Level 2 Musculoskeletal Procedures in Virginia
What 69 hospitals in Virginia charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$12,073
Hospital list price billed
Average allowed
$1,426
Medicare's payment + patient's share
Medicare paid
$1,131
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $12,073 for level 2 musculoskeletal procedures, about 8.5 times the average medicare-allowed amount of $1,426. That payment is 6% 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 $1,426Billed $12,073
About 12¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 musculoskeletal procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Carilion Medical CenterRoanoke | 264 | $3,543 | $1,373 | $1,093 |
| University of Virginia Medical CenterCharlottesville | 237 | $8,287 | $1,387 | $1,102 |
| Sentara Leigh HospitalNorfolk | 163 | $12,130 | $1,351 | $1,066 |
| Sentara Rmh Medical CenterHarrisonburg | 157 | $9,043 | $1,565 | $1,240 |
| Augusta HealthFishersville | 97 | $6,622 | $1,528 | $1,209 |
| Henrico Doctors' HospitalRichmond | 86 | $40,807 | $1,395 | $1,111 |
| Bon Secours - St Francis Medical CenterMidlothian | 83 | $11,405 | $1,397 | $1,113 |
| Riverside Regional Medical CenterNewport News | 80 | $8,580 | $1,342 | $1,059 |
| Inova Fairfax HospitalFalls Church | 78 | $10,662 | $1,507 | $1,192 |
| Mary Immaculate HospitalNewport News | 72 | $14,068 | $1,368 | $1,087 |
| Cjw Medical CenterRichmond | 70 | $35,187 | $1,384 | $1,102 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 65 | $8,186 | $1,421 | $1,121 |
| Inova Alexandria HospitalAlexandria | 54 | $8,335 | $1,485 | $1,175 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 49 | $10,714 | $1,476 | $1,176 |
| Virginia Hospital Center - ArlingtonArlington | 45 | $5,855 | $1,507 | $1,199 |
| Reston Hospital CenterReston | 38 | $16,622 | $1,523 | $1,210 |
| Culpeper Regional HospitalCulpeper | 36 | $9,454 | $1,474 | $1,167 |
| Inova Loudoun HospitalLeesburg | 33 | $12,031 | $1,507 | $1,201 |
| Martha Jefferson HospitalCharlottesville | 33 | $8,351 | $1,365 | $1,076 |
| Inova Fair Oaks HospitalFairfax | 32 | $9,929 | $1,484 | $1,176 |
| Winchester Medical Center INCWinchester | 31 | $4,577 | $1,540 | $1,219 |
| Bon Secours - Maryview Medical CenterPortsmouth | 31 | $16,275 | $1,384 | $1,096 |
| Carilion New River Vly Med CtrChristiansburg | 31 | $11,091 | $1,384 | $1,102 |
| The Fauquier Hospital, INCWarrenton | 30 | $14,190 | $1,507 | $1,192 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 29 | $13,084 | $1,456 | $1,160 |
| Inova Mount Vernon HospitalAlexandria | 29 | $10,200 | $1,507 | $1,194 |
| Sentara Bayside HospitalVirginia Beach | 27 | $13,278 | $1,399 | $1,108 |
| Lewisgale Medical CenterSalem | 25 | $24,817 | $1,384 | $1,096 |
| Montgomery Regional HospitalBlacksburg | 25 | $25,493 | $1,341 | $1,058 |
| Medical College of Virginia HospitalsRichmond | 23 | $12,193 | $1,389 | $1,103 |
| Sentara Obici HospitalSuffolk | 23 | $9,753 | $1,275 | $1,016 |
| Riverside Walter Reed HospitalGloucester | 23 | $8,958 | $1,384 | $1,101 |
| John Randolph Medical CenterHopewell | 20 | $42,775 | $1,343 | $1,040 |
| Danville Regional Medical CenterDanville | 20 | $22,678 | $1,428 | $1,138 |
| Sentara Virginia Beach General HospitalVirginia Beach | 19 | $10,112 | $1,398 | $1,114 |
| Mary Washington Hospital, INCFredericksburg | 16 | $10,370 | $1,507 | $1,201 |
| Alleghany Regional HospitalJackson River | 16 | $18,406 | $1,408 | $1,107 |
| Johnston Memorial HospitalAbingdon | 15 | $13,364 | $1,384 | $1,102 |
| Southside Regional Medical CenterPetersburg | 15 | $23,444 | $1,398 | $1,112 |
| Twin County Regional HospitalGalax | 15 | $14,862 | $1,482 | $1,181 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 15 | $8,228 | $1,384 | $1,103 |
| Riverside Tappahannock HospitalTappahannock | 14 | $4,460 | $1,498 | $1,193 |
| Chesapeake General HospitalChesapeake | 14 | $7,445 | $1,398 | $1,114 |
| Riverside Shore Memorial HospitalNassawadox | 13 | $6,699 | $1,482 | $1,166 |
| Stonesprings Hospital CenterDulles | 13 | $13,519 | $1,507 | $1,186 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 12 | $13,347 | $1,482 | $1,178 |
| Spotsylvania Regional Medical CenterFredericksburg | 12 | $15,918 | $1,507 | $1,201 |
| Halifax Regional HospitalSouth Boston | 11 | $11,181 | $1,530 | $1,203 |
| Smyth County Community HospitalMarion | 11 | $13,021 | $1,384 | $1,100 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 11 | $11,657 | $1,384 | $1,103 |
| Carilion Franklin Memorial HospitalRocky Mount | 11 | $8,908 | $1,384 | $1,097 |
| Sentara Northern Virginia Medical CenterWoodbridge | 11 | $8,878 | $1,398 | $1,081 |
| Russell County Medical CenterLebanon | – | – | – | – |
| Sentara Norfolk General HospitalNorfolk | – | – | – | – |
| Warren Memorial HospitalFront Royal | – | – | – | – |
| Prince William HospitalManassas | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Bedford Memorial HospitalBedford | – | – | – | – |
| Southside Community Hospital, INCFarmville | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Sentara Careplex HospitalHampton | – | – | – | – |
| Bon Secours Southern Virginia Medical CenterEmporia | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Carilion Tazewell Community HospitalTazewell | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
| Stafford Hospital CenterStafford | – | – | – | – |
| UVA Health Haymarket Medical CenterHaymarket | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Obici HospitalSuffolk, VA | $1,275 |
|---|---|
| Montgomery Regional HospitalBlacksburg, VA | $1,341 |
| Riverside Regional Medical CenterNewport News, VA | $1,342 |
| John Randolph Medical CenterHopewell, VA | $1,343 |
| Sentara Leigh HospitalNorfolk, VA | $1,351 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $1,565 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $1,540 |
| Halifax Regional HospitalSouth Boston, VA | $1,530 |
| Augusta HealthFishersville, VA | $1,528 |
| Reston Hospital CenterReston, VA | $1,523 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Virginia?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 69 hospitals in Virginia was billed at $12,073 on average, while the average medicare-allowed amount was $1,426, of which Medicare paid $1,131. 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 Virginia, average charges were 8.5 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.