facebook tracking Level 3 Musculoskeletal Procedures cost in California: 249 hospitals compared (APC 5113)

Level 3 Musculoskeletal Procedures in California

What 249 hospitals in California charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.

APC 5113 Outpatient 2024 Medicare data
Average charge $36,474 Hospital list price billed
Average allowed $4,064 Medicare's payment + patient's share
Medicare paid $3,227 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $36,474 for level 3 musculoskeletal procedures, about 9.0 times the average medicare-allowed amount of $4,064. That payment is 36% 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 $4,064Billed $36,474

About 11¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 3 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 393 $66,869 $4,370 $3,473
Eisenhower Memorial HospitalRancho Mirage 272 $20,980 $3,980 $3,170
Clovis Community Medical CenterClovis 269 $17,887 $3,969 $3,159
Sutter Roseville Medical CenterRoseville 265 $21,441 $4,072 $3,229
University of California Davis Medical CenterSacramento 190 $49,390 $3,908 $3,100
Cedars-Sinai Medical CenterLos Angeles 188 $79,407 $3,946 $3,135
UCSF Medical CenterSan Francisco 156 $40,103 $4,497 $3,573
Fresno Surgical HospitalFresno 151 $17,438 $3,958 $3,150
USC University HospitalLos Angeles 110 $22,913 $3,895 $3,080
Memorial Medical CenterModesto 104 $21,625 $3,949 $3,139
University of California San Diego Medical CenterSan Diego 92 $31,953 $3,980 $3,171
UCLA Medical CenterLos Angeles 85 $22,796 $3,868 $3,059
Torrance Memorial Medical CenterTorrance 85 $25,611 $3,908 $3,098
Adventist Health TulareTulare 84 $19,891 $3,956 $3,149
Stanford Health Care Tri-ValleyPleasanton 82 $47,718 $4,447 $3,543
Mercy Medical Center ReddingRedding 81 $28,757 $3,862 $3,051
Shasta Regional Medical CenterRedding 81 $44,314 $3,901 $3,091
Sonora Community HospitalSonora 77 $43,922 $4,174 $3,308
California Pacific Medical Ctr-Davies Campus HospSan Francisco 76 $24,177 $4,398 $3,488
Sutter General HospitalSacramento 73 $22,642 $4,485 $3,562
Loma Linda University Medical CenterLoma Linda 73 $44,985 $3,936 $3,127
Patients' Hospital of ReddingRedding 72 $15,700 $3,902 $3,105
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 70 $25,877 $4,278 $3,396
St Joseph HospitalEureka 69 $40,203 $3,980 $3,167
Peninsula Medical CenterBurlingame 67 $24,226 $4,572 $3,631
St Jude Medical CenterFullerton 67 $17,693 $3,980 $3,168
Marshall Medical Center (1-Rh)Placerville 66 $45,998 $4,084 $3,241
Grossmont HospitalLa Mesa 65 $31,596 $3,980 $3,167
Hanford Community Medical CenterHanford 64 $20,714 $3,607 $2,868
Barton Memorial HospitalSouth Lake Tahoe 64 $46,102 $4,050 $3,214
Community Memorial Hospital - VenturaVentura 62 $27,155 $3,880 $3,060
Marian Medical CenterSanta Maria 59 $33,144 $3,927 $3,115
Mercy General HospitalSacramento 58 $24,873 $3,964 $3,122
Kaweah Delta Medical CenterVisalia 57 $15,011 $3,924 $3,115
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 54 $21,796 $3,980 $3,166
Mercy Medical Ctr MercedMerced 54 $25,444 $3,943 $3,125
Sutter Surgical Hospital - North ValleyYuba City 53 $23,625 $4,004 $3,189
Santa Rosa Memorial HospitalSanta Rosa 51 $50,417 $4,389 $3,480
PIH Health Hospital-WhittierWhittier 50 $24,033 $3,980 $3,163
John Muir Medical Center - Concord CampusConcord 49 $53,857 $4,507 $3,591
El Camino HospitalMountain View 46 $54,285 $4,558 $3,632
Saint Agnes Medical CenterFresno 43 $23,719 $3,980 $3,171
Sequoia HospitalRedwood City 41 $51,051 $4,558 $3,627
Scripps Memorial Hospital la JollaLa Jolla 41 $21,383 $3,907 $3,093
St Mary Medical CenterApple Valley 40 $21,670 $3,826 $3,014
