Level 2 Musculoskeletal Procedures in Pennsylvania
What 127 hospitals in Pennsylvania charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$12,471
Hospital list price billed
Average allowed
$1,454
Medicare's payment + patient's share
Medicare paid
$1,154
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $12,471 for level 2 musculoskeletal procedures, about 8.6 times the average medicare-allowed amount of $1,454. That payment is 4% 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 $1,454Billed $12,471
About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 musculoskeletal procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 303 | $11,463 | $1,547 | $1,228 |
| Surgical Institute of ReadingWyomissing | 279 | $12,779 | $1,441 | $1,145 |
| Oss Orthopaedic HospitalYork | 254 | $6,180 | $1,447 | $1,149 |
| St Luke's Hospital BethlehemBethlehem | 158 | $12,785 | $1,543 | $1,222 |
| Crozer Chester Medical CenterChester | 109 | $10,233 | $1,269 | $1,009 |
| Meadville Medical CenterMeadville | 102 | $6,547 | $1,537 | $1,223 |
| St Luke's Hospital - Anderson CampusEaston | 101 | $16,428 | $1,416 | $1,119 |
| Penn Presbyterian Medical CenterPhiladelphia | 97 | $20,748 | $1,619 | $1,290 |
| Evangelical Community HospitalLewisburg | 96 | $18,091 | $1,424 | $1,131 |
| Physicians Care Surgical HospitalRoyersford | 93 | $14,390 | $1,508 | $1,193 |
| Latrobe Area HospitalLatrobe | 85 | $10,503 | $1,422 | $1,128 |
| Phoenixville HospitalPhoenixville | 83 | $9,835 | $1,541 | $1,228 |
| Geisinger Medical CenterDanville | 80 | $30,756 | $1,422 | $1,128 |
| UPMC Presbyterian ShadysidePittsburgh | 78 | $17,001 | $1,436 | $1,141 |
| UPMC PassavantPittsburgh | 76 | $17,153 | $1,410 | $1,117 |
| Wellspan Surgery and Rehabilitation HospitalYork | 76 | $11,518 | $1,485 | $1,183 |
| Robert Packer HospitalSayre | 75 | $6,648 | $1,476 | $1,173 |
| Jefferson Health- NortheastPhiladelphia | 75 | $7,646 | $1,505 | $1,188 |
| Lansdale HospitalLansdale | 69 | $4,278 | $1,490 | $1,177 |
| St Luke's Quakertown HospitalQuakertown | 69 | $13,566 | $1,510 | $1,197 |
| St Mary Medical CenterLanghorne | 69 | $10,604 | $1,597 | $1,270 |
| UPMC Pinnacle HospitalsHarrisburg | 68 | $7,773 | $1,440 | $1,146 |
| UPMC St MargaretPittsburgh | 68 | $14,660 | $1,419 | $1,124 |
| Thomas Jefferson University HospitalPhiladelphia | 68 | $11,085 | $1,533 | $1,221 |
| Gettysburg HospitalGettysburg | 64 | $5,429 | $841 | $667 |
| Lancaster General HospitalLancaster | 60 | $12,038 | $1,495 | $1,191 |
| Bucks County Specialty HospitalBensalem | 60 | $26,755 | $1,525 | $1,209 |
| Main Line Hospital LankenauWynnewood | 59 | $10,105 | $1,551 | $1,232 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 56 | $27,359 | $1,012 | $799 |
| Hospital of the Univ of PaPhiladelphia | 55 | $19,198 | $754 | $600 |
| Jameson Memorial HospitalNew Castle | 54 | $5,767 | $1,436 | $1,137 |
| Mercy Hospital ScrantonScranton | 53 | $16,316 | $1,414 | $1,122 |
| Lehigh Valley Hospital - Dickson CityDickson City | 49 | $11,180 | $1,436 | $1,142 |
| Temple University HospitalPhiladelphia | 48 | $36,872 | $1,619 | $1,290 |
| Dubois Regional Medical CenterDubois | 48 | $5,803 | $1,512 | $1,197 |
| Saint Vincent Health CenterErie | 44 | $12,013 | $1,633 | $1,288 |
| Williamsport Hospital & Medical CenterWilliamsport | 37 | $13,836 | $1,410 | $1,113 |
| St Clair Memorial HospitalPittsburgh | 36 | $6,871 | $1,436 | $1,144 |
| Main Line Hospital PaoliPaoli | 35 | $11,159 | $1,550 | $1,235 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 35 | $11,738 | $1,619 | $1,290 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 34 | $13,588 | $1,550 | $1,235 |
| Doylestown HospitalDoylestown | 34 | $9,382 | $1,550 | $1,235 |
| Milton S Hershey Medical CenterHershey | 34 | $16,670 | $1,412 | $1,109 |
| Uniontown HospitalUniontown | 33 | $3,971 | $1,392 | $1,106 |
| Holy Spirit HospitalCamp Hill | 31 | $16,098 | $1,455 | $1,159 |
| Hamot Medical CenterErie | 31 | $13,032 | $1,694 | $1,332 |
| UPMC MercyPittsburgh | 28 | $11,124 | $1,436 | $1,137 |
| Lewistown HospitalLewistown | 28 | $9,279 | $987 | $778 |
| Chester County HospitalWest Chester | 28 | $13,211 | $1,550 | $1,235 |
| Carlisle Regional Medical CtrCarlisle | 25 | $7,336 | $1,455 | $1,152 |
| Good Samaritan HospitalLebanon | 25 | $10,298 | $1,524 | $1,213 |
| St Joseph Medical CenterReading | 24 | $16,646 | $1,417 | $1,108 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 24 | $4,982 | $1,508 | $1,193 |
