1,472 |
| Alaska | 6 | $12,229 | $1,697 | $1,607 – $1,728 |
| Arizona | 55 | $13,822 | $1,570 | $1,508 – $1,740 |
| Arkansas | 37 | $8,019 | $1,375 | $1,290 – $1,476 |
| California | 250 | $18,929 | $2,038 | $1,642 – $2,312 |
| Colorado | 50 | $14,960 | $1,510 | $1,352 – $1,639 |
| Connecticut | 26 | $10,358 | $1,788 | $1,634 – $1,920 |
| Delaware | 6 | $6,361 | $1,610 | $1,592 – $1,617 |
| Florida | 162 | $20,121 | $1,425 | $934 – $1,559 |
| Georgia | 89 | $15,555 | $1,343 | $968 – $1,492 |
| Hawaii | 12 | $9,012 | $1,893 | $1,735 – $1,980 |
| Idaho | 15 | $7,254 | $1,418 | $1,101 – $1,556 |
| Illinois | 106 | $12,368 | $1,486 | $1,206 – $1,591 |
| Indiana | 77 | $14,064 | $1,414 | $1,220 – $1,534 |
| Iowa | 31 | $9,653 | $1,392 | $1,292 – $1,477 |
| Kansas | 42 | $10,338 | $1,391 | $1,273 – $1,560 |
| Kentucky | 56 | $10,580 | $1,363 | $1,207 – $1,470 |
| Louisiana | 60 | $12,968 | $1,333 | $1,156 – $1,393 |
| Maine | 17 | $6,689 | $1,451 | $975 – $1,578 |
| Massachusetts | 53 | $6,851 | $1,708 | $1,557 – $1,808 |
| Michigan | 87 | $9,236 | $1,378 | $908 – $1,510 |
| Minnesota | 45 | $7,003 | $1,528 | $1,293 – $1,632 |
| Mississippi | 41 | $10,627 | $1,143 | $633 – $1,441 |
| Missouri | 64 | $10,462 | $1,397 | $923 – $1,575 |
| Montana | 10 | $5,631 | $1,516 | $1,451 – $1,614 |
| Nebraska | 23 | $8,414 | $1,424 | $1,108 – $1,560 |
| Nevada | 21 | $21,640 | $1,711 | $1,536 – $1,894 |
| New Hampshire | 13 | $9,996 | $1,522 | $1,417 – $1,642 |
| New Jersey | 59 | $13,573 | $1,689 | $1,260 – $1,829 |
| New Mexico | 22 | $10,467 | $1,502 | $1,388 – $1,628 |
| New York | 127 | $13,179 | $1,731 | $988 – $1,830 |
| North Carolina | 81 | $9,999 | $1,428 | $1,308 – $1,605 |
| North Dakota | 6 | $7,383 | $1,541 | $1,474 – $1,590 |
| Ohio | 116 | $9,835 | $1,346 | $841 – $1,545 |
| Oklahoma | 55 | $11,381 | $1,366 | $1,226 – $1,483 |
| Oregon | 32 | $8,889 | $1,720 | $1,503 – $2,090 |
| Pennsylvania | 127 | $12,471 | $1,454 | $754 – $1,694 |
| Rhode Island | 9 | $7,331 | $1,617 | $1,550 – $1,631 |
| South Carolina | 52 | $13,255 | $1,302 | $783 – $1,482 |
| South Dakota | 14 | $7,547 | $1,525 | $1,469 – $1,614 |
| Tennessee | 70 | $11,539 | $1,317 | $1,111 – $1,474 |
| Texas | 259 | $16,496 | $1,414 | $698 – $1,554 |
| Utah | 33 | $7,893 | $1,432 | $1,276 – $1,542 |
| Vermont | 6 | $5,471 | $686 | $552 – $1,029 |
| Virginia | 69 | $12,073 | $1,426 | $1,275 – $1,565 |
| Washington | 46 | $10,574 | $1,649 | $1,521 – $1,774 |
| West Virginia | 23 | $8,610 | $1,333 | $963 – $1,496 |
| Wisconsin | 65 | $9,954 | $1,461 | $1,088 – $1,563 |
| Wyoming | 10 | $9,194 | $1,584 | $1,478 – $1,614 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 526 | $20,109 | $1,805 |
| Crystal Clinic Orthopaedic CenterAkron, OH | 371 | $8,492 | $1,361 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | 349 | $7,247 | $1,722 |
| Mercy Health Center, INCOklahoma City, OK | 336 | $5,854 | $1,375 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 304 | $9,203 | $1,971 |
| Lehigh Valley HospitalAllentown, PA | 303 | $11,463 | $1,547 |
| New York-Presbyterian HospitalNew York, NY | 302 | $14,355 | $1,824 |
| Surgical Institute of ReadingWyomissing, PA | 279 | $12,779 | $1,441 |
| Massachusetts General HospitalBoston, MA | 274 | $12,237 | $1,648 |
| Sutter Roseville Medical CenterRoseville, CA | 266 | $10,096 | $2,035 |
| University HospitalStony Brook, NY | 264 | $16,221 | $1,772 |
| Carilion Medical CenterRoanoke, VA | 264 | $3,543 | $1,373 |
| Oss Orthopaedic HospitalYork, PA | 254 | $6,180 | $1,447 |
| Berkshire Medical Center INCPittsfield, MA | 249 | $4,683 | $1,808 |
| Southcoast Hospital Group, INCFall River, MA | 237 | $5,458 | $1,701 |
Questions
How much does level 2 musculoskeletal procedures cost in the U.S.?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 2,801 hospitals in the U.S. was billed at $12,397 on average, while the average medicare-allowed amount was $1,511, of which Medicare paid $1,196. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 musculoskeletal procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,038), Hawaii ($1,893), Connecticut ($1,788) and lowest in Vermont ($686), Mississippi ($1,143), South Carolina ($1,302).
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 the U.S., average charges were 8.2 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.