facebook tracking Level 3 Musculoskeletal Procedures cost in Arkansas: 37 hospitals compared (APC 5113)

Level 3 Musculoskeletal Procedures in Arkansas

What 37 hospitals in Arkansas charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.

APC 5113 Outpatient 2024 Medicare data
Average charge $15,247 Hospital list price billed
Average allowed $2,751 Medicare's payment + patient's share
Medicare paid $2,180 Average per service
State rank #12 of 49 1 = lowest average payment

Hospitals in Arkansas billed an average of $15,247 for level 3 musculoskeletal procedures, about 5.5 times the average medicare-allowed amount of $2,751. That payment is 8% 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 $2,751Billed $15,247

About 18¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 3 musculoskeletal procedures

Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Hospital Fort SmithFort Smith 243 $6,664 $2,717 $2,155
Arkansas Surgical HospitalNorth Little Rock 238 $8,383 $2,708 $2,144
University of Arkansas Medical SciencesLittle Rock 192 $8,373 $2,541 $2,011
Baxter Regional Medical CenterMountain Home 153 $12,094 $2,886 $2,297
Conway Regional Medical CenterConway 131 $14,453 $2,768 $2,199
Baptist Health Medical Center North Little RockNorth Little Rock 114 $23,170 $2,602 $2,035
CHI St. Vincent Hospital Hot SpringsHot Springs 98 $14,192 $2,925 $2,313
Siloam Springs Memorial HospitalSiloam Springs 78 $19,891 $2,702 $2,147
National Park Medical CenterHot Springs 77 $44,935 $2,950 $2,346
Mercy Hospital Northwest ArkansasRogers 76 $11,551 $2,730 $2,174
North Arkansas Reg Med CtrHarrison 73 $8,256 $2,864 $2,269
Nea Baptist Memorial HospitalJonesboro 67 $10,814 $2,730 $2,168
Baptist Health Medical Center- ConwayConway 64 $22,296 $2,714 $2,150
White River Medical CenterBatesville 62 $10,420 $2,917 $2,321
St Marys Regional Medical CenterRussellville 57 $46,191 $2,753 $2,191
Baptist Health Medical Center-Little RockLittle Rock 55 $20,703 $2,743 $2,175
Northwest Medical Center-SpringdaleSpringdale 51 $32,807 $2,568 $2,003
Baptist Health - Fort SmithFort Smith 47 $27,071 $2,660 $2,100
White County Medical CenterSearcy 42 $10,601 $2,947 $2,348
Saline Memorial HospitalBenton 42 $19,158 $2,775 $2,203
St Vincent Infirmary Medical CenterLittle Rock 36 $21,537 $2,973 $2,369
Magnolia Regional Medical CenterMagnolia 34 $7,831 $2,909 $2,314
Jefferson Regional Medical CtrPine Bluff 33 $9,338 $2,878 $2,278
St Bernards Medical CenterJonesboro 27 $6,841 $2,706 $2,151
Arkansas Methodist Medical CenterParagould 22 $12,874 $2,630 $2,075
Washington Regional Med CenterFayetteville 13 $19,736 $2,730 $2,175
Forrest City Medical CenterForrest City 11 $21,787 $2,924 $2,330
Johnson Regional Medical CenterClarksville – – – –
Ouachita County Medical CenterCamden – – – –
Drew Memorial HospitalMonticello – – – –
Stuttgart Regional Medical CtrStuttgart – – – –
Medical Center South ArkansasEl Dorado – – – –
Arkansas Heart HospitalLittle Rock – – – –
Baptist Memorial Hospital-Crittenden, INCWest Memphis – – – –
Arkansas Heart Hospital-EncoreBryant – – – –
Unity Health - JacksonvilleJacksonville – – – –
Arkansas Children's HospitalLittle Rock – – – –
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Lowest and highest allowed amounts in Arkansas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

St Vincent Infirmary Medical CenterLittle Rock, AR$2,973
National Park Medical CenterHot Springs, AR$2,950
White County Medical CenterSearcy, AR$2,947
CHI St. Vincent Hospital Hot SpringsHot Springs, AR$2,925
Forrest City Medical CenterForrest City, AR$2,924

Level 3 Musculoskeletal Procedures in other states

Questions

How much does level 3 musculoskeletal procedures cost in Arkansas?

In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 37 hospitals in Arkansas was billed at $15,247 on average, while the average medicare-allowed amount was $2,751, of which Medicare paid $2,180. 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 Arkansas, average charges were 5.5 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.