facebook tracking Level 2 Musculoskeletal Procedures cost in Illinois: 106 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Illinois

What 106 hospitals in Illinois charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $12,368 Hospital list price billed
Average allowed $1,486 Medicare's payment + patient's share
Medicare paid $1,176 Average per service
State rank #28 of 49 1 = lowest average payment

Hospitals in Illinois billed an average of $12,368 for level 2 musculoskeletal procedures, about 8.3 times the average medicare-allowed amount of $1,486. That payment is 2% 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 $1,486Billed $12,368

About 12¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 2 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Evanston HospitalEvanston 177 $12,186 $1,482 $1,176
Decatur Memorial HospitalDecatur 109 $9,709 $1,465 $1,157
Northwestern Memorial HospitalChicago 104 $15,338 $1,563 $1,241
St Elizabeth HospitalBelleville 88 $12,695 $1,418 $1,114
Palos Community HospitalPalos Heights 79 $11,083 $1,491 $1,183
Memorial HospitalBelleville 74 $8,918 $1,469 $1,160
Advocate Good Shepherd HospitalBarrington 69 $8,465 $1,495 $1,191
Sarah Bush Lincoln Health CenterMattoon 65 $8,123 $1,336 $1,052
Elmhurst Memorial HospitalElmhurst 62 $14,078 $1,526 $1,197
Advocate Illinois Masonic Medical CenterChicago 57 $12,298 $1,478 $1,173
Loyola University Medical CenterMaywood 54 $10,170 $1,540 $1,222
Memorial Medical CenterSpringfield 53 $10,217 $1,463 $1,157
Edward HospitalNaperville 53 $15,474 $1,503 $1,185
Northwestern Medicine McHenryMcHenry 48 $14,624 $1,526 $1,216
Lake Forest HospitalLake Forest 47 $15,535 $1,465 $1,157
The University of Chicago Medical CenterChicago 44 $16,694 $1,563 $1,245
Copley Memorial HospitalAurora 40 $13,094 $1,569 $1,245
Advocate Lutheran General HospitalPark Ridge 40 $11,206 $1,526 $1,209
Advocate Christ Hospital & Medical CenterOak Lawn 39 $7,196 $1,476 $1,169
Proctor HospitalPeoria 36 $20,229 $1,453 $1,138
Swedish American HospitalRockford 35 $18,126 $1,429 $1,136
Blessing HospitalQuincy 34 $13,820 $1,591 $1,263
Franciscan Health Olympia & Chicago HeightsOlympia Fields 33 $15,342 $1,526 $1,207
St Johns HospitalSpringfield 31 $13,447 $1,450 $1,145
Saint Francis Medical CenterPeoria 30 $17,001 $1,485 $1,183
Morris Hospital & Healthcare CentersMorris 28 $15,868 $1,526 $1,211
Alexian Brothers Medical CenterElk Grove Village 27 $12,895 $1,563 $1,245
Alton Memorial HospitalAlton 26 $10,740 $1,485 $1,183
Loyola Gottlieb Memorial HospitalMelrose Park 26 $12,120 $1,563 $1,242
Swedish Covenant HospitalChicago 24 $9,288 $1,526 $1,212
Anderson HospitalMaryville 24 $9,250 $1,443 $1,141
Advocate Trinity HospitalChicago 23 $11,568 $1,381 $1,050
OSF Saint Katharine Medical CenterDixon 22 $10,554 $1,485 $1,183
Adventist la Grange Memorial HospitalLa Grange 22 $12,654 $1,424 $1,105
St Josephs HospitalBreese 22 $11,385 $1,485 $1,183
Silver Cross HospitalJoliet 22 $6,853 $1,478 $1,161
Central Dupage HospitalWinfield 22 $16,727 $1,526 $1,207
OSF Saint Elizabeth Mdl CtrOttawa 21 $10,724 $1,504 $1,186
Saint Anthony Medical CenterRockford 20 $11,491 $1,563 $1,245
Macneal HospitalBerwyn 18 $18,227 $1,494 $1,168
Sherman HospitalElgin 17 $13,928 $1,496 $1,177
Javon Bea HospitalRockford 17 $9,785 $1,206 $947
Cgh Medical CenterSterling 16 $15,077 $1,439 $1,146
St Marys HospitalDecatur 16 $12,081 $1,337 $1,035
St Mary & Elizabeth Med Ctr-Division CampusChicago 16 $14,417 $1,526 $1,192
Advocate Condell Medical CenterLibertyville 16 $12,909 $1,450 $1,121
Carle Foundation HospitalUrbana 15 $9,837 $1,307 $1,040
St Joseph Medical CenterBloomington 15 $9,214 $1,485 $1,183
