facebook tracking Level 2 Musculoskeletal Procedures cost in Nevada: 21 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Nevada

What 21 hospitals in Nevada charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $21,640 Hospital list price billed
Average allowed $1,711 Medicare's payment + patient's share
Medicare paid $1,354 Average per service
State rank #44 of 49 1 = lowest average payment

Hospitals in Nevada billed an average of $21,640 for level 2 musculoskeletal procedures, about 12.6 times the average medicare-allowed amount of $1,711. That payment is 13% 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 $1,711Billed $21,640

About 8¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 2 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Carson Tahoe HospitalCarson City 85 $10,160 $1,705 $1,358
Renown South Meadows Medical CenterReno 66 $16,848 $1,711 $1,361
Northeastern Nevada Regional HospitalElko 33 $13,551 $1,799 $1,421
Sunrise Hospital and Medical CenterLas Vegas 27 $22,415 $1,721 $1,370
Northern Nevada Medical CenterSparks 27 $28,116 $1,894 $1,490
Saint Rose Dominican Hospital - Siena CampusHenderson 27 $25,549 $1,721 $1,364
Renown Regional Medical CenterReno 26 $16,312 $1,536 $1,213
Mountainview HospitalLas Vegas 21 $25,430 $1,680 $1,332
University Medical CenterLas Vegas 18 $34,039 $1,721 $1,371
Centennial Hills Hospital Medical CenterLas Vegas 18 $33,450 $1,721 $1,371
Summerlin Hospital Medical CenterLas Vegas 16 $29,310 $1,636 $1,262
Henderson HospitalHenderson 15 $37,162 $1,722 $1,359
Spring Valley Hospital Medical CenterLas Vegas 14 $32,089 $1,539 $1,173
Valley Hospital Medical CenterLas Vegas 12 $41,935 $1,722 $1,360
Southern Hills Hospital and Medical CenterLas Vegas 11 $27,069 $1,722 $1,336
Northern Nevada Sierra Medical CenterReno 11 $28,523 $1,721 $1,371
North Vista HospitalNorth las Vegas – – – –
Saint Mary's Regional Medical CenterReno – – – –
Saint Rose Dominican Hospital - de LimaHenderson – – – –
Saint Rose Dominican Hospital - San Martin CampusLas Vegas – – – –
Saint Rose Dominican Hospitals - North las VegasNorth las Vegas – – – –
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Lowest and highest allowed amounts in Nevada

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 Nevada?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 21 hospitals in Nevada was billed at $21,640 on average, while the average medicare-allowed amount was $1,711, of which Medicare paid $1,354. 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 Nevada, average charges were 12.6 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.