Level 3 Musculoskeletal Procedures in Florida
What 162 hospitals in Florida charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$42,808
Hospital list price billed
Average allowed
$2,883
Medicare's payment + patient's share
Medicare paid
$2,288
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $42,808 for level 3 musculoskeletal procedures, about 14.8 times the average medicare-allowed amount of $2,883. That payment is 4% 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 $2,883Billed $42,808
About 7¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 3 musculoskeletal procedures
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Baptist Medical CenterJacksonville | 283 | $26,946 | $2,857 | $2,261 |
| Adventhealth OrlandoOrlando | 235 | $37,823 | $2,880 | $2,283 |
| Mayo ClinicJacksonville | 202 | $21,268 | $2,804 | $2,232 |
| Lee Memorial HospitalFort Myers | 157 | $33,781 | $2,495 | $1,988 |
| Flagler HospitalSt Augustine | 153 | $15,921 | $3,124 | $2,484 |
| Ocala Regional Medical CenterOcala | 146 | $67,387 | $2,916 | $2,320 |
| Leesburg Regional Medical CenterLeesburg | 111 | $23,027 | $2,911 | $2,315 |
| Shands Hospital at the University of FloridaGainesville | 105 | $24,470 | $2,865 | $2,269 |
| Gulf Breeze HospitalGulf Breeze | 97 | $59,718 | $2,884 | $2,287 |
| Physicians Regional Medical Center - Pine RidgeNaples | 96 | $65,315 | $2,932 | $2,331 |
| Sarasota Memorial HospitalSarasota | 93 | $25,102 | $2,887 | $2,291 |
| Palm Bay HospitalPalm Bay | 89 | $34,870 | $2,932 | $2,333 |
| Baptist Medical Center BeachesJacksonville Beach | 88 | $28,819 | $2,932 | $2,336 |
| St Vincent's Medical CenterJacksonville | 87 | $44,505 | $2,878 | $2,280 |
| South Lake HospitalClermont | 84 | $42,158 | $2,904 | $2,308 |
| West Florida HospitalPensacola | 82 | $95,499 | $2,877 | $2,279 |
| Boca Raton Regional HospitalBoca Raton | 74 | $26,544 | $2,932 | $2,336 |
| Martin Memorial Health SystemsStuart | 71 | $29,482 | $2,932 | $2,332 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 68 | $20,252 | $2,932 | $2,336 |
| St Anthony's HospitalSt Petersburg | 68 | $26,126 | $2,855 | $2,262 |
| Sacred Heart HospitalPensacola | 67 | $27,409 | $2,795 | $2,221 |
| Adventhealth OcalaOcala | 66 | $93,111 | $2,932 | $2,332 |
| Naples Community HospitalNaples | 64 | $27,406 | $2,932 | $2,336 |
| Lakeland Regional Medical CenterLakeland | 58 | $27,525 | $2,895 | $2,293 |
| St Joseph's HospitalTampa | 57 | $27,192 | $2,850 | $2,254 |
| Lake City Medical CenterLake City | 54 | $49,026 | $3,140 | $2,500 |
| West Boca Medical CenterBoca Raton | 54 | $53,834 | $2,673 | $2,067 |
| Ascension St Vincent's St Johns CountySt. Johns | 53 | $41,697 | $2,888 | $2,292 |
| Orlando Regional HealthcareOrlando | 52 | $55,466 | $2,800 | $2,199 |
| Holmes Regional Medical CenterMelbourne | 52 | $41,141 | $2,741 | $2,156 |
| Tampa General HospitalTampa | 51 | $66,047 | $2,932 | $2,336 |
| Cape Coral HospitalCape Coral | 48 | $31,828 | $2,932 | $2,336 |
| Florida Hospital WatermanEustis | 47 | $28,895 | $2,932 | $2,336 |
| Adventhealth Palm CoastPalm Coast | 46 | $30,109 | $2,881 | $2,285 |
| Bethesda Memorial HospitalBoynton Beach | 44 | $32,950 | $2,932 | $2,334 |