| Jefferson Regional Medical CenterClairton | 23 | $10,650 | $1,436 | $1,131 |
| Altoona Regional Health SystemAltoona | 22 | $7,182 | $1,537 | $1,225 |
| Butler Health SystemButler | 22 | $5,183 | $1,436 | $1,133 |
| Wilkes-Barre General HospitalWilkes-Barre | 21 | $17,840 | $1,381 | $1,080 |
| Mount Nittany Medical CenterState College | 21 | $9,315 | $1,622 | $1,292 |
| Allegheny General HospitalPittsburgh | 20 | $13,930 | $1,436 | $1,144 |
| UPMC LititzLititz | 20 | $11,370 | $1,315 | $1,047 |
| UPMC HorizonGreenville | 19 | $10,159 | $1,375 | $1,084 |
| Riddle Memorial HospitalMedia | 19 | $10,204 | $1,561 | $1,244 |
| Reading Hospital and Med CtrWest Reading | 18 | $13,723 | $1,340 | $1,040 |
| Hanover HospitalHanover | 18 | $7,852 | $1,412 | $1,125 |
| Washington Hospital, theWashington | 17 | $4,778 | $1,370 | $1,076 |
| Warren General HospitalWarren | 17 | $3,839 | $1,694 | $1,342 |
| Grand View HospitalSellersville | 16 | $8,781 | $1,550 | $1,235 |
| Albert Einstein Medical CenterPhiladelphia | 16 | $13,095 | $1,484 | $1,163 |
| Advanced Surgical HospitalWashington | 16 | $9,782 | $1,436 | $1,140 |
| Geisinger-Community Medical CenterScranton | 15 | $41,129 | $1,367 | $1,067 |
| York HospitalYork | 15 | $13,057 | $1,462 | $1,165 |
| Monongahela Valley HospitalMonongahela | 15 | $6,411 | $1,436 | $1,144 |
| Conemaugh Valley Memorial HospitalJohnstown | 14 | $7,674 | $1,537 | $1,225 |
| Grove City Medical CenterGrove City | 14 | $10,295 | $1,436 | $1,144 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 14 | $11,451 | $1,436 | $1,144 |
| UPMC EastMonroeville | 14 | $17,408 | $1,436 | $1,141 |
| St Luke's Hospital - Carbon CampusLehighton | 14 | $18,108 | $1,465 | $1,167 |
| Penn State Health Hampden Medical CenterEnola | 14 | $16,036 | $1,358 | $1,066 |
| Allegheny Valley HospitalNatrona Heights | 13 | $7,287 | $1,436 | $1,144 |
| UPMC KaneKane | 13 | $6,156 | $1,538 | $1,210 |
| Wayne Memorial HospitalHonesdale | 13 | $9,387 | $1,542 | $1,229 |
| Chambersburg HospitalChambersburg | 13 | $15,851 | $1,604 | $1,278 |
| Indiana Regional Medical CenterIndiana | 12 | $10,849 | $1,540 | $1,227 |
| Ephrata Community HospitalEphrata | 12 | $11,164 | $1,466 | $1,168 |
| Northwest Medical CenterOil City | 11 | $8,216 | $1,436 | $1,116 |
| ACMH HospitalKittanning | 11 | $7,568 | $1,436 | $1,144 |
| Pocono Medical CenterEast Stroudsburg | 11 | $15,338 | $1,568 | $1,232 |
| Geisinger St. Luke's HospitalOrwigsburg | 11 | $7,914 | $1,374 | $1,073 |
| Geisinger Medical Center MuncyMuncy | 11 | $5,591 | $1,436 | $1,144 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| Lower Bucks HospitalBristol | – | – | – | – |
| West Penn HospitalPittsburgh | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| UPMC MemorialYork | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Waynesboro HospitalWaynesboro | – | – | – | – |
| Excela Health Westmoreland Regional HospitalGreensburg | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| Easton HospitalEaston | – | – | – | – |
| St Luke's Miners Memorial HospitalCoaldale | – | – | – | – |
| Highlands HospitalConnellsville | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Abington Memorial HospitalAbington | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| Edgewood Surgical HospitalTransfer | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| AHN Emerus Westmoreland, LLCGreensburg | – | – | – | – |
| AHN Wexford HospitalWexford | – | – | – | – |
| Penn State Health Lancaster Medical CenterLancaster | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Hospital of the Univ of PaPhiladelphia, PA | $754 |
|---|---|
| Gettysburg HospitalGettysburg, PA | $841 |
| Lewistown HospitalLewistown, PA | $987 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $1,012 |
| Crozer Chester Medical CenterChester, PA | $1,269 |
Highest
| Hamot Medical CenterErie, PA | $1,694 |
|---|---|
| Warren General HospitalWarren, PA | $1,694 |
| Saint Vincent Health CenterErie, PA | $1,633 |
| Mount Nittany Medical CenterState College, PA | $1,622 |
| Temple University HospitalPhiladelphia, PA | $1,619 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Pennsylvania?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 127 hospitals in Pennsylvania was billed at $12,471 on average, while the average medicare-allowed amount was $1,454, of which Medicare paid $1,154. 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 Pennsylvania, average charges were 8.6 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.