Level 2 Musculoskeletal Procedures in North Carolina
What 81 hospitals in North Carolina charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$9,999
Hospital list price billed
Average allowed
$1,428
Medicare's payment + patient's share
Medicare paid
$1,133
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $9,999 for level 2 musculoskeletal procedures, about 7.0 times the average medicare-allowed amount of $1,428. That payment is 5% 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 $1,428Billed $9,999
About 14¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 2 musculoskeletal procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 138 | $8,867 | $1,487 | $1,185 |
| UNC HospitalsChapel Hill | 90 | $10,752 | $1,455 | $1,156 |
| Wakemed, Raleigh CampusRaleigh | 88 | $13,668 | $1,434 | $1,130 |
| Presbyterian HospitalCharlotte | 86 | $6,273 | $1,431 | $1,134 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 82 | $13,289 | $1,385 | $1,101 |
| ECU Health Medical CenterGreenville | 82 | $8,148 | $1,385 | $1,101 |
| North Carolina Baptist HospitalWinston-Salem | 81 | $11,733 | $1,431 | $1,134 |
| Brunswick Community HospitalSupply | 68 | $11,085 | $1,399 | $1,112 |
| Margaret R Pardee Mem HospitalHendersonville | 62 | $9,124 | $1,381 | $1,093 |
| Hugh Chatham Memorial HospitalElkin | 62 | $7,545 | $1,399 | $1,114 |
| Duke University Medical CenterDurham | 61 | $10,921 | $1,407 | $1,117 |
| Carolina East Medical CenterNew Bern | 61 | $6,934 | $1,498 | $1,192 |
| Nash General HospitalRocky Mount | 55 | $12,266 | $1,421 | $1,132 |
| Grace Hospital INCMorganton | 50 | $17,821 | $1,376 | $1,092 |
| Wakemed, Cary HospitalCary | 48 | $13,677 | $1,447 | $1,144 |
| C J Harris Community HospitalSylva | 47 | $11,318 | $1,399 | $1,112 |
| Moses H Cone Memorial Hospital, theGreensboro | 47 | $8,864 | $1,393 | $1,100 |
| Carolinas Medical Center/Behav HealthCharlotte | 43 | $15,047 | $1,444 | $1,147 |
| Wayne Memorial HospitalGoldsboro | 40 | $8,367 | $1,605 | $1,272 |
| Caromont Regional Medical CenterGastonia | 40 | $10,847 | $1,444 | $1,151 |
| Firsthealth Moore Regional HospitalPinehurst | 37 | $7,482 | $1,394 | $1,104 |
| Caldwell Memorial HospitalLenoir | 35 | $7,024 | $1,399 | $1,114 |
| Rex HospitalRaleigh | 35 | $7,916 | $1,447 | $1,153 |
| Iredell Memorial Hospital INCStatesville | 34 | $11,603 | $1,444 | $1,147 |
| Carteret General HospitalMorehead City | 34 | $3,270 | $1,456 | $1,160 |
| Forsyth Memorial HospitalWinston-Salem | 30 | $6,391 | $1,465 | $1,167 |
| Cleveland Regional Medical CenterShelby | 30 | $13,127 | $1,362 | $1,071 |
| Cape Fear Valley Hoke HospitalRaeford | 30 | $3,777 | $1,399 | $1,114 |
| Atrium Health PinevilleCharlotte | 26 | $10,491 | $1,444 | $1,151 |
| Carolinas Medical Center-UnionMonroe | 26 | $12,854 | $1,444 | $1,151 |
| ECU Health North HospitalRoanoke Rapids | 25 | $8,709 | $1,450 | $1,140 |
| Rowan Regional Medical CenterSalisbury | 24 | $5,163 | $1,396 | $1,099 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 24 | $11,301 | $1,399 | $1,109 |
| Carolinas Medical Center-NortheastConcord | 23 | $12,077 | $1,394 | $1,092 |
| Johnston Memorial HospitalSmithfield | 23 | $10,236 | $1,396 | $1,102 |
| Vidant Edgecombe HospitalTarboro | 23 | $11,469 | $1,399 | $1,114 |
| Haywood Regional Medical CenterClyde | 23 | $12,437 | $1,399 | $1,110 |
| Watauga Medical CenterBoone | 21 | $7,285 | $1,498 | $1,193 |
