Level 2 Musculoskeletal Procedures in Alabama
What 60 hospitals in Alabama charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$21,504
Hospital list price billed
Average allowed
$1,311
Medicare's payment + patient's share
Medicare paid
$1,034
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $21,504 for level 2 musculoskeletal procedures, about 16.4 times the average medicare-allowed amount of $1,311. That payment is 13% below the U.S. average 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.
Paid $1,311Billed $21,504
About 6¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 2 musculoskeletal procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Grandview Medical CenterBirmingham | 106 | $56,835 | $1,308 | $1,032 |
| Huntsville HospitalHuntsville | 93 | $8,248 | $1,334 | $1,056 |
| Crestwood Medical CenterHuntsville | 74 | $29,932 | $1,318 | $1,025 |
| Jack Hughston Memorial HospitalPhenix City | 46 | $5,522 | $1,322 | $1,048 |
| Walker Baptist Medical CenterJasper | 42 | $27,432 | $1,346 | $1,056 |
| D C H Regional Medical CenterTuscaloosa | 40 | $8,067 | $1,440 | $1,143 |
| UAB Callahan Eye Hospital AuthorityBirmingham | 39 | $10,095 | $1,314 | $1,039 |
| St Vincent's BirminghamBirmingham | 39 | $17,259 | $1,252 | $974 |
| South Baldwin Regional Medical CenterFoley | 33 | $33,665 | $1,314 | $1,047 |
| Cullman Regional Medical CenterCullman | 29 | $5,989 | $1,332 | $1,037 |
| Riverview Regional Medical CenterGadsden | 28 | $35,689 | $1,333 | $1,052 |
| University of Alabama HospitalBirmingham | 27 | $21,121 | $1,223 | $966 |
| Athens-Limestone HospitalAthens | 25 | $6,468 | $792 | $622 |
| Andalusia Regional HospitalAndalusia | 22 | $11,497 | $1,375 | $1,095 |
| Thomas HospitalFairhope | 21 | $5,311 | $1,333 | $1,053 |
| Helen Keller Memorial HospitalSheffield | 20 | $5,807 | $1,316 | $1,049 |
| Flowers HospitalDothan | 20 | $15,711 | $1,311 | $1,045 |
| Russell HospitalAlexander City | 19 | $5,009 | $1,273 | $1,003 |
| Northeast Alabama Regional Med CenterAnniston | 19 | $17,716 | $1,404 | $1,100 |
| Decatur General HospitalDecatur | 19 | $5,210 | $1,358 | $1,075 |
| Medical Center EnterpriseEnterprise | 17 | $48,719 | $1,316 | $1,049 |
| East Alabama Medical Center and SnfOpelika | 16 | $5,809 | $1,422 | $1,133 |
| Baptist Medical Center SouthMontgomery | 15 | $9,725 | $1,244 | $965 |
| Marshall Medical Center SouthBoaz | 13 | $5,432 | $1,251 | $980 |
| Dekalb Regional Medical CenterFort Payne | 12 | $13,801 | $1,410 | $1,123 |
| Brookwood Medical CenterBirmingham | 12 | $46,714 | $1,253 | $964 |
| Gadsden Regional Medical CenterGadsden | 11 | $53,259 | $1,333 | $1,055 |
| Highlands Medical CenterScottsboro | 11 | $6,534 | $1,472 | $1,173 |
| Southeast Alabama Medical CenterDothan | – | – | – | – |
| North Alabama Medical CenterFlorence | – | – | – | – |
| Mizell Memorial HospitalOpp | – | – | – | – |
| Crenshaw Community HospitalLuverne | – | – | – | – |
| St Vincent's EastBirmingham | – | – | – | – |
| Shelby Baptist Medical CenterAlabaster | – | – | – | – |
| Dale Medical CenterOzark | – | – | – | – |
| Jackson Hospital & Clinic INCMontgomery | – | – | – | – |
| Community Hospital INCTallassee | – | – | – | – |
| Fayette Medical CenterFayette | – | – | – | – |
| North Mississippi Health Services - South MarionWinfield | – | – | – | – |
| USA Health University HospitalMobile | – | – | – | – |
| Providence HospitalMobile | – | – | – | – |
| Grove Hill Memorial HospitalGrove Hill | – | – | – | – |
| Elmore Community HospitalWetumpka | – | – | – | – |
| D W McMillan Memorial HospitalBrewton | – | – | – | – |
| Citizens Baptist Medical CenterTalladega | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
| Prattville Baptist HospitalPrattville | – | – | – | – |
| Bryan W Whitfield Mem Hosp INCDemopolis | – | – | – | – |
| Mobile InfirmaryMobile | – | – | – | – |
| Medical West, an Affiliate of UAB Health SystemBessemer | – | – | – | – |
| Vaughan Reg Med Center Parkway CampusSelma | – | – | – | – |
| Troy Regional Medical CenterTroy | – | – | – | – |
| North Baldwin InfirmaryBay Minette | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| Springhill Medical CenterMobile | – | – | – | – |
| Baptist Medical Center EastMontgomery | – | – | – | – |
| L V Stabler Memorial HospitalGreenville | – | – | – | – |
| Russellville HospitalRussellville | – | – | – | – |
| Coosa Valley Medical CenterSylacauga | – | – | – | – |
| St Vincent's ChiltonClanton | – | – | – | – |
Lowest and highest allowed amounts in Alabama
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Athens-Limestone HospitalAthens, AL | $792 |
|---|---|
| University of Alabama HospitalBirmingham, AL | $1,223 |
| Baptist Medical Center SouthMontgomery, AL | $1,244 |
| Marshall Medical Center SouthBoaz, AL | $1,251 |
| St Vincent's BirminghamBirmingham, AL | $1,252 |
Highest
| Highlands Medical CenterScottsboro, AL | $1,472 |
|---|---|
| D C H Regional Medical CenterTuscaloosa, AL | $1,440 |
| East Alabama Medical Center and SnfOpelika, AL | $1,422 |
| Dekalb Regional Medical CenterFort Payne, AL | $1,410 |
| Northeast Alabama Regional Med CenterAnniston, AL | $1,404 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Alabama?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 60 hospitals in Alabama was billed at $21,504 on average, while the average medicare-allowed amount was $1,311, of which Medicare paid $1,034. 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 Alabama, average charges were 16.4 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.