Level 3 Musculoskeletal Procedures in Arizona
What 52 hospitals in Arizona charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$29,396
Hospital list price billed
Average allowed
$3,136
Medicare's payment + patient's share
Medicare paid
$2,489
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $29,396 for level 3 musculoskeletal procedures, about 9.4 times the average medicare-allowed amount of $3,136. That payment is 5% 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.
Paid $3,136Billed $29,396
About 11¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 3 musculoskeletal procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 235 | $18,042 | $3,001 | $2,386 |
| Arizona Spine and Joint HospitalMesa | 140 | $13,616 | $3,127 | $2,481 |
| Surgical Specialty Hospital of ArizonaPhoenix | 122 | $19,209 | $3,129 | $2,486 |
| Northwest Medical CenterTucson | 105 | $44,187 | $3,108 | $2,466 |
| Yavapai Regional Medical CenterPrescott | 88 | $13,221 | $3,350 | $2,659 |
| Havasu Regional Medical CenterLake Havasu City | 81 | $36,762 | $3,504 | $2,789 |
| Oro Valley HospitalOro Valley | 81 | $46,222 | $3,125 | $2,481 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 77 | $40,122 | $3,156 | $2,514 |
| Summit Healthcare Regional Medical CenterShow Low | 74 | $14,458 | $3,289 | $2,620 |
| Yuma Regional Medical CenterYuma | 66 | $19,738 | $3,090 | $2,450 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 66 | $42,639 | $3,156 | $2,510 |
| Tucson Medical CenterTucson | 61 | $12,497 | $3,132 | $2,489 |
| Banner del E Webb Medical CenterSun City West | 60 | $26,107 | $3,072 | $2,431 |
| Northwest Medical Center SahuaritaSahuarita | 55 | $40,755 | $3,111 | $2,467 |
| Arizona Orthopedic Surgical HospitalChandler | 53 | $28,603 | $3,064 | $2,412 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 48 | $44,052 | $3,156 | $2,515 |
| Banner Boswell Medical CenterSun City | 45 | $22,904 | $3,100 | $2,459 |
| Banner-University Medical Center South CampusTucson | 44 | $16,022 | $3,156 | $2,515 |
| Carondelet St Josephs HospitalTucson | 43 | $70,383 | $3,098 | $2,454 |
| John C Lincoln North Mountain HospitalPhoenix | 41 | $42,367 | $3,034 | $2,387 |
| Casa Grande Regional Medical CenterCasa Grande | 40 | $19,409 | $3,380 | $2,690 |
| Banner Desert Medical CenterMesa | 40 | $28,297 | $3,156 | $2,515 |
| University Medical CenterTucson | 31 | $15,798 | $2,624 | $2,077 |
| Banner Baywood Medical CenterMesa | 31 | $20,843 | $3,156 | $2,515 |
| Mercy Gilbert Medical CenterGilbert | 30 | $33,090 | $3,156 | $2,515 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 30 | $48,227 | $3,146 | $2,507 |
| Banner Gateway Medical CenterGilbert | 29 | $22,381 | $3,070 | $2,428 |
| Abrazo Scottsdale CampusPhoenix | 28 | $48,344 | $3,090 | $2,442 |
| Arrowhead HospitalGlendale | 25 | $71,010 | $3,067 | $2,425 |
| Flagstaff Medical CenterFlagstaff | 24 | $17,168 | $3,099 | $2,469 |
| Chandler Regional Medical CenterChandler | 21 | $48,028 | $3,037 | $2,395 |
| Sierra Vista Regional Health Center INCSierra Vista | 21 | $42,432 | $3,380 | $2,693 |
| Banner Ironwood Medical CenterQueen Creek | 20 | $25,158 | $3,031 | $2,382 |
| Carondelet St Marys HospitalTucson | 19 | $39,562 | $3,024 | $2,378 |
| Valley View Medical CenterFort Mohave | 19 | $52,047 | $3,203 | $2,547 |
| Verde Valley Medical CenterCottonwood | 17 | $15,461 | $3,381 | $2,688 |
| Western Arizona Regional Medical CtrBullhead City | 17 | $69,302 | $3,156 | $2,515 |
| St Joseph's Hospital and Medical CenterPhoenix | 16 | $28,119 | $3,156 | $2,515 |
| Honorhealth Four Peaks Medical CenterMesa | 16 | $32,652 | $3,157 | $2,505 |
| John C Lincoln Deer Valley HospitalPhoenix | 15 | $60,407 | $3,157 | $2,502 |
| Banner - University Medical Center PhoenixPhoenix | 14 | $21,926 | $2,977 | $2,332 |
| Banner Thunderbird Medical CenterGlendale | 12 | $28,757 | $3,156 | $2,515 |
| Banner Estrella Medical CenterPhoenix | 12 | $21,108 | $2,947 | $2,290 |
| Abrazo Central CampusPhoenix | 11 | $34,173 | $3,156 | $2,515 |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| St Lukes Medical CenterPhoenix | – | – | – | – |
| Kingman Regional Medical CenterKingman | – | – | – | – |
| West Valley HospitalGoodyear | – | – | – | – |
| O.A.S.I.S. HospitalPhoenix | – | – | – | – |
| Dignity Health - Arizona General HospitalLaveen | – | – | – | – |
| Dignity Health Arizona General HospitalMesa | – | – | – | – |
| Banner Ocotillo Medical CenterChandler | – | – | – | – |
Lowest and highest allowed amounts in Arizona
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
| University Medical CenterTucson, AZ | $2,624 |
|---|---|
| Banner Estrella Medical CenterPhoenix, AZ | $2,947 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $2,977 |
| Mayo Clinic HospitalPhoenix, AZ | $3,001 |
| Carondelet St Marys HospitalTucson, AZ | $3,024 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $3,504 |
|---|---|
| Verde Valley Medical CenterCottonwood, AZ | $3,381 |
| Casa Grande Regional Medical CenterCasa Grande, AZ | $3,380 |
| Sierra Vista Regional Health Center INCSierra Vista, AZ | $3,380 |
| Yavapai Regional Medical CenterPrescott, AZ | $3,350 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Arizona?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 52 hospitals in Arizona was billed at $29,396 on average, while the average medicare-allowed amount was $3,136, of which Medicare paid $2,489. 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 Arizona, average charges were 9.4 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.