Level 3 Musculoskeletal Procedures in Illinois
What 105 hospitals in Illinois charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$23,478
Hospital list price billed
Average allowed
$2,967
Medicare's payment + patient's share
Medicare paid
$2,353
Average per service
State rank
#29 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $23,478 for level 3 musculoskeletal procedures, about 7.9 times the average medicare-allowed amount of $2,967. That payment is about the same as 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 $2,967Billed $23,478
About 13¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 3 musculoskeletal procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 189 | $19,605 | $2,997 | $2,383 |
| Northwestern Memorial HospitalChicago | 155 | $30,020 | $2,836 | $2,249 |
| Proctor HospitalPeoria | 127 | $32,061 | $2,954 | $2,344 |
| Decatur Memorial HospitalDecatur | 108 | $19,403 | $2,991 | $2,383 |
| Sarah Bush Lincoln Health CenterMattoon | 106 | $19,215 | $3,004 | $2,383 |
| Memorial Medical CenterSpringfield | 99 | $18,816 | $2,952 | $2,337 |
| Northwestern Medicine McHenryMcHenry | 95 | $28,608 | $2,899 | $2,293 |
| Advocate Good Shepherd HospitalBarrington | 88 | $12,999 | $2,950 | $2,351 |
| Elmhurst Memorial HospitalElmhurst | 81 | $23,768 | $3,043 | $2,416 |
| St Elizabeth HospitalBelleville | 75 | $19,898 | $2,897 | $2,288 |
| St Johns HospitalSpringfield | 74 | $24,862 | $2,895 | $2,285 |
| Palos Community HospitalPalos Heights | 69 | $26,378 | $3,002 | $2,378 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 67 | $15,411 | $2,815 | $2,225 |
| Blessing HospitalQuincy | 64 | $22,492 | $3,022 | $2,408 |
| Saint Francis Medical CenterPeoria | 64 | $30,244 | $2,907 | $2,306 |
| Lake Forest HospitalLake Forest | 64 | $31,321 | $2,911 | $2,320 |
| Memorial HospitalBelleville | 64 | $20,733 | $2,954 | $2,346 |
| Advocate Lutheran General HospitalPark Ridge | 59 | $11,569 | $3,032 | $2,407 |
| The University of Chicago Medical CenterChicago | 52 | $45,778 | $3,052 | $2,407 |
| Alton Memorial HospitalAlton | 51 | $19,504 | $2,945 | $2,337 |
| Advocate Condell Medical CenterLibertyville | 50 | $24,434 | $3,055 | $2,430 |
| Adventist la Grange Memorial HospitalLa Grange | 48 | $22,457 | $3,073 | $2,448 |
| Edward HospitalNaperville | 47 | $20,542 | $3,073 | $2,446 |
| Saint Anthony Medical CenterRockford | 47 | $15,671 | $3,046 | $2,398 |
| Loyola University Medical CenterMaywood | 47 | $16,155 | $2,988 | $2,348 |
| Copley Memorial HospitalAurora | 45 | $23,165 | $3,159 | $2,517 |
| Anderson HospitalMaryville | 45 | $13,450 | $2,938 | $2,328 |
| Swedish American HospitalRockford | 44 | $41,499 | $2,891 | $2,292 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 42 | $29,754 | $3,018 | $2,390 |
| Heartland Regional Medical CenterMarion | 41 | $42,082 | $2,991 | $2,383 |
| Rush Oak Park HospitalOak Park | 40 | $19,899 | $3,073 | $2,447 |
| Central Dupage HospitalWinfield | 40 | $35,515 | $3,073 | $2,444 |
| Riverside Medical CenterKankakee | 39 | $31,021 | $2,858 | $2,238 |
| St Alexius Medical CenterSchaumburg | 39 | $24,960 | $3,148 | $2,506 |
| Swedish Covenant HospitalChicago | 38 | $22,624 | $3,009 | $2,380 |
| St Marys HospitalCentralia | 37 | $22,585 | $2,927 | $2,319 |
| Silver Cross HospitalJoliet | 37 | $11,618 | $3,073 | $2,443 |
| St Anthonys Memorial HospitalEffingham | 35 | $12,443 | $2,985 | $2,334 |
| Rhc St Francis HospitalEvanston | 35 | $27,111 | $3,148 | $2,508 |
| Alexian Brothers Medical CenterElk Grove Village | 35 | $22,059 | $3,148 | $2,503 |
| Carle Foundation HospitalUrbana | 34 | $15,058 | $2,594 | $2,061 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 33 | $18,698 | $3,148 | $2,503 |
| Herrin HospitalHerrin | 33 | $37,325 | $2,919 | $2,311 |
| Sherman HospitalElgin | 33 | $16,303 | $2,702 | $2,135 |
| Advocate Trinity HospitalChicago | 33 | $17,597 | $2,925 | $2,300 |
| Trinity Rock IslandRock Island | 33 | $12,888 | $2,991 | $2,383 |
| OSF Saint Katharine Medical CenterDixon | 29 | $18,754 | $2,806 | $2,235 |
| Advocate Illinois Masonic Medical CenterChicago | 29 | $26,311 | $3,073 | $2,446 |
