facebook tracking Level 2 Musculoskeletal Procedures cost in California: 250 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in California

What 250 hospitals in California charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $18,929 Hospital list price billed
Average allowed $2,038 Medicare's payment + patient's share
Medicare paid $1,616 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $18,929 for level 2 musculoskeletal procedures, about 9.3 times the average medicare-allowed amount of $2,038. That payment is 35% above 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 $2,038Billed $18,929

About 11¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 2 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Eisenhower Memorial HospitalRancho Mirage 304 $9,203 $1,971 $1,569
Sutter Roseville Medical CenterRoseville 266 $10,096 $2,035 $1,615
Stanford HospitalPalo Alto 206 $34,192 $2,227 $1,770
University of California Davis Medical CenterSacramento 145 $24,408 $1,920 $1,530
Cedars-Sinai Medical CenterLos Angeles 140 $47,904 $1,965 $1,561
University of California San Diego Medical CenterSan Diego 122 $16,109 $1,911 $1,519
Sonora Community HospitalSonora 120 $8,799 $2,081 $1,657
UCSF Medical CenterSan Francisco 112 $24,197 $2,263 $1,802
Peninsula Medical CenterBurlingame 78 $13,095 $2,251 $1,783
Hoag Memorial Hospital PresbyterianNewport Beach 76 $12,025 $1,976 $1,574
Enloe Medical CenterChico 73 $22,562 $1,954 $1,553
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 73 $10,200 $1,954 $1,553
Loma Linda University Medical CenterLoma Linda 73 $27,537 $1,976 $1,572
Community Memorial Hospital - VenturaVentura 73 $11,499 $1,976 $1,574
Marinhealth Medical CenterGreenbrae 72 $34,620 $2,245 $1,784
Fresno Surgical HospitalFresno 66 $13,067 $1,955 $1,548
UCLA Medical CenterLos Angeles 63 $11,064 $1,951 $1,546
Clovis Community Medical CenterClovis 62 $14,454 $1,976 $1,568
Mercy Medical Center ReddingRedding 58 $18,097 $1,959 $1,557
USC University HospitalLos Angeles 58 $14,266 $1,976 $1,567
Stanford Health Care Tri-ValleyPleasanton 56 $23,123 $2,142 $1,697
Sharp Memorial HospitalSan Diego 55 $20,507 $1,922 $1,516
Mission Hospital Regional Med CenterMission Viejo 54 $24,749 $1,976 $1,563
Memorial Medical CenterModesto 53 $11,929 $1,946 $1,545
Santa Clara Valley Medical CenterSan Jose 52 $14,254 $2,264 $1,789
Scripps Memorial Hospital - EncinitasEncinitas 51 $20,287 $1,976 $1,574
Washington HospitalFremont 48 $15,869 $2,263 $1,801
St Helena HospitalDeer Park 47 $40,433 $2,063 $1,643
John Muir Medical Center - Walnut Creek CampusWalnut Creek 47 $20,219 $2,238 $1,779
Marian Medical CenterSanta Maria 46 $12,059 $1,976 $1,552
Woodland Memorial HospitalWoodland 46 $12,497 $1,982 $1,560
Mercy Medical Ctr MercedMerced 46 $16,516 $1,976 $1,572
California Pacific Medical Ctr-Davies Campus HospSan Francisco 44 $13,594 $2,256 $1,773
Sutter General HospitalSacramento 43 $11,782 $2,168 $1,701
St Jude Medical CenterFullerton 43 $12,360 $1,976 $1,574
UCI Health-OrangeOrange 41 $12,673 $1,947 $1,550
Torrance Memorial Medical CenterTorrance 39 $16,740 $1,941 $1,531
St Joseph HospitalEureka 38 $24,763 $1,976 $1,573
Community Hospital of the Monterey PeninsulaMonterey 37 $10,994 $2,263 $1,803
Santa Rosa Memorial HospitalSanta Rosa 37 $31,263 $2,251 $1,773
Dominican HospitalSanta Cruz 37 $18,785 $2,106 $1,673
Shasta Regional Medical CenterRedding 37 $25,760 $1,953 $1,539
PIH Health Hospital-WhittierWhittier 35 $14,317 $1,976 $1,569
El Camino HospitalMountain View 35 $23,669 $2,263 $1,801
Goleta Valley Cottage HospitalSanta Barbara 35 $11,675 $1,976 $1,574