| Lake Norman Regional Medical CenterMooresville | 21 | $17,028 | $1,410 | $1,123 |
| Presbyterian Hospital HuntersvilleHuntersville | 21 | $8,160 | $1,444 | $1,151 |
| Rutherford Hospital INCRutherfordton | 19 | $11,042 | $1,498 | $1,184 |
| Duke Regional HospitalDurham | 19 | $6,984 | $1,450 | $1,155 |
| Duke Health Raleigh HospitalRaleigh | 17 | $8,887 | $1,311 | $1,017 |
| Cape Fear Valley Medical CenterFayetteville | 16 | $8,270 | $1,308 | $1,007 |
| Catawba Valley Medical CenterHickory | 16 | $5,212 | $1,417 | $1,129 |
| Onslow Memorial HospitalJacksonville | 15 | $8,253 | $1,498 | $1,193 |
| Presbyterian Hospital-MatthewsMatthews | 15 | $10,032 | $1,444 | $1,151 |
| North Carolina Eye & Ear HospDurham | 14 | $2,835 | $1,450 | $1,155 |
| Novant Health Ballantyne Medical CenterCharlotte | 14 | $9,714 | $1,440 | $1,147 |
| Northern Hospital of Surry CountyMt Airy | 13 | $3,719 | $1,399 | $1,104 |
| Albemarle Hospital AuthorityElizabeth City | 13 | $11,400 | $1,498 | $1,190 |
| Betsy Johnson Regional HospitalDunn | 12 | $8,540 | $1,399 | $1,114 |
| Stanly Regional Medical CenterAlbemarle | 12 | $7,776 | $1,444 | $1,151 |
| Adventhealth HendersonvilleFletcher | 11 | $15,589 | $1,399 | $1,112 |
| Carolinas Med Ctr-UniversityCharlotte | 11 | $11,922 | $1,444 | $1,151 |
| High Point Regional Hlth SystHigh Point | – | – | – | – |
| Scotland Memorial HospitalLaurinburg | – | – | – | – |
| Central Carolina HospitalSanford | – | – | – | – |
| Sampson Regional Medical CenterClinton | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Southeastern Regional Medical CenterLumberton | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| Columbus Regional Healthcare SystemWhiteville | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Anson Community HospitalWadesboro | – | – | – | – |
| Thomasville Medical CenterThomasville | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Frye Regional Medical CenterHickory | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Maria Parham HospitalHenderson | – | – | – | – |
| Carolinas Medical Center-LincolnLincolnton | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
| Person Memorial HospitalRoxboro | – | – | – | – |
| Davie Medical CenterBermuda Run | – | – | – | – |
| Novant Health Mint Hill Medical CenterCharlotte | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Cape Fear Valley Medical CenterFayetteville, NC | $1,308 |
|---|---|
| Duke Health Raleigh HospitalRaleigh, NC | $1,311 |
| Cleveland Regional Medical CenterShelby, NC | $1,362 |
| Grace Hospital INCMorganton, NC | $1,376 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $1,381 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $1,605 |
|---|---|
| Rutherford Hospital INCRutherfordton, NC | $1,498 |
| Albemarle Hospital AuthorityElizabeth City, NC | $1,498 |
| Carolina East Medical CenterNew Bern, NC | $1,498 |
| Onslow Memorial HospitalJacksonville, NC | $1,498 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in North Carolina?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 81 hospitals in North Carolina was billed at $9,999 on average, while the average medicare-allowed amount was $1,428, of which Medicare paid $1,133. 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 North Carolina, average charges were 7.0 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.