| Health CentralOcoee | 44 | $43,205 | $2,932 | $2,328 |
| Univ of Miami Hosp & ClinicsMiami | 44 | $41,956 | $2,932 | $2,336 |
| Indian River Medical CenterVero Beach | 43 | $26,655 | $2,932 | $2,336 |
| Baptist Medical Center - NassauFernandina Beach | 43 | $25,915 | $2,932 | $2,336 |
| Mount Sinai Medical CenterMiami Beach | 42 | $22,542 | $2,876 | $2,276 |
| Wuesthoff Medical Center - MelbourneMelbourne | 42 | $84,918 | $2,876 | $2,276 |
| Halifax Health Medical CenterDaytona Beach | 41 | $43,076 | $2,932 | $2,336 |
| Morton Plant HospitalClearwater | 39 | $26,722 | $2,872 | $2,270 |
| Tallahassee Memorial HealthcareTallahassee | 39 | $34,056 | $2,932 | $2,329 |
| Shands Jacksonville Medical CenterJacksonville | 38 | $44,879 | $2,749 | $2,150 |
| Villages Regional Hospital theLady Lake | 38 | $26,450 | $2,932 | $2,336 |
| Baptist HospitalPensacola | 37 | $55,813 | $2,790 | $2,210 |
| Gulf Coast Medical CenterPanama City | 35 | $50,580 | $2,865 | $2,269 |
| South Bay HospitalGreater Sun Center | 35 | $51,780 | $2,932 | $2,334 |
| Holy Cross Hospital INCFort Lauderdale | 34 | $29,719 | $2,932 | $2,336 |
| Jfk Medical CenterAtlantis | 34 | $104,375 | $2,932 | $2,336 |
| Adventhealth TampaTampa | 34 | $57,058 | $2,869 | $2,267 |
| Adventhealth Wesley ChapelWesley Chapel | 34 | $54,597 | $2,863 | $2,260 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 34 | $39,275 | $2,932 | $2,336 |
| Capital Regional Medical CenterTallahassee | 33 | $65,805 | $2,932 | $2,333 |
| Adventhealth Daytona BeachDaytona Beach | 32 | $31,019 | $2,789 | $2,182 |
| Doctors Hospital INCCoral Gables | 32 | $47,203 | $2,841 | $2,257 |
| Adventhealth SebringSebring | 30 | $30,478 | $2,932 | $2,336 |
| Jackson Health SystemMiami | 29 | $23,303 | $2,930 | $2,327 |
| Cape Canaveral HospitalCocoa Beach | 27 | $33,519 | $2,932 | $2,327 |
| Orlando Health Rockledge HospitalRockledge | 26 | $65,356 | $2,842 | $2,243 |
| Blake Medical CenterBradenton | 26 | $50,246 | $2,932 | $2,336 |
| Morton Plant North Bay HospitalNew Port Richey | 25 | $21,993 | $2,932 | $2,336 |
| Fort Walton Beach Medical CenterFort Walton Beach | 25 | $122,328 | $2,839 | $2,243 |
| Lakewood Ranch Medical CenterBradenton | 25 | $53,594 | $2,932 | $2,325 |
| Sebastian River Medical CenterSebastian | 24 | $70,479 | $2,932 | $2,320 |
| Brandon Regional HospitalBrandon | 24 | $77,977 | $2,932 | $2,336 |
| Orange Park Medical CenterOrange Park | 23 | $117,487 | $2,932 | $2,328 |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | 23 | $25,477 | $2,932 | $2,336 |
| Viera HospitalMelbourne | 23 | $39,868 | $2,932 | $2,336 |
| Manatee Memorial HospitalBradenton | 22 | $59,433 | $2,932 | $2,334 |
| Bayfront Medical Center INCSt Petersburg | 21 | $58,043 | $2,821 | $2,197 |
| Lower Keys Medical CenterKey West | 21 | $43,495 | $3,140 | $2,499 |
| Jupiter Medical CenterJupiter | 21 | $25,819 | $2,932 | $2,336 |
| St Luke's HospitalJacksonville | 21 | $56,909 | $2,932 | $2,336 |
| North Florida Regional Medical CenterGainesville | 20 | $92,837 | $2,932 | $2,331 |
| Good Samaritan Medical CenterWest Palm Beach | 20 | $105,566 | $2,932 | $2,336 |
| Memorial Regional HospitalHollywood | 19 | $37,932 | $2,809 | $2,213 |
