What 6 hospitals in Alaska charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Hospitals in Alaska billed an average of $21,379 for level 3 musculoskeletal procedures, about 6.3 times the average medicare-allowed amount of $3,415. That payment is 14% above 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.
About 16¢ was paid for every $1 hospitals in Alaska billed for this service.
Every Alaska hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Central Peninsula General HospitalSoldotna | 87 | $15,972 | $3,461 | $2,744 |
| Mat-Su Regional Medical CenterPalmer | 37 | $33,821 | $3,426 | $2,693 |
| Providence Alaska Medical CtrAnchorage | 32 | $23,465 | $3,258 | $2,579 |
| Bartlett Regional HospitalJuneau | 28 | $10,757 | $3,578 | $2,844 |
| Fairbanks Memorial HospitalFairbanks | 26 | $12,936 | $3,429 | $2,711 |
| Alaska Regional HospitalAnchorage | 26 | $39,084 | $3,246 | $2,560 |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Alaska Regional HospitalAnchorage, AK | $3,246 |
|---|---|
| Providence Alaska Medical CtrAnchorage, AK | $3,258 |
| Mat-Su Regional Medical CenterPalmer, AK | $3,426 |
| Fairbanks Memorial HospitalFairbanks, AK | $3,429 |
| Central Peninsula General HospitalSoldotna, AK | $3,461 |
| Bartlett Regional HospitalJuneau, AK | $3,578 |
|---|---|
| Central Peninsula General HospitalSoldotna, AK | $3,461 |
| Fairbanks Memorial HospitalFairbanks, AK | $3,429 |
| Mat-Su Regional Medical CenterPalmer, AK | $3,426 |
| Providence Alaska Medical CtrAnchorage, AK | $3,258 |
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 6 hospitals in Alaska was billed at $21,379 on average, while the average medicare-allowed amount was $3,415, of which Medicare paid $2,702. Your own cost depends on your insurance, deductible and the hospital.
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 Alaska, average charges were 6.3 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.