Level 2 Musculoskeletal Procedures in Wisconsin
What 65 hospitals in Wisconsin charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$9,954
Hospital list price billed
Average allowed
$1,461
Medicare's payment + patient's share
Medicare paid
$1,159
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $9,954 for level 2 musculoskeletal procedures, about 6.8 times the average medicare-allowed amount of $1,461. That payment is 3% 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 $1,461Billed $9,954
About 15¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 musculoskeletal procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 189 | $8,416 | $1,500 | $1,187 |
| Orthopaedic Hsptl of WiGlendale | 117 | $9,756 | $1,442 | $1,141 |
| Gundersen Luth Med CtrLa Crosse | 95 | $9,127 | $1,358 | $1,077 |
| Aurora Baycare Med CtrGreen Bay | 86 | $10,231 | $1,434 | $1,140 |
| Aurora Medical CenterGrafton | 83 | $19,782 | $1,448 | $1,150 |
| Marshfield Medical CenterMarshfield | 74 | $3,977 | $1,482 | $1,175 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 73 | $5,718 | $1,514 | $1,203 |
| Mercy Hlth Sys CorpJanesville | 63 | $5,661 | $1,456 | $1,152 |
| Aurora Med Ctr KenoshaKenosha | 56 | $19,382 | $1,488 | $1,174 |
| Luther Hospital Mayo Health SystemEau Claire | 52 | $6,914 | $1,525 | $1,215 |
| Sauk Prairie Mem HsptlPrairie du Sac | 52 | $6,403 | $1,465 | $1,166 |
| Fort HealthcareFort Atkinson | 46 | $8,781 | $1,464 | $1,163 |
| Aurora Sheboygan Mem Med CtrSheboygan | 44 | $14,499 | $1,464 | $1,167 |
| Oakleaf Surgical HospitalEau Claire | 43 | $9,907 | $1,445 | $1,151 |
| Meriter HsptlMadison | 42 | $13,345 | $1,482 | $1,181 |
| Aurora Med Ctr OshkoshOshkosh | 42 | $14,446 | $1,446 | $1,152 |
| Aspirus Rhinelander HospitalRhinelander | 40 | $7,011 | $1,540 | $1,225 |
| Aurora St Lukes Medical CenterMilwaukee | 39 | $16,087 | $1,502 | $1,187 |
| Midwest Orthopedic Specialty Hospital, LLCFranklin | 35 | $15,776 | $1,464 | $1,152 |
| Beloit Mem HsptlBeloit | 28 | $9,989 | $1,563 | $1,245 |
| Froedtert SouthKenosha | 27 | $11,512 | $1,512 | $1,204 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 27 | $3,963 | $1,512 | $1,202 |
| Marshfield Medical Center - Eau ClaireEau Claire | 27 | $7,517 | $1,445 | $1,151 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 26 | $13,818 | $1,420 | $1,112 |
| Froedtert Mem Lutheran HsptlMilwaukee | 26 | $11,778 | $1,466 | $1,151 |
| Appleton Med CtrAppleton | 25 | $5,455 | $1,449 | $1,154 |
| Bellin Memorial HsptlGreen Bay | 23 | $7,679 | $1,088 | $867 |
| Holy Family Memorial INCManitowoc | 22 | $6,821 | $1,445 | $1,152 |
| Marshfield Medical Center - Rice LakeRice Lake | 21 | $7,002 | $1,540 | $1,219 |
| St Mary's HospitalMadison | 21 | $11,077 | $1,443 | $1,138 |
| St Marys Hsptl Med CtrGreen Bay | 21 | $13,888 | $1,445 | $1,152 |
| Community Mem HsptlMenomonee Falls | 21 | $9,516 | $1,409 | $1,111 |
| Aspirus Wausau HospitalWausau | 20 | $9,898 | $1,438 | $1,146 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 20 | $15,787 | $1,438 | $1,145 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 20 | $6,703 | $1,451 | $1,144 |
| Marshfield Medical Center - MinocquaMinocqua | 20 | $7,185 | $1,438 | $1,136 |
| Waukesha Memorial HospitalWaukesha | 19 | $8,602 | $1,464 | $1,167 |
| Bay Area Med CtrMarinette | 18 | $12,305 | $1,547 | $1,233 |
| St Elizabeth HsptlAppleton | 17 | $5,807 | $1,447 | $1,153 |
| Monroe ClinicMonroe | 17 | $13,080 | $1,500 | $1,195 |
| St Clare Hsptl Hlth SvcsBaraboo | 17 | $6,054 | $1,397 | $1,097 |
| Aurora Medical CenterSummit | 17 | $8,981 | $1,465 | $1,168 |
| Aurora Memorial Hsptl BurlingtonBurlington | 16 | $11,961 | $1,512 | $1,204 |
| St Agnes HsptlFond du Lac | 15 | $8,634 | $1,486 | $1,167 |
| Beaver Dam Com HsptlBeaver Dam | 14 | $4,825 | $1,465 | $1,168 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 12 | $8,477 | $1,438 | $1,146 |
| Aurora Med Center-Washington CountyHartford | 12 | $11,957 | $1,368 | $1,070 |
| Howard Young Med CtrWoodruff | 12 | $7,176 | $1,438 | $1,125 |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Nicholas HospitalSheboygan | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Oconomowoc Mem HsptlOconomowoc | – | – | – | – |
| St Josephs Com Hsptl West BendWest Bend | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Aurora Lakeland Med CtrElkhorn | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Aurora West Allis Medical CenterWest Allis | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Froedtert Community HospitalNew Berlin | – | – | – | – |
| Ascension Wisconsin Hosp Menomonee Falls CampusMenomonee Falls | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Bellin Memorial HsptlGreen Bay, WI | $1,088 |
|---|---|
| Gundersen Luth Med CtrLa Crosse, WI | $1,358 |
| Aurora Med Center-Washington CountyHartford, WI | $1,368 |
| St Clare Hsptl Hlth SvcsBaraboo, WI | $1,397 |
| Community Mem HsptlMenomonee Falls, WI | $1,409 |
Highest
| Beloit Mem HsptlBeloit, WI | $1,563 |
|---|---|
| Bay Area Med CtrMarinette, WI | $1,547 |
| Marshfield Medical Center - Rice LakeRice Lake, WI | $1,540 |
| Aspirus Rhinelander HospitalRhinelander, WI | $1,540 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $1,525 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Wisconsin?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 65 hospitals in Wisconsin was billed at $9,954 on average, while the average medicare-allowed amount was $1,461, of which Medicare paid $1,159. 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 Wisconsin, average charges were 6.8 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.