| Adventhealth North PinellasTarpon Springs | 19 | $40,521 | $2,932 | $2,336 |
| Jackson HospitalMarianna | 19 | $7,472 | $3,140 | $2,502 |
| Delray Medical CenterDelray Beach | 19 | $76,497 | $2,809 | $2,213 |
| St Lucie Medical CenterPort St Lucie | 19 | $118,953 | $2,809 | $2,213 |
| Doctors Hospital of SarasotaSarasota | 18 | $78,525 | $2,932 | $2,336 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 18 | $72,592 | $2,802 | $2,206 |
| HCA Florida Lawnwood HospitalFort Pierce | 18 | $80,452 | $2,932 | $2,326 |
| Ascension St Vincent's Clay CountyMiddleburg | 18 | $47,126 | $2,932 | $2,336 |
| University Community Hospital at CarrollwoodTampa | 17 | $69,026 | $2,932 | $2,336 |
| Aventura Hospital & Med CenterMiami | 17 | $59,891 | $2,932 | $2,336 |
| Ed Fraser Memorial HospitalMacclenny | 17 | $5,005 | $1,700 | $1,320 |
| St Mary's Medical CenterWest Palm Beach | 17 | $79,230 | $2,795 | $2,188 |
| Bartow Regional Medical CenterBartow | 16 | $31,254 | $2,952 | $2,352 |
| Mease Hospital DunedinDunedin | 15 | $25,254 | $2,932 | $2,336 |
| Florida Hospital ZephyrhillsZephyrhills | 15 | $52,782 | $2,932 | $2,324 |
| Twin Cities HospitalNiceville | 15 | $76,723 | $2,776 | $2,180 |
| Florida Hospital Fish MemorialOrange City | 15 | $25,232 | $2,932 | $2,336 |
| North Broward Medical CenterPompano Beach | 15 | $19,913 | $2,875 | $2,291 |
| Regional Medical Center Bayonet PointHudson | 15 | $84,297 | $2,932 | $2,336 |
| South Miami HospitalMiami | 14 | $37,370 | $2,932 | $2,336 |
| Oak Hill HospitalBrooksville | 14 | $72,770 | $2,932 | $2,336 |
| West Kendall Baptist HospitalMiami | 14 | $37,622 | $2,932 | $2,336 |
| Oviedo Medical CenterOviedo | 14 | $79,587 | $2,932 | $2,336 |
| Broward General Medical CenterFort Lauderdale | 13 | $23,051 | $2,932 | $2,333 |
| Brooksville Regional HospitalBrooksville | 13 | $61,340 | $2,764 | $2,156 |
| Palms of Pasadena HospitalSt Petersburg | 13 | $88,167 | $2,932 | $2,323 |
| Florida Hospital DelandDeland | 12 | $39,173 | $2,932 | $2,320 |
| Shorepoint Health Punta GordaPunta Gorda | 12 | $78,284 | $2,932 | $2,336 |
| Heart of Florida Reg Med CtrDavenport | 12 | $116,433 | $2,932 | $2,336 |
| HCA Florida Memorial HospitalJacksonville | 12 | $97,468 | $2,932 | $2,336 |
| Gulf Coast Medical Center Lee HealthFort Myers | 11 | $33,287 | $2,932 | $2,336 |
| Putnam Community Medical CtrPalatka | 11 | $26,170 | $2,932 | $2,336 |
| Tampa General Hospital Crystal RiverCrystal River | 11 | $60,670 | $2,932 | $2,336 |
| Baptist Hospital of Miami INCMiami | – | – | – | – |
| Citrus Memorial HospitalInverness | – | – | – | – |
| Bay Medical CenterPanama City | – | – | – | – |
| Parrish Medical CenterTitusville | – | – | – | – |
| Palm Springs General HospitalHialeah | – | – | – | – |
| Winter Haven HospitalWinter Haven | – | – | – | – |
| Hialeah HospitalHialeah | – | – | – | – |
| Adventhealth Port CharlottePort Charlotte | – | – | – | – |
| Lake Wales Medical CenterLake Wales | – | – | – | – |
| Lehigh Regional Medical CenterLehigh Acres | – | – | – | – |
| Osceola Regional Medical CenterKissimmee | – | – | – | – |
| North Okaloosa Medical CenterCrestview | – | – | – | – |
| Santa Rosa Medical CenterMilton | – | – | – | – |
| Homestead HospitalHomestead | – | – | – | – |