Delnor Community HospitalGeneva 15 $14,953 $1,499 $1,168
Northwest Community HospitalArlington Heights 15 $7,619 $1,526 $1,216
Advocate Good Samaritan HospitalDowners Grove 15 $13,408 $1,526 $1,216
University of Illinois Hospital and ClinicsChicago 14 $14,488 $1,563 $1,245
Trinity Rock IslandRock Island 14 $7,116 $1,485 $1,183
Rhc St Francis HospitalEvanston 13 $13,253 $1,372 $1,039
Resurrection Medical CenterChicago 13 $10,691 $1,526 $1,212
Bromenn Healthcare SystemNormal 13 $4,825 $1,485 $1,183
Fhn Memorial HospitalFreeport 13 $11,895 $1,433 $1,141
Heartland Regional Medical CenterMarion 13 $25,472 $1,485 $1,183
Riverside Medical CenterKankakee 13 $14,160 $1,512 $1,204
St Alexius Medical CenterSchaumburg 13 $13,260 $1,563 $1,245
Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake 13 $7,903 $1,526 $1,216
Provena St Joseph Medical CenterJoliet 12 $15,388 $1,399 $1,114
Hinsdale HospitalHinsdale 12 $10,638 $1,425 $1,114
Graham Hospital AssociationCanton 11 $10,544 $1,591 $1,267
Rush University Medical CenterChicago 11 $11,383 $1,563 $1,245
Kishwaukee Community HospitalDekalb 11 $13,874 $1,563 $1,242
Herrin HospitalHerrin – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
St Anthonys Memorial HospitalEffingham – – – –
St Marys HospitalCentralia – – – –
Good Samaritan Regional Hlth CenterMt Vernon – – – –
West Suburban Hosp Med CenterOak Park – – – –
Saint Anthony's Health CenterAlton – – – –
Jersey Community HospitalJerseyville – – – –
Rush Oak Park HospitalOak Park – – – –
St Mary Medical CenterGalesburg – – – –
Louis a Weiss Memorial HospitalChicago – – – –
Vista Medical Center EastWaukegan – – – –
Mc Donough District HospitalMacomb – – – –
OSF Sacred Heart Medical CenterDanville – – – –
Saint Anthony HospitalChicago – – – –
OSF Heart of Mary Medical CenterUrbana – – – –
Thorek Memorial HospitalChicago – – – –
Pekin Memorial HospitalPekin – – – –
John H Stroger Jr HospitalChicago – – – –
Gateway Regional Medical CenterGranite City – – – –
Holy Cross HospitalChicago – – – –
HSHS Holy Family HospitalGreenville – – – –
Carle Richland Memorial HospitalOlney – – – –
Provena St Marys HospitalKankakee – – – –
OSF Saint James HospitalPontiac – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
Provena Mercy Medical CenterAurora – – – –
Little Company of Mary HospitalEvergreen Park – – – –
Ingalls Memorial HospitalHarvey – – – –
Humboldt Park HealthChicago – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Harrisburg Medical CenterHarrisburg – – – –
Provena - Saint Joseph HospitalElgin – – – –
Saint Joseph HospitalChicago – – – –
Community First Medical CenterChicago – – – –
Illini HospitalSilvis – – – –
Adventist GlenoaksGlendale Heights – – – –
Crossroads Community HospitalMt Vernon – – – –
Provident Hospital of ChicagoChicago – – – –
Adventist Bolingbrook HospitalBolingbrook – – – –
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Lowest and highest allowed amounts in Illinois

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

Javon Bea HospitalRockford, IL$1,206
Carle Foundation HospitalUrbana, IL$1,307
Sarah Bush Lincoln Health CenterMattoon, IL$1,336
St Marys HospitalDecatur, IL$1,337
Rhc St Francis HospitalEvanston, IL$1,372

Highest

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Illinois?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 106 hospitals in Illinois was billed at $12,368 on average, while the average medicare-allowed amount was $1,486, of which Medicare paid $1,176. 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 Illinois, average charges were 8.3 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.