facebook tracking Level 2 Musculoskeletal Procedures cost in Ohio: 116 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Ohio

What 116 hospitals in Ohio charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $9,835 Hospital list price billed
Average allowed $1,346 Medicare's payment + patient's share
Medicare paid $1,063 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Ohio billed an average of $9,835 for level 2 musculoskeletal procedures, about 7.3 times the average medicare-allowed amount of $1,346. That payment is 11% 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 $1,346Billed $9,835

About 14¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 2 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Crystal Clinic Orthopaedic CenterAkron 371 $8,492 $1,361 $1,076
Cleveland Clinic - Main CampusCleveland 176 $7,361 $1,336 $1,060
Miami Valley HospitalDayton 144 $13,514 $1,394 $1,105
Institute for Orthopedic SurgeryLima 139 $5,088 $1,344 $1,065
Christ HospitalCincinnati 115 $7,082 $1,376 $1,093
Adena Regional Medical CenterChillicothe 99 $13,846 $1,396 $1,109
Summa Health System - Akron CampusAkron 89 $11,464 $1,368 $1,089
Mercy St Vincent Medical CenterToledo 80 $17,115 $1,407 $1,106
St John Medical CenterWestlake 78 $11,345 $1,302 $1,031
Good Samaritan HospitalCincinnati 71 $4,074 $1,398 $1,114
Kettering Health DaytonDayton 68 $14,319 $1,374 $1,086
Fairview HospitalCleveland 65 $7,714 $1,328 $1,045
Ohio State University HospitalsColumbus 64 $11,176 $1,442 $1,148
Metrohealth SystemCleveland 63 $8,797 $841 $562
Genesis Healthcare SystemZanesville 62 $8,358 $1,224 $968
University Hospitals of ClevelandCleveland 56 $9,821 $1,333 $1,053
Hillcrest HospitalCleveland 56 $9,984 $1,372 $1,093
University of Toledo Medical CenterToledo 54 $8,543 $1,406 $1,109
Southwest General Health CenterMiddleburg Heights 54 $8,012 $945 $752
Grant Medical CenterColumbus 53 $14,742 $1,424 $1,130
Bethesda North HospitalCincinnati 53 $7,131 $1,380 $1,093
Surgical Hospital at SouthwoodsYoungstown 51 $7,635 $1,330 $1,053
Toledo Hospital theToledo 49 $16,008 $1,321 $1,027
Medina HospitalMedina 48 $7,788 $1,283 $1,001
Lake Health Beachwood Medical CenterBeachwood 48 $8,844 $1,326 $1,048
Holzer Medical CenterGallipolis 46 $6,625 $1,368 $1,086
University Hospital, INCCincinnati 41 $11,285 $1,289 $1,005
Upper Valley Medical CenterTroy 41 $8,546 $1,372 $1,087
Cleveland Clinic Avon HospitalAvon 41 $9,759 $1,355 $1,080
Knox Community HospitalMt Vernon 39 $8,319 $1,490 $1,177
University Hospitals Portage Medical CenterRavenna 36 $10,054 $1,368 $1,090
West Chester Medical CenterWest Chester 36 $12,498 $1,338 $1,052
Ohio Valley Medical Center, LLCSpringfield 36 $5,925 $1,381 $1,080
University Hospitals - Elyria Medical CenterElyria 34 $7,173 $1,332 $1,056
Riverside Methodist HospitalColumbus 32 $9,871 $1,437 $1,145
Marymount HospitalGarfield Heights 31 $9,778 $1,337 $1,058
Licking Memorial HospitalNewark 31 $9,161 $1,437 $1,145
UH Regional HospitalsRichmond Heights 30 $8,614 $1,372 $1,093
St Joseph Health CenterWarren 30 $9,186 $1,368 $1,090
St Elizabeth Boardman Health CenterYoungstown 30 $11,935 $1,368 $1,089
Firelands Community HospitalSandusky 29 $7,725 $1,293 $1,006
Mercy Hospital AndersonCincinnati 28 $12,728 $1,398 $1,108
Wood County HospitalBowling Green 28 $5,521 $1,372 $1,088
McCullough-Hyde Memorial HospitalOxford 28 $11,054 $1,398 $1,105
Summa Western Reserve HospitalCuyahoga Falls 28 $17,742 $1,329 $1,048
Mercy Hospital FairfieldFairfield 26 $14,398 $1,398 $1,110
Lutheran HospitalCleveland 26 $8,538 $1,372 $1,093
Cleveland Clinic - Akron GeneralAkron 25 $8,318 $1,302 $1,030
Parma Community General HospitalParma 24 $7,532 $1,327 $1,044
Southeastern Ohio Regional Medical CenterCambridge 24 $9,596 $1,404 $1,103
University Hospitals Ahuja Medical CenterBeachwood 24 $8,690 $1,372 $1,093
Kettering Medical CenterKettering 23 $14,015 $1,442 $1,149
Marietta Memorial HospitalMarietta 23 $7,006 $852 $616
Marion General HospitalMarion 22 $13,484 $1,375 $1,090
Wilson Memorial HospitalSidney 22 $10,517 $1,443 $1,146
Avita OntarioOntario 22 $7,315 $1,398 $1,114