| South Florida Baptist HospitalPlant City | – | – | – | – |
| Central Florida Regional HospitalSanford | – | – | – | – |
| Plantation General HospitalPlantation | – | – | – | – |
| St Petersburg General HospitalSt Petersburg | – | – | – | – |
| Larkin Community HospitalSouth Miami | – | – | – | – |
| Coral Gables HospitalCoral Gables | – | – | – | – |
| Northwest Medical CenterPompano Beach | – | – | – | – |
| HCA Florida Trinity HospitalNew Port Richey | – | – | – | – |
| Imperial Point Medical CenterFort Lauderdale | – | – | – | – |
| Memorial Hospital of TampaTampa | – | – | – | – |
| Kendall Regional Medical CenterMiami | – | – | – | – |
| Adventhealth Dade CityDade City | – | – | – | – |
| University Hospital & Medical CenterTamarac | – | – | – | – |
| Westside Regional Medical CenterPlantation | – | – | – | – |
| Memorial Hospital PembrokeHollywood | – | – | – | – |
| Fawcett Memorial HospitalPort Charlotte | – | – | – | – |
| Northside HospitalSt Petersburg | – | – | – | – |
| Largo Medical CenterLargo | – | – | – | – |
| Raulerson HospitalOkeechobee | – | – | – | – |
| Mease Countryside HospitalSafety Harbor | – | – | – | – |
| Englewood Community HospitalEnglewood | – | – | – | – |
| Palms West HospitalLoxahatchee | – | – | – | – |
| H Lee Moffitt Cancer CenterTampa | – | – | – | – |
| Wellington Regional Medical CenterWellington | – | – | – | – |
| Coral Springs Medical CenterPompano Beach | – | – | – | – |
| Memorial Hospital WestHollywood | – | – | – | – |
| Memorial Hospital MiramarMiramar | – | – | – | – |
| Cleveland Clinic HospitalWeston | – | – | – | – |
| St Cloud Regional Medical CenterSt Cloud | – | – | – | – |
| HCA Florida Poinciana HospitalKissimmee | – | – | – | – |
| Halifax Health /UF Health Medical Center of DeltonDeltona | – | – | – | – |
| Ucf Lake Nona HospitalOrlando | – | – | – | – |
| HCA Florida University HospitalDavie | – | – | – | – |
| Baycare Hospital Wesley ChapelWesley Chapel | – | – | – | – |
| Adventhealth Palm Coast ParkwayPalm Coast | – | – | – | – |
| Adventhealth RiverviewRiverview | – | – | – | – |
| West Gables Rehabilitation HospitalMiami | – | – | – | – |
Lowest and highest allowed amounts in Florida
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
| Ed Fraser Memorial HospitalMacclenny, FL | $1,700 |
|---|---|
| Lee Memorial HospitalFort Myers, FL | $2,495 |
| West Boca Medical CenterBoca Raton, FL | $2,673 |
| Holmes Regional Medical CenterMelbourne, FL | $2,741 |
| Shands Jacksonville Medical CenterJacksonville, FL | $2,749 |
Highest
| Lower Keys Medical CenterKey West, FL | $3,140 |
|---|---|
| Lake City Medical CenterLake City, FL | $3,140 |
| Jackson HospitalMarianna, FL | $3,140 |
| Flagler HospitalSt Augustine, FL | $3,124 |
| Bartow Regional Medical CenterBartow, FL | $2,952 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Florida?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 162 hospitals in Florida was billed at $42,808 on average, while the average medicare-allowed amount was $2,883, of which Medicare paid $2,288. 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 Florida, average charges were 14.8 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.