St Johns Regional Medical CenterOxnard 38 $31,837 $3,896 $3,087
Mercy Hospital of FolsomFolsom 38 $50,434 $4,134 $3,294
St Mary's Medical CenterSan Francisco 38 $23,424 $4,627 $3,681
San Francisco General HospitalSan Francisco 37 $36,972 $4,564 $3,635
UCI Health-OrangeOrange 37 $36,271 $3,808 $2,999
Oroville HospitalOroville 36 $12,089 $3,980 $3,169
Sharp Memorial HospitalSan Diego 36 $29,541 $3,980 $3,170
Mad River Community HospitalArcata 35 $19,028 $3,980 $3,166
Mission Hospital Regional Med CenterMission Viejo 35 $37,060 $3,980 $3,171
Providence Tarzana Medical CenterTarzana 35 $42,342 $3,911 $3,116
French Hospital Medical CenterSan Luis Obispo 34 $33,857 $3,980 $3,164
Goleta Valley Cottage HospitalSanta Barbara 34 $20,768 $3,628 $2,891
Marinhealth Medical CenterGreenbrae 34 $65,012 $4,415 $3,490
Adventist Health BakersfieldBakersfield 34 $39,827 $3,980 $3,171
Sutter Medical Center of Santa RosaSanta Rosa 33 $29,071 $4,321 $3,442
Scripps Green HospitalLa Jolla 33 $50,480 $3,883 $3,075
Enloe Medical CenterChico 32 $46,176 $3,917 $3,121
Contra Costa Regional Medical CenterMartinez 32 $12,776 $3,944 $3,140
Pioneers Memorial Healthcare DistrictBrawley 32 $14,586 $3,980 $3,165
Doctors Medical CenterModesto 32 $63,976 $3,880 $3,072
Santa Clara Valley Medical CenterSan Jose 31 $22,041 $4,558 $3,627
Dameron HospitalStockton 31 $42,001 $4,065 $3,239
Emanuel Medical Center INCTurlock 31 $91,113 $4,067 $3,231
St Helena HospitalDeer Park 30 $82,625 $4,154 $3,310
Community Hospital of the Monterey PeninsulaMonterey 30 $16,571 $4,558 $3,632
Mercy HospitalBakersfield 30 $30,258 $3,874 $3,062
Sutter Davis HospitalDavis 30 $25,569 $4,134 $3,294
Loma Linda University Medical Center-MurrietaMurrieta 30 $37,537 $3,980 $3,171
Scripps Mercy HospitalSan Diego 29 $60,305 $3,980 $3,170
Salinas Valley Memorial HospitalSalinas 29 $35,976 $4,433 $3,506
Huntington Memorial HospitalPasadena 29 $30,000 $3,980 $3,171
Woodland Memorial HospitalWoodland 28 $21,813 $3,899 $3,058
Rideout Memorial HospitalMarysville 28 $36,119 $4,262 $3,395
Petaluma Valley HospitalPetaluma 28 $30,716 $4,321 $3,426
Pomona Valley Hospital Medical CenterPomona 28 $49,112 $3,980 $3,170
Providence Little Company of Mary Med Ctr TorranceTorrance 27 $28,188 $3,980 $3,157
Long Beach Memorial Medical CenterLong Beach 27 $46,283 $3,862 $3,041
Los Alamitos Medical CenterLos Alamitos 27 $65,383 $3,390 $2,701
San Ramon Regional Medical CtrSan Ramon 26 $51,924 $4,507 $3,591
Scripps Memorial Hospital - EncinitasEncinitas 25 $61,698 $3,980 $3,163
Sonoma Valley HospitalSonoma 24 $45,973 $4,321 $3,442
Delano Regional Medical CenterDelano 24 $10,968 $3,980 $3,171
White Memorial Medical CenterLos Angeles 23 $57,170 $3,980 $3,154
Valley Presbyterian HospitalVan Nuys 23 $18,678 $3,980 $3,171
Stanislaus Surgical HospitalModesto 23 $25,376 $4,066 $3,240
San Antonio Community HospitalUpland 22 $41,387 $3,980 $3,171
Sierra Nevada Memorial HospitalGrass Valley 22 $28,180 $4,134 $3,291
Palmdale Regional Medical CenterLancaster 22 $102,581 $3,980 $3,171
Ukiah Valley Medical Center/Hospital DUkiah 22 $30,260 $4,262 $3,396
Northbay Medical CenterFairfield 22 $170,733 $4,657 $3,711
Los Robles Hospital & Medical CenterThousand Oaks 22 $63,644 $3,980 $3,171
Providence Saint Joseph Medical CtrBurbank 21 $27,453 $3,980 $3,171
UCI Health-Placentia LindaPlacentia 21 $64,989 $3,980 $3,153
Verdugo Hills HospitalGlendale 20 $17,131 $3,980 $3,171
USC Arcadia HospitalArcadia 20 $23,583 $3,305 $2,537
Glendale Adventist Medical CtrGlendale 19 $49,028 $3,980 $3,151
Lodi Memorial HospitalLodi 19 $48,325 $4,065 $3,239
Good Samaritan HospitalLos Angeles 19 $39,286 $3,980 $3,170
John F Kennedy Memorial HospIndio 19 $85,274 $3,980 $3,171