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville 21 $6,087 $1,368 $1,081
Mount Carmel HealthColumbus 20 $11,483 $1,438 $1,130
Mercer County Joint Township Community HospitalColdwater 18 $5,261 $1,368 $1,090
Atrium Medical CenterMiddletown 18 $10,928 $1,395 $1,112
Blanchard Valley Health AssnFindlay 18 $7,181 $1,311 $1,022
Mercy Franciscan Hospital - Mt AiryCincinnati 18 $13,375 $1,398 $1,109
Dublin Methodist HospitalDublin 18 $13,221 $1,374 $1,081
Mount Carmel St Ann's HospitalWesterville 17 $10,295 $1,437 $1,145
Mercy Medical CenterCanton 17 $9,948 $1,306 $1,020
Ohiohealth Mansfield HospitalMansfield 17 $8,426 $1,407 $1,121
Alliance Community HospitalAlliance 17 $8,137 $1,368 $1,081
Memorial HospitalFremont 17 $7,129 $1,179 $898
Fairfield Medical CenterLancaster 16 $7,817 $1,437 $1,145
Memorial Hospital of Union CountyMarysville 16 $15,635 $1,437 $1,143
Fort Hamilton Hughes Memorial HospitalHamilton 16 $15,643 $1,334 $1,038
Mercy Regional Medical CenterLorain 16 $12,659 $1,306 $1,011
Southern Ohio Medical CenterPortsmouth 15 $13,071 $1,387 $1,089
Lima Memorial Health SystemLima 15 $20,640 $1,351 $1,076
Jewish Hospital, LLCCincinnati 15 $20,860 $1,398 $1,114
Berger HospitalCircleville 15 $11,949 $1,361 $1,069
Samaritan Hospital - Peoples HospitalAshland 14 $7,965 $1,290 $1,006
St Elizabeth Health CenterYoungstown 14 $9,142 $1,368 $1,079
St Rita's Medical CenterLima 14 $18,670 $1,375 $1,082
Mercy Hospital of TiffinTiffin 14 $10,404 $1,375 $1,095
Fisher Titus Memorial HospitalNorwalk 13 $8,808 $1,375 $1,095
Lake Hospital SystemPainesville 13 $10,478 $1,182 $925
Trihealth Clinton Regional HospitalWilmington 13 $7,533 $1,368 $1,090
Aultman HospitalCanton 12 $6,579 $1,368 $1,090
Doctors HospitalColumbus 12 $13,024 $1,429 $1,128
Mary Rutan HospitalBellefontaine 11 $15,736 $1,545 $1,231
Union HospitalDover – – – –
O'bleness Memorial HospitalAthens – – – –
Greene Memorial HospitalXenia – – – –
Grand Lake Health SystemSt Marys – – – –
Wooster Community HospitalWooster – – – –
Wayne HospitalGreenville – – – –
Trumbull Memorial HospitalWarren – – – –
Van Wert County HospitalVan Wert – – – –
East Ohio Regional HospitalMartins Ferry – – – –
Euclid HospitalEuclid – – – –
Springfield Regional Medical CenterSpringfield – – – –
East Liverpool City HospitalEast Liverpool – – – –
Bellevue HospitalBellevue – – – –
Coshocton County Memorial HospitalCoshocton – – – –
Community Hospitals and Wellness CentersBryan – – – –
Ashtabula County Medical CenterAshtabula – – – –
South Pointe HospitalWarrensville Heights – – – –
Joel Pomerene Memorial HospitalMillersburg – – – –
Salem Community HospitalSalem – – – –
Madison County Hospital INCLondon – – – –
Grady Memorial HospitalDelaware – – – –
Mercy Hospital ClermontBatavia – – – –
Kettering Medical Center - SycamoreMiamisburg – – – –
Bay Park Community HospitalOregon – – – –
Mount Carmel New Albany Surgical HospitalNew Albany – – – –
Mercy Hospital of DefianceDefiance – – – –
Soin Medical CenterBeaver Creek – – – –
Kings Daughters Medical Center OhioPortsmouth – – – –
Kettering Health TroyTroy – – – –
Mercy Health Kings Mills Hospital LLCMason – – – –
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Lowest and highest allowed amounts in Ohio

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

Metrohealth SystemCleveland, OH$841
Marietta Memorial HospitalMarietta, OH$852
Southwest General Health CenterMiddleburg Heights, OH$945
Memorial HospitalFremont, OH$1,179
Lake Hospital SystemPainesville, OH$1,182

Highest

Mary Rutan HospitalBellefontaine, OH$1,545
Knox Community HospitalMt Vernon, OH$1,490
Wilson Memorial HospitalSidney, OH$1,443
Ohio State University HospitalsColumbus, OH$1,442
Kettering Medical CenterKettering, OH$1,442

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Ohio?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 116 hospitals in Ohio was billed at $9,835 on average, while the average medicare-allowed amount was $1,346, of which Medicare paid $1,063. 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 Ohio, average charges were 7.3 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.