Level 2 Musculoskeletal Procedures in Washington
What 46 hospitals in Washington charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$10,574
Hospital list price billed
Average allowed
$1,649
Medicare's payment + patient's share
Medicare paid
$1,306
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $10,574 for level 2 musculoskeletal procedures, about 6.4 times the average medicare-allowed amount of $1,649. That payment is 9% 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 $1,649Billed $10,574
About 16¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 2 musculoskeletal procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Confluence Health HospitalWenatchee | 179 | $5,263 | $1,725 | $1,370 |
| Olympic Medical CenterPort Angeles | 146 | $3,560 | $1,701 | $1,348 |
| Yakima Valley Memorial HospitalYakima | 128 | $9,902 | $1,717 | $1,364 |
| Virginia Mason Medical CenterSeattle | 121 | $8,051 | $1,590 | $1,259 |
| Evergreenhealth Medical CenterKirkland | 115 | $7,862 | $1,598 | $1,261 |
| University of Washington Medical CtrSeattle | 99 | $8,789 | $1,613 | $1,282 |
| Valley Hospital & Medical CenterSpokane | 83 | $8,892 | $1,551 | $1,223 |
| Skagit Valley HospitalMt Vernon | 80 | $7,356 | $1,568 | $1,241 |
| Providence Holy Family HospitalSpokane | 75 | $8,711 | $1,613 | $1,283 |
| Grays Harbor Community HospitalAberdeen | 72 | $12,033 | $1,733 | $1,381 |
| Providence Sacred Heart Medical CenterSpokane | 69 | $8,043 | $1,578 | $1,245 |
| St Michael Medical CenterBremerton | 64 | $21,129 | $1,712 | $1,356 |
| St Joseph Medical CenterTacoma | 63 | $17,501 | $1,554 | $1,202 |
| Swedish Medical CenterSeattle | 59 | $11,948 | $1,699 | $1,346 |
| Peacehealth St Joseph Medical CenterBellingham | 56 | $11,969 | $1,728 | $1,373 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 55 | $16,319 | $1,656 | $1,319 |
| Tacoma General HospitalTacoma | 54 | $15,939 | $1,632 | $1,291 |
| Providence St Peter HospitalOlympia | 53 | $15,797 | $1,625 | $1,295 |
| Providence St Mary Medical CenterWalla Walla | 51 | $9,314 | $1,728 | $1,376 |
| Harborview Medical CenterSeattle | 44 | $10,849 | $1,584 | $1,252 |
| Kadlec Regional Medical CenterRichland | 41 | $10,208 | $1,613 | $1,281 |
| Overlake Hospital Medical CenterBellevue | 37 | $13,214 | $1,606 | $1,272 |
| Providence Centralia HospitalCentralia | 28 | $15,388 | $1,774 | $1,410 |
| Peachealth St John Medical CenterLongview | 28 | $19,182 | $1,685 | $1,319 |
| Swedish IssaquahIssaquah | 28 | $13,236 | $1,605 | $1,270 |
| Swedish Edmonds HospitalEdmonds | 24 | $13,576 | $1,641 | $1,308 |
| Providence Regional Medical Center EverettEverett | 23 | $17,534 | $1,642 | $1,300 |
| Samaritan HospitalMoses Lake | 23 | $9,564 | $1,728 | $1,372 |
| Auburn Regional Medical CenterAuburn | 22 | $17,043 | $1,582 | $1,248 |
| S W Washington Medical CenterVancouver | 22 | $20,784 | $1,686 | $1,344 |
| Valley Medical CenterRenton | 21 | $10,317 | $1,641 | $1,308 |
| St Francis Community HospitalFederal Way | 21 | $17,292 | $1,641 | $1,306 |
| Legacy Salmon Creek Medical CenterVancouver | 20 | $12,181 | $1,687 | $1,334 |
| St Anthony HospitalGig Harbor | 20 | $17,164 | $1,656 | $1,305 |
| Deaconess Medical CenterSpokane | 16 | $9,246 | $1,613 | $1,285 |
| St Clare HospitalLakewood | 15 | $15,500 | $1,656 | $1,319 |
| Trios HealthKennewick | 14 | $6,156 | $1,521 | $1,193 |
| Highline Medical CenterBurien | 13 | $13,412 | $1,541 | $1,207 |
| Island HospitalAnacortes | 12 | $6,387 | $1,625 | $1,295 |
| Cascade Valley HospitalArlington | 11 | $8,209 | $1,641 | $1,308 |
| Swedish Medical Center/Cherry HillSeattle | – | – | – | – |
| Toppenish Community HospitalToppenish | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
| Capital Medical CenterOlympia | – | – | – | – |
| Multicare Covington Medical CenterCovington | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Trios HealthKennewick, WA | $1,521 |
|---|---|
| Highline Medical CenterBurien, WA | $1,541 |
| Valley Hospital & Medical CenterSpokane, WA | $1,551 |
| St Joseph Medical CenterTacoma, WA | $1,554 |
| Skagit Valley HospitalMt Vernon, WA | $1,568 |
Highest
| Providence Centralia HospitalCentralia, WA | $1,774 |
|---|---|
| Grays Harbor Community HospitalAberdeen, WA | $1,733 |
| Samaritan HospitalMoses Lake, WA | $1,728 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $1,728 |
| Providence St Mary Medical CenterWalla Walla, WA | $1,728 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Washington?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 46 hospitals in Washington was billed at $10,574 on average, while the average medicare-allowed amount was $1,649, of which Medicare paid $1,306. 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 Washington, average charges were 6.4 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.