Henry Mayo Newhall Memorial HospitalValencia 19 $36,983 $3,980 $3,171
Palomar Medical Center PowayPoway 19 $30,499 $3,312 $2,503
Chapman Medical CenterOrange 19 $24,108 $3,980 $3,171
Tri-City Medical CenterOceanside 18 $25,277 $3,980 $3,171
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 17 $28,650 $4,336 $3,421
Palomar Medical CenterEscondido 16 $40,074 $2,790 $1,982
Watsonville Community HospitalWatsonville 16 $41,108 $4,325 $3,446
Santa Barbara Cottage HospitalSanta Barbara 16 $20,623 $4,263 $3,372
Southwest Healthcare SystemMurrieta 16 $30,632 $3,782 $2,961
St Elizabeth Community HospitalRed Bluff 15 $48,173 $4,262 $3,396
Sutter Solano Medical CenterVallejo 15 $22,959 $4,410 $3,451
Regional Medical Center of San JoseSan Jose 15 $78,386 $4,316 $3,389
Sutter Tracy Community HospitalTracy 15 $24,392 $4,065 $3,239
Lac/Harbor-UCLA Med CenterTorrance 15 $23,721 $2,918 $2,315
Emanate Health Inter-Community HospitalCovina 15 $20,622 $3,980 $3,171
Antelope Valley Hospital Med CenterLancaster 14 $24,056 $3,980 $3,171
Lompoc Healthcare DistrictLompoc 14 $13,187 $3,980 $3,171
Northridge Hospital Medical CenterNorthridge 14 $51,089 $3,980 $3,171
Novato Community HospitalNovato 14 $33,283 $4,520 $3,602
Sharp Coronado Hospital and Hlthcr CtrCoronado 14 $42,569 $3,980 $3,171
Good Samaritan HospitalSan Jose 14 $113,179 $4,558 $3,632
Sierra Vista Regional Medical CenterSan Luis Obispo 14 $47,000 $3,980 $3,171
Methodist Hospital of SacramentoSacramento 14 $27,012 $2,363 $1,865
Mission Community Hospital - PanoramaPanorama City 14 $31,133 $3,980 $3,171
Marina del Rey HospitalMarina del Rey 14 $27,165 $3,980 $3,169
Riverside Community HospitalRiverside 13 $73,392 $3,980 $3,171
Lac/Olive View-UCLA Medical CenterSylmar 13 $27,394 $3,980 $3,156
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 13 $30,094 $4,627 $3,686
Community Regional Medical CenterFresno 13 $19,483 $3,980 $3,171
St Josephs Med Center of StocktonStockton 13 $60,284 $4,172 $3,269
Natividad Medical CenterSalinas 13 $28,247 $4,305 $3,430
Saint John's Health CenterSanta Monica 13 $19,155 $3,980 $3,171
Highland HospitalOakland 13 $26,635 $4,495 $3,576
Memorial Hospital los BanosLos Banos 13 $24,386 $3,740 $2,870
Queen of the Valley Medical CenterNapa 12 $35,866 $4,533 $3,612
St Joseph HospitalOrange 12 $36,193 $3,980 $3,171
San Gabriel Valley Medical CenterSan Gabriel 12 $25,701 $3,980 $3,171
Hoag Memorial Hospital PresbyterianNewport Beach 12 $22,373 $3,980 $3,171
Providence Holy Cross Medical CenterMission Hills 12 $29,119 $3,980 $3,170
Mercy San Juan Medical CenterCarmichael 12 $44,208 $4,134 $3,294
Twin Cities Community HospitalTempleton 12 $54,517 $3,980 $3,158
Redlands Community HospitalRedlands 11 $24,009 $3,980 $3,171
Barstow Community HospitalBarstow 11 $103,237 $3,980 $3,171
Victor Valley Community HospitalVictorville 11 $17,214 $3,980 $3,171
Lakewood Regional Medical CenterLakewood 11 $55,487 $3,980 $3,171
Saddleback Memorial Medical CenterLaguna Hills 11 $40,002 $3,980 $3,171
St Rose HospitalHayward – – – –
Sutter Amador HospitalJackson – – – –
Paradise Valley HospitalNational City – – – –
Bakersfield Memorial HospitalBakersfield – – – –
Alta Bates Summit Medical CenterOakland – – – –
El Centro Regional Medical CenterEl Centro – – – –
California Pacific Medical Ctr-Pacific Campus HospSan Francisco – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
Kaiser Foundation Hospital - South San FranciscoMillbrae – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
Community and Mission Hospital of Huntington ParkHuntington Park – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
San Mateo Medical CenterSan Mateo – – – –