San Francisco General HospitalSan Francisco 33 $23,526 $2,263 $1,801
Saint John's Health CenterSanta Monica 33 $11,282 $1,976 $1,569
Scripps Memorial Hospital la JollaLa Jolla 33 $21,117 $1,976 $1,574
St Elizabeth Community HospitalRed Bluff 30 $13,655 $2,063 $1,629
Mercy HospitalBakersfield 30 $14,717 $1,923 $1,522
Santa Barbara Cottage HospitalSanta Barbara 30 $11,895 $2,116 $1,686
Kaweah Delta Medical CenterVisalia 28 $11,666 $1,920 $1,515
Saint Agnes Medical CenterFresno 28 $12,041 $1,976 $1,561
Marshall Medical Center (1-Rh)Placerville 28 $10,970 $1,980 $1,564
St Mary's Medical CenterSan Francisco 28 $11,269 $2,297 $1,830
Adventist Health TulareTulare 28 $15,406 $1,976 $1,571
Sutter Medical Center of Santa RosaSanta Rosa 27 $13,260 $2,145 $1,709
Oroville HospitalOroville 26 $8,392 $1,976 $1,574
Sierra Nevada Memorial HospitalGrass Valley 25 $8,939 $2,053 $1,628
Lodi Memorial HospitalLodi 25 $19,306 $1,956 $1,543
Grossmont HospitalLa Mesa 24 $18,903 $1,976 $1,574
Scripps Mercy HospitalSan Diego 24 $32,153 $1,976 $1,574
Providence Saint Joseph Medical CtrBurbank 24 $15,692 $1,976 $1,567
Northbay Medical CenterFairfield 24 $40,160 $2,312 $1,842
Good Samaritan HospitalSan Jose 24 $41,140 $2,263 $1,794
Barton Memorial HospitalSouth Lake Tahoe 23 $23,897 $1,982 $1,558
Adventist Health BakersfieldBakersfield 23 $16,167 $1,933 $1,532
Los Robles Hospital & Medical CenterThousand Oaks 23 $23,374 $1,976 $1,567
Twin Cities Community HospitalTempleton 23 $25,636 $1,976 $1,558
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 22 $13,291 $2,232 $1,770
Providence Little Company of Mary Med Ctr TorranceTorrance 22 $13,569 $1,976 $1,566
Sierra Vista Regional Medical CenterSan Luis Obispo 22 $24,565 $1,976 $1,574
Marina del Rey HospitalMarina del Rey 22 $18,816 $1,976 $1,574
Providence Tarzana Medical CenterTarzana 22 $13,388 $1,922 $1,531
St Johns Regional Medical CenterOxnard 21 $12,161 $1,976 $1,566
Palomar Medical CenterEscondido 21 $21,976 $1,755 $1,331
Rideout Memorial HospitalMarysville 21 $16,760 $2,066 $1,646
USC Arcadia HospitalArcadia 21 $15,375 $1,826 $1,412
Mercy Hospital of FolsomFolsom 21 $10,980 $2,053 $1,627
Huntington Memorial HospitalPasadena 21 $20,911 $1,976 $1,563
Mercy General HospitalSacramento 20 $17,666 $2,053 $1,632
Tri-City Medical CenterOceanside 20 $11,284 $1,977 $1,538
Glendale Adventist Medical CtrGlendale 20 $21,534 $1,976 $1,565
Alta Bates Summit Medical CenterOakland 19 $9,835 $2,232 $1,778
San Antonio Community HospitalUpland 19 $14,950 $1,976 $1,558
West Hills Hospital & Medical CenterWest Hills 19 $19,534 $1,893 $1,490
Mercy San Juan Medical CenterCarmichael 19 $16,016 $1,973 $1,540
Henry Mayo Newhall Memorial HospitalValencia 19 $23,306 $1,976 $1,573
Queen of the Valley Medical CenterNapa 18 $30,454 $2,251 $1,793
Riverside Community HospitalRiverside 18 $47,889 $1,976 $1,564
Novato Community HospitalNovato 18 $9,975 $2,245 $1,785
Emanuel Medical Center INCTurlock 18 $50,267 $2,019 $1,590
Natividad Medical CenterSalinas 18 $18,417 $2,043 $1,595
Contra Costa Regional Medical CenterMartinez 18 $8,076 $2,163 $1,724
Highland HospitalOakland 18 $28,151 $2,232 $1,762
Salinas Valley Memorial HospitalSalinas 18 $17,776 $2,163 $1,703
Eden Medical CenterCastro Valley 18 $20,077 $2,232 $1,763
Sutter Davis HospitalDavis 18 $12,944 $2,053 $1,635
Community Regional Medical CenterFresno 17 $13,372 $1,976 $1,552
Saddleback Memorial Medical CenterLaguna Hills 17 $13,769 $1,976 $1,574
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 17 $16,301 $2,047 $1,610
Sutter Amador HospitalJackson 16 $6,697 $2,199 $1,744
