Level 2 Musculoskeletal Procedures in Missouri
What 64 hospitals in Missouri charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$10,462
Hospital list price billed
Average allowed
$1,397
Medicare's payment + patient's share
Medicare paid
$1,107
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $10,462 for level 2 musculoskeletal procedures, about 7.5 times the average medicare-allowed amount of $1,397. That payment is 8% 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 $1,397Billed $10,462
About 13¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 2 musculoskeletal procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 131 | $9,874 | $1,419 | $1,128 |
| University Hospitals & ClinicsColumbia | 130 | $9,102 | $1,295 | $1,021 |
| Mercy Hospital SpringfieldSpringfield | 123 | $9,687 | $1,327 | $1,050 |
| Lester E Cox Medical CentersSpringfield | 82 | $10,886 | $1,325 | $1,050 |
| Phelps County Regional Medical CenterRolla | 68 | $11,072 | $1,514 | $1,203 |
| St John's Mercy Medical CenterSt Louis | 65 | $6,143 | $1,399 | $1,107 |
| St Francis Medical CenterCape Girardeau | 53 | $14,206 | $1,434 | $1,136 |
| Southeast Missouri HospitalCape Girardeau | 51 | $11,480 | $1,470 | $1,172 |
| Mosaic Life Care at St JosephSt Joseph | 44 | $8,032 | $1,512 | $1,204 |
| Lake Regional Health SystemOsage Beach | 43 | $6,310 | $1,447 | $1,147 |
| Liberty HospitalLiberty | 38 | $9,106 | $1,404 | $1,118 |
| Citizens Memorial HospitalBolivar | 36 | $7,619 | $1,447 | $1,153 |
| Nkc HealthNorth Kansas City | 35 | $14,172 | $1,375 | $1,084 |
| St Lukes HospitalChesterfield | 34 | $7,191 | $1,375 | $1,078 |
| Golden Valley Memorial HospitalClinton | 33 | $7,706 | $1,503 | $1,198 |
| Mercy Hospital SouthSt Louis | 32 | $5,348 | $1,430 | $1,134 |
| Missouri Baptist Medical CenterTown and Country | 31 | $8,555 | $1,405 | $1,119 |
| Freeman Health System - Freeman WestJoplin | 29 | $7,231 | $1,277 | $1,002 |
| Boone Hospital CenterColumbia | 28 | $6,554 | $1,368 | $1,090 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 27 | $38,863 | $1,405 | $1,104 |
| Missouri Delta Medical CenterSikeston | 26 | $11,520 | $1,575 | $1,255 |
| St Luke's Des Peres HospitalSaint Louis | 26 | $10,564 | $1,430 | $1,132 |
| SSM St Joseph Hospital WestLake St Louis | 26 | $7,066 | $1,430 | $1,136 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 25 | $9,113 | $1,360 | $1,058 |
| Cox Medical Center BransonBranson | 25 | $8,340 | $1,447 | $1,153 |
| St Louis University HospitalSt Louis | 25 | $21,260 | $1,377 | $1,097 |
| Progress West Healthcare CenterO'fallon | 25 | $8,631 | $1,430 | $1,140 |
| Bothwell Regional Health CenterSedalia | 24 | $6,777 | $1,503 | $1,192 |
| Saint Luke's Northland HospSmithville | 23 | $14,153 | $1,404 | $1,118 |
| Ozarks Medical CenterWest Plains | 23 | $7,127 | $1,447 | $1,152 |
| SSM St Joseph Health CenterSt Charles | 21 | $6,260 | $923 | $736 |
| Northeast Regional Medical CenterKirksville | 21 | $16,787 | $1,472 | $1,159 |
| Barnes-Jewish West County HospitalSt Louis | 21 | $8,283 | $1,430 | $1,139 |
| SSM Depaul Health CenterBridgeton | 20 | $8,653 | $1,349 | $1,063 |
| Barnes-Jewish St Peters HospitalSt Peters | 20 | $8,859 | $1,430 | $1,138 |
| St Lukes Hospital of Kansas CityKansas City | 19 | $22,246 | $1,404 | $1,118 |
| Parkland Health CenterFarmington | 18 | $9,218 | $1,464 | $1,153 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 16 | $16,226 | $1,404 | $1,118 |
| Truman Medical Center LakewoodKansas City | 15 | $4,989 | $1,404 | $1,118 |
| St Johns Mercy HospitalWashington | 14 | $8,193 | $1,430 | $1,140 |
| Centerpoint Medical CenterIndependence | 14 | $30,986 | $1,404 | $1,110 |
| Mercy Hospital JoplinJoplin | 13 | $13,045 | $1,351 | $1,077 |
| Jefferson Memorial HospitalCrystal City | 13 | $8,750 | $1,276 | $970 |
| Western Missouri Medical CenterWarrensburg | 13 | $6,171 | $1,447 | $1,153 |
| Lee's Summit HospitalLee's Summit | 13 | $16,453 | $1,404 | $1,118 |
| St Joseph Medical CenterKansas City | 12 | $15,612 | $1,231 | $944 |
| St Marys Health CenterJefferson City | 11 | $9,883 | $1,360 | $1,084 |
| Mosaic Medical Center - MaryvilleMaryville | 11 | $9,424 | $1,465 | $1,155 |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Pemiscot Memorial HospitalHayti | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| Mercy Hospital StoddardDexter | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| SSM St Joseph Health CenterSt Charles, MO | $923 |
|---|---|
| St Joseph Medical CenterKansas City, MO | $1,231 |
| Jefferson Memorial HospitalCrystal City, MO | $1,276 |
| Freeman Health System - Freeman WestJoplin, MO | $1,277 |
| University Hospitals & ClinicsColumbia, MO | $1,295 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $1,575 |
|---|---|
| Phelps County Regional Medical CenterRolla, MO | $1,514 |
| Mosaic Life Care at St JosephSt Joseph, MO | $1,512 |
| Bothwell Regional Health CenterSedalia, MO | $1,503 |
| Golden Valley Memorial HospitalClinton, MO | $1,503 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Missouri?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 64 hospitals in Missouri was billed at $10,462 on average, while the average medicare-allowed amount was $1,397, of which Medicare paid $1,107. 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 Missouri, average charges were 7.5 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.