Doctors Hospital of MantecaManteca – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
City of Hope Natl Medical CtrDuarte – – – –
California Hospital Medical Center laLos Angeles – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
John Muir Medical Center - Walnut Creek CampusWalnut Creek – – – –
St Mary Medical CenterLong Beach – – – –
Washington HospitalFremont – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Garden Grove Hospital & Medical CenterGarden Grove – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
Dominican HospitalSanta Cruz – – – –
Desert Regional Medical CenterPalm Springs – – – –
Arrowhead Regional Medical CenterColton – – – –
Sierra View District HospitalPorterville – – – –
Hi-Desert Medical CenterJoshua Tree – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Kern Medical CenterBakersfield – – – –
Corona Regional Medical CenterCorona – – – –
Los Angeles General Medical CenterLos Angeles – – – –
Hemet Valley Medical CenterHemet – – – –
Downey Regional Medical CenterDowney – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Sutter Coast HospitalCrescent City – – – –
West Anaheim Medical CenterAnaheim – – – –
Memorial Hospital of GardenaGardena – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Eden Medical CenterCastro Valley – – – –
Sutter Auburn Faith HospitalAuburn – – – –
Kaiser Foundation HospitalSan Rafael – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Sutter Delta Medical CenterAntioch – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
Chino Valley Medical CenterChino – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
Los Angeles Community HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Whittier Hospital Medical CenterWhittier – – – –
Monterey Park HospitalMonterey Park – – – –
Centinela Hospital Medical CenterInglewood – – – –
Western Medical Center Hosp AnaheimAnaheim – – – –
Coastal Communities HospitalSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
L a Downtown Medical CenterLos Angeles – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Hoag Orthopedic InstituteIrvine – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Temecula Valley HospitalTemecula – – – –
College Medical CenterLong Beach – – – –
Foothill Regional Medical CenterTustin – – – –
Casa Colina HospitalPomona – – – –
Colusa Medical CenterColusa – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Monrovia Memorial HospitalMonrovia – – – –
Children's Hosp of Orange CntyOrange – – – –
Level 3 Musculoskeletal Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Methodist Hospital of SacramentoSacramento, CA$2,363
Palomar Medical CenterEscondido, CA$2,790
Lac/Harbor-UCLA Med CenterTorrance, CA$2,918
USC Arcadia HospitalArcadia, CA$3,305
Palomar Medical Center PowayPoway, CA$3,312

Highest

Northbay Medical CenterFairfield, CA$4,657
St Mary's Medical CenterSan Francisco, CA$4,627
California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA$4,627
Peninsula Medical CenterBurlingame, CA$4,572
San Francisco General HospitalSan Francisco, CA$4,564

Level 3 Musculoskeletal Procedures in other states

Alaska · $3,415 Connecticut · $3,562 Hawaii · $3,666 Massachusetts · $3,414 Nevada · $3,395 New Jersey · $3,401 New York · $3,442 Oregon · $3,424

Questions

How much does level 3 musculoskeletal procedures cost in California?

In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 249 hospitals in California was billed at $36,474 on average, while the average medicare-allowed amount was $4,064, of which Medicare paid $3,227. 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 California, average charges were 9.0 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.