Northridge Hospital Medical CenterNorthridge 16 $23,674 $1,976 $1,574
Verdugo Hills HospitalGlendale 16 $13,577 $1,976 $1,574
French Hospital Medical CenterSan Luis Obispo 16 $20,908 $1,976 $1,574
Long Beach Memorial Medical CenterLong Beach 16 $18,110 $1,976 $1,564
Southwest Healthcare SystemMurrieta 16 $21,470 $1,976 $1,574
St Joseph HospitalOrange 15 $18,544 $1,871 $1,467
Simi Valley Hospital & Health Care ServicesSimi Valley 15 $14,773 $1,871 $1,469
Ukiah Valley Medical Center/Hospital DUkiah 15 $17,134 $2,116 $1,678
Doctors Medical CenterModesto 15 $47,605 $1,871 $1,461
Methodist Hospital of SacramentoSacramento 15 $12,136 $1,642 $1,291
Hanford Community Medical CenterHanford 14 $11,403 $1,976 $1,574
Emanate Health Inter-Community HospitalCovina 14 $10,461 $1,865 $1,404
John Muir Medical Center - Concord CampusConcord 14 $27,459 $2,238 $1,770
Sutter Auburn Faith HospitalAuburn 14 $8,186 $2,053 $1,631
UCI Health-Placentia LindaPlacentia 14 $40,580 $1,976 $1,570
Regional Medical Center of San JoseSan Jose 13 $45,186 $2,264 $1,775
San Gabriel Valley Medical CenterSan Gabriel 13 $15,101 $1,900 $1,514
Petaluma Valley HospitalPetaluma 13 $21,825 $2,014 $1,578
Desert Regional Medical CenterPalm Springs 13 $53,877 $1,976 $1,560
Providence Holy Cross Medical CenterMission Hills 13 $15,467 $1,976 $1,567
Sutter Coast HospitalCrescent City 13 $10,686 $2,116 $1,686
Patients' Hospital of ReddingRedding 13 $10,503 $1,938 $1,544
Stanislaus Surgical HospitalModesto 13 $9,767 $2,019 $1,609
Watsonville Community HospitalWatsonville 12 $27,493 $2,148 $1,692
Sharp Coronado Hospital and Hlthcr CtrCoronado 12 $31,717 $1,845 $1,443
Riverside County Regional Medical CenterMoreno Valley 12 $23,562 $1,779 $1,401
Good Samaritan HospitalLos Angeles 12 $18,514 $1,976 $1,574
Mad River Community HospitalArcata 11 $16,734 $1,976 $1,574
Bakersfield Memorial HospitalBakersfield 11 $9,211 $1,796 $1,431
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 11 $13,104 $2,298 $1,801
St Josephs Med Center of StocktonStockton 11 $39,222 $2,205 $1,757
Sequoia HospitalRedwood City 11 $22,610 $2,263 $1,803
Pomona Valley Hospital Medical CenterPomona 11 $19,669 $1,976 $1,574
Pioneers Memorial Healthcare DistrictBrawley 11 $10,056 $1,976 $1,574
Palomar Medical Center PowayPoway 11 $29,141 $1,708 $1,271
San Ramon Regional Medical CtrSan Ramon 11 $30,810 $2,238 $1,783
St Rose HospitalHayward – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
El Centro Regional Medical CenterEl Centro – – – –
California Pacific Medical Ctr-Pacific Campus HospSan Francisco – – – –
San Gorgonio Memorial HospitalBanning – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
Kaiser Foundation Hospital - South San FranciscoMillbrae – – – –
Kaiser Foundation HospitalSanta Clara – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
Sonoma Valley HospitalSonoma – – – –
Sutter Solano Medical CenterVallejo – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
White Memorial Medical CenterLos Angeles – – – –
Saint Francis Medical CenterLynwood – – – –
Lompoc Healthcare DistrictLompoc – – – –
San Mateo Medical CenterSan Mateo – – – –
Doctors Hospital of MantecaManteca – – – –
Dameron HospitalStockton – – – –
Valley Presbyterian HospitalVan Nuys – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
City of Hope Natl Medical CtrDuarte – – – –
California Hospital Medical Center laLos Angeles – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
St Mary Medical CenterLong Beach – – – –
Adventist Health ReedleyReedley – – – –
Palmdale Regional Medical CenterLancaster – – – –
