facebook tracking Level 2 Musculoskeletal Procedures cost in Indiana: 77 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Indiana

What 77 hospitals in Indiana charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $14,064 Hospital list price billed
Average allowed $1,414 Medicare's payment + patient's share
Medicare paid $1,119 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Indiana billed an average of $14,064 for level 2 musculoskeletal procedures, about 9.9 times the average medicare-allowed amount of $1,414. That payment is 6% 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 $1,414Billed $14,064

About 10¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 2 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 186 $22,928 $1,220 $963
Orthoindy HospitalIndianapolis 135 $9,333 $1,452 $1,152
St Mary's Medical Center of Evansville INCEvansville 131 $21,732 $1,424 $1,128
Indiana University Health Arnett HospitalLafayette 95 $14,854 $1,413 $1,111
Union Hospital INCTerre Haute 76 $19,452 $1,421 $1,125
Community HospitalMunster 61 $12,330 $1,436 $1,121
Riverview HospitalNoblesville 54 $9,118 $1,452 $1,152
Deaconess Hospital INCEvansville 50 $7,409 $1,374 $1,085
Memorial Hospital and Health Care CenterJasper 50 $8,665 $1,433 $1,140
St Catherine Hospital INCEast Chicago 45 $14,537 $1,485 $1,175
Reid Hosp & Hlth Care ServicesRichmond 38 $11,069 $1,502 $1,190
Memorial Hospital of South BendSouth Bend 35 $7,086 $1,451 $1,150
Franciscan St Anthony Health - Michigan CityMichigan City 28 $12,943 $1,433 $1,141
Hendricks Regional HealthDanville 25 $12,889 $1,452 $1,149
Parkview HospitalFort Wayne 21 $9,089 $1,449 $1,154
Indiana University Health West HospitalAvon 21 $13,915 $1,452 $1,157
Hancock Regional HospitalGreenfield 20 $10,284 $1,452 $1,156
Clarian Health PartnersIndianapolis 20 $14,924 $1,465 $1,157
St Vincent Hospital & Health ServicesIndianapolis 20 $16,042 $1,443 $1,142
Saint Joseph Reg Medical CtrSouth Bend 18 $13,613 $1,418 $1,117
Witham Health ServicesLebanon 18 $7,587 $1,452 $1,151
Franciscan Health LafayetteLafayette 18 $15,190 $1,433 $1,141
Orthopaedic Hospital at Parkview North LLCFort Wayne 18 $10,633 $1,459 $1,163
St Mary Medical Center INCHobart 17 $14,068 $1,512 $1,193
Schneck Medical CenterSeymour 17 $7,528 $1,465 $1,161
Franciscan St Anthony Health - Crown PointCrown Point 17 $14,859 $1,512 $1,204
Good Samaritan HospitalVincennes 16 $7,220 $1,361 $1,070
Major HospitalShelbyville 16 $13,941 $1,452 $1,157
Community Hospital NorthIndianapolis 16 $8,625 $1,452 $1,153
Clark Memorial HospitalJeffersonville 15 $10,848 $1,375 $1,096
Memorial HospitalLogansport 15 $12,012 $1,534 $1,220
Ball Memorial Hospital INCMuncie 15 $11,584 $1,453 $1,158
Henry County Memorial HospitalNew Castle 14 $8,023 $1,452 $1,157
Parkview Huntington HospitalHuntington 14 $6,044 $1,436 $1,144
King's Daughters' Hospital and Health Services,TheMadison 13 $8,155 $1,534 $1,222
Community Hospital of Anderson and Madison CountyAnderson 13 $9,677 $1,452 $1,157
Dupont Hospital LLCFort Wayne 13 $24,172 $1,459 $1,163
St Joseph Hospital & Health Center INCKokomo 12 $11,238 $1,469 $1,171
IU Health Goshen HospitalGoshen 12 $7,694 $1,484 $1,182
St Francis Hospital MooresvilleMooresville 12 $18,671 $1,452 $1,148
Saint Joseph's Regional Medical Center - PlymouthPlymouth 12 $13,211 $1,485 $1,155
Saint John's Health SystemAnderson 12 $11,444 $1,452 $1,157
Franciscan Health IndianapolisIndianapolis 12 $13,823 $1,258 $985
Marion General HospitalMarion 11 $11,397 $1,413 $1,126
Floyd Memorial Hospital and Health ServicesNew Albany 11 $13,333 $1,367 $1,090
Columbus Regional HospitalColumbus 11 $6,368 $1,479 $1,173
Johnson Memorial HospitalFranklin – – – –
Methodist Hospitals, INCGary – – – –
La Porte Regional Health SystLa Porte – – – –
Howard Regional Health SystemKokomo – – – –
Lutheran Hospital of IndianaFort Wayne – – – –
Elkhart General HospitalElkhart – – – –
Franciscan Health CrawfordsvilleCrawfordsville – – – –
Eskenazi HealthIndianapolis – – – –
Porter, Valparaiso HospitalValparaiso – – – –
Dekalb Memorial Hospital INCAuburn – – – –
Terre Haute Regional HospitalTerre Haute – – – –
St Joseph HospitalFort Wayne – – – –
Bloomington HospitalBloomington – – – –
Daviess Community HospitalWashington – – – –
Community Hospital EastIndianapolis – – – –
Bluffton Regional Medical CenterBluffton – – – –
Dearborn County HospitalLawrenceburg – – – –
Franciscan St Margaret Health - DyerDyer – – – –
Parkview Whitley HospitalColumbia City – – – –
Starke Memorial HospitalKnox – – – –
Community Hospital SouthIndianapolis – – – –
Kosciusko Community HospitalWarsaw – – – –
St Vincent Carmel Hospital INCCarmel – – – –
Indiana University Health North HospitalCarmel – – – –
Franciscan Physicians Hospital LLCMunster – – – –
Pinnacle HospitalCrown Point – – – –
Physicians' Medical Center LLCNew Albany – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
Ascension St Vincent FishersFishers – – – –
Monroe HospitalBloomington – – – –
Franciscan Health Orthopedic Hospital CarmelCarmel – – – –
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Lowest and highest allowed amounts in Indiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Indiana?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 77 hospitals in Indiana was billed at $14,064 on average, while the average medicare-allowed amount was $1,414, of which Medicare paid $1,119. 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 Indiana, average charges were 9.9 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.