Level 3 Musculoskeletal Procedures in Alabama
What 59 hospitals in Alabama charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$32,437
Hospital list price billed
Average allowed
$2,552
Medicare's payment + patient's share
Medicare paid
$2,013
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $32,437 for level 3 musculoskeletal procedures, about 12.7 times the average medicare-allowed amount of $2,552. That payment is 15% below the U.S. average of $2,995.
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 $2,552Billed $32,437
About 8¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 3 musculoskeletal procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 218 | $16,796 | $2,615 | $2,056 |
| Grandview Medical CenterBirmingham | 144 | $102,253 | $2,623 | $2,073 |
| St Vincent's BirminghamBirmingham | 142 | $26,980 | $2,629 | $2,078 |
| Athens-Limestone HospitalAthens | 131 | $21,263 | $1,599 | $1,265 |
| Crestwood Medical CenterHuntsville | 128 | $54,133 | $2,694 | $2,137 |
| University of Alabama HospitalBirmingham | 82 | $32,431 | $2,567 | $2,023 |
| Marshall Medical Center SouthBoaz | 68 | $7,723 | $2,652 | $2,107 |
| South Baldwin Regional Medical CenterFoley | 63 | $65,063 | $2,629 | $2,082 |
| Flowers HospitalDothan | 56 | $45,147 | $2,588 | $2,018 |
| Riverview Regional Medical CenterGadsden | 51 | $49,928 | $2,602 | $2,057 |
| Cullman Regional Medical CenterCullman | 50 | $9,819 | $2,667 | $2,096 |
| Thomas HospitalFairhope | 49 | $12,180 | $2,645 | $2,094 |
| Jack Hughston Memorial HospitalPhenix City | 49 | $8,956 | $2,627 | $2,068 |
| East Alabama Medical Center and SnfOpelika | 48 | $8,698 | $2,864 | $2,278 |
| Walker Baptist Medical CenterJasper | 41 | $36,069 | $2,604 | $2,019 |
| Northeast Alabama Regional Med CenterAnniston | 35 | $39,481 | $2,818 | $2,217 |
| D C H Regional Medical CenterTuscaloosa | 33 | $13,827 | $2,884 | $2,285 |
| Decatur General HospitalDecatur | 32 | $17,626 | $2,669 | $2,111 |
| Mobile InfirmaryMobile | 32 | $5,790 | $2,550 | $2,003 |
| Russell HospitalAlexander City | 30 | $8,787 | $2,677 | $2,133 |
| North Alabama Medical CenterFlorence | 28 | $16,376 | $2,273 | $1,803 |
| Springhill Medical CenterMobile | 27 | $9,112 | $2,684 | $2,137 |
| Southeast Alabama Medical CenterDothan | 25 | $29,366 | $2,684 | $2,121 |
| Brookwood Medical CenterBirmingham | 25 | $60,711 | $2,365 | $1,816 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 23 | $18,192 | $2,515 | $1,953 |
| Troy Regional Medical CenterTroy | 22 | $12,080 | $2,718 | $2,165 |
| North Baldwin InfirmaryBay Minette | 22 | $6,977 | $2,492 | $1,946 |
| Elmore Community HospitalWetumpka | 21 | $16,009 | $2,622 | $2,069 |
| Andalusia Regional HospitalAndalusia | 20 | $19,132 | $2,665 | $2,092 |
| Gadsden Regional Medical CenterGadsden | 20 | $79,044 | $2,684 | $2,125 |
| Medical Center EnterpriseEnterprise | 19 | $84,448 | $2,328 | $1,779 |
| Russellville HospitalRussellville | 18 | $12,808 | $2,651 | $2,112 |
| Mizell Memorial HospitalOpp | 16 | $5,999 | $2,486 | $1,980 |
| Baptist Medical Center EastMontgomery | 16 | $10,758 | $2,459 | $1,895 |
| Shelby Baptist Medical CenterAlabaster | 15 | $40,591 | $2,272 | $1,714 |
| UAB Callahan Eye Hospital AuthorityBirmingham | 15 | $16,148 | $2,558 | $2,009 |
| Coosa Valley Medical CenterSylacauga | 15 | $10,513 | $2,684 | $2,136 |
| Jackson Hospital & Clinic INCMontgomery | 12 | $20,348 | $2,505 | $1,960 |
| USA Health University HospitalMobile | 12 | $7,679 | $2,684 | $2,138 |
| St Vincent's EastBirmingham | – | – | – | – |
| Dekalb Regional Medical CenterFort Payne | – | – | – | – |
| Helen Keller Memorial HospitalSheffield | – | – | – | – |
| Dale Medical CenterOzark | – | – | – | – |
| Baptist Medical Center SouthMontgomery | – | – | – | – |
| Community Hospital INCTallassee | – | – | – | – |
| Highlands Medical CenterScottsboro | – | – | – | – |
| Wiregrass Medical CenterGeneva | – | – | – | – |
| Clay County HospitalAshland | – | – | – | – |
| North Mississippi Health Services - South MarionWinfield | – | – | – | – |
| Providence HospitalMobile | – | – | – | – |
| Citizens Baptist Medical CenterTalladega | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
| Prattville Baptist HospitalPrattville | – | – | – | – |
| Bryan W Whitfield Mem Hosp INCDemopolis | – | – | – | – |
| Vaughan Reg Med Center Parkway CampusSelma | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| L V Stabler Memorial HospitalGreenville | – | – | – | – |
| Shoals HospitalMuscle Shoals | – | – | – | – |
| St Vincent's ChiltonClanton | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Athens-Limestone HospitalAthens, AL | $1,599 |
|---|---|
| Shelby Baptist Medical CenterAlabaster, AL | $2,272 |
| North Alabama Medical CenterFlorence, AL | $2,273 |
| Medical Center EnterpriseEnterprise, AL | $2,328 |
| Brookwood Medical CenterBirmingham, AL | $2,365 |
Highest
| D C H Regional Medical CenterTuscaloosa, AL | $2,884 |
|---|---|
| East Alabama Medical Center and SnfOpelika, AL | $2,864 |
| Northeast Alabama Regional Med CenterAnniston, AL | $2,818 |
| Troy Regional Medical CenterTroy, AL | $2,718 |
| Crestwood Medical CenterHuntsville, AL | $2,694 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Alabama?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 59 hospitals in Alabama was billed at $32,437 on average, while the average medicare-allowed amount was $2,552, of which Medicare paid $2,013. 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 Alabama, average charges were 12.7 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.