Alameda HospitalAlameda – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Garden Grove Hospital & Medical CenterGarden Grove – – – –
Arrowhead Regional Medical CenterColton – – – –
Sierra View District HospitalPorterville – – – –
Redlands Community HospitalRedlands – – – –
Hi-Desert Medical CenterJoshua Tree – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Barstow Community HospitalBarstow – – – –
St Mary Medical CenterApple Valley – – – –
Sutter Tracy Community HospitalTracy – – – –
Kern Medical CenterBakersfield – – – –
Corona Regional Medical CenterCorona – – – –
Los Angeles General Medical CenterLos Angeles – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Hemet Valley Medical CenterHemet – – – –
Downey Regional Medical CenterDowney – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Scripps Green HospitalLa Jolla – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Memorial Hospital of GardenaGardena – – – –
Kaiser Foundation HospitalSan Rafael – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Delta Medical CenterAntioch – – – –
Huntington Beach HospitalHuntington Beach – – – –
Memorial Hospital los BanosLos Banos – – – –
John F Kennedy Memorial HospIndio – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
La Palma Intercommunity HospBuena Park – – – –
Lakewood Regional Medical CenterLakewood – – – –
Chino Valley Medical CenterChino – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Delano Regional Medical CenterDelano – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Mission Community Hospital - PanoramaPanorama City – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Whittier Hospital Medical CenterWhittier – – – –
Monterey Park HospitalMonterey Park – – – –
Garfield Medical CenterMonterey Park – – – –
Greater El Monte Community HospitalSouth El Monte – – – –
Centinela Hospital Medical CenterInglewood – – – –
Chapman Medical CenterOrange – – – –
Orange County Global Medical CenterSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Sutter Surgical Hospital - North ValleyYuba City – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Hoag Orthopedic InstituteIrvine – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Temecula Valley HospitalTemecula – – – –
Martin Luther King, Jr. Community HospitalLos Angeles – – – –
Colusa Medical CenterColusa – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Level 2 Musculoskeletal Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Methodist Hospital of SacramentoSacramento, CA$1,642
Palomar Medical Center PowayPoway, CA$1,708
Palomar Medical CenterEscondido, CA$1,755
Riverside County Regional Medical CenterMoreno Valley, CA$1,779
Bakersfield Memorial HospitalBakersfield, CA$1,796

Highest

Northbay Medical CenterFairfield, CA$2,312
California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA$2,298
St Mary's Medical CenterSan Francisco, CA$2,297
Regional Medical Center of San JoseSan Jose, CA$2,264
Santa Clara Valley Medical CenterSan Jose, CA$2,264

Level 2 Musculoskeletal Procedures in other states

Alaska · $1,697 Connecticut · $1,788 Hawaii · $1,893 Massachusetts · $1,708 Nevada · $1,711 New Jersey · $1,689 New York · $1,731 Oregon · $1,720

Questions

How much does level 2 musculoskeletal procedures cost in California?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 250 hospitals in California was billed at $18,929 on average, while the average medicare-allowed amount was $2,038, of which Medicare paid $1,616. 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 California, average charges were 9.3 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.