| OSF Saint Elizabeth Mdl CtrOttawa | 28 | $22,118 | $2,969 | $2,329 |
| St Marys HospitalDecatur | 28 | $21,349 | $2,991 | $2,383 |
| Graham Hospital AssociationCanton | 27 | $17,936 | $3,204 | $2,550 |
| Crossroads Community HospitalMt Vernon | 27 | $32,147 | $2,815 | $2,207 |
| Morris Hospital & Healthcare CentersMorris | 26 | $23,633 | $3,073 | $2,445 |
| Delnor Community HospitalGeneva | 26 | $28,147 | $3,162 | $2,519 |
| Provena - Saint Joseph HospitalElgin | 26 | $43,563 | $3,162 | $2,519 |
| Northwest Community HospitalArlington Heights | 26 | $21,110 | $3,073 | $2,443 |
| Macneal HospitalBerwyn | 25 | $29,492 | $2,955 | $2,307 |
| Fhn Memorial HospitalFreeport | 25 | $19,654 | $2,467 | $1,873 |
| Advocate Good Samaritan HospitalDowners Grove | 25 | $25,858 | $3,073 | $2,436 |
| Good Samaritan Regional Hlth CenterMt Vernon | 24 | $24,889 | $2,991 | $2,383 |
| Bromenn Healthcare SystemNormal | 24 | $13,840 | $2,992 | $2,376 |
| University of Illinois Hospital and ClinicsChicago | 24 | $26,181 | $3,148 | $2,508 |
| Saint Joseph HospitalChicago | 24 | $25,932 | $3,148 | $2,501 |
| Cgh Medical CenterSterling | 22 | $27,378 | $2,991 | $2,383 |
| Pekin Memorial HospitalPekin | 22 | $30,829 | $2,992 | $2,375 |
| Javon Bea HospitalRockford | 21 | $17,818 | $2,433 | $1,929 |
| St Josephs HospitalBreese | 20 | $17,327 | $2,991 | $2,383 |
| Kishwaukee Community HospitalDekalb | 20 | $29,331 | $2,897 | $2,257 |
| Adventist Bolingbrook HospitalBolingbrook | 20 | $25,036 | $2,951 | $2,326 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | 19 | $16,544 | $2,944 | $2,320 |
| Ingalls Memorial HospitalHarvey | 18 | $20,210 | $3,073 | $2,439 |
| Provena St Marys HospitalKankakee | 17 | $26,573 | $3,044 | $2,425 |
| St Mary Medical CenterGalesburg | 16 | $18,123 | $3,044 | $2,393 |
| Jersey Community HospitalJerseyville | 15 | $8,556 | $2,592 | $2,066 |
| Provena St Joseph Medical CenterJoliet | 14 | $22,776 | $3,073 | $2,448 |
| Saint Anthony's Health CenterAlton | 14 | $25,518 | $2,991 | $2,383 |
| Resurrection Medical CenterChicago | 13 | $27,421 | $3,073 | $2,448 |
| West Suburban Hosp Med CenterOak Park | 12 | $26,223 | $3,013 | $2,401 |
| Saint Anthony HospitalChicago | 12 | $12,633 | $2,049 | $1,632 |
| OSF Heart of Mary Medical CenterUrbana | 12 | $32,638 | $2,742 | $2,185 |
| Adventist GlenoaksGlendale Heights | 12 | $22,357 | $2,869 | $2,244 |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| Midwestern Region Med CenterZion | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Rush University Medical CenterChicago | – | – | – | – |
| Hinsdale HospitalHinsdale | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| HSHS Holy Family HospitalGreenville | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| St Joseph Medical CenterBloomington | – | – | – | – |
| Memorial Hospital of CarbondaleCarbondale | – | – | – | – |
| Provena Mercy Medical CenterAurora | – | – | – | – |
| Little Company of Mary HospitalEvergreen Park | – | – | – | – |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Methodist Medical Center of IllinoisPeoria | – | – | – | – |
| Harrisburg Medical CenterHarrisburg | – | – | – | – |
| Community First Medical CenterChicago | – | – | – | – |
| Illini HospitalSilvis | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Saint Anthony HospitalChicago, IL | $2,049 |
|---|---|
| Javon Bea HospitalRockford, IL | $2,433 |
| Fhn Memorial HospitalFreeport, IL | $2,467 |
| Jersey Community HospitalJerseyville, IL | $2,592 |
| Carle Foundation HospitalUrbana, IL | $2,594 |
Highest
| Graham Hospital AssociationCanton, IL | $3,204 |
|---|---|
| Delnor Community HospitalGeneva, IL | $3,162 |
| Provena - Saint Joseph HospitalElgin, IL | $3,162 |
| Copley Memorial HospitalAurora, IL | $3,159 |
| Saint Joseph HospitalChicago, IL | $3,148 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Illinois?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 105 hospitals in Illinois was billed at $23,478 on average, while the average medicare-allowed amount was $2,967, of which Medicare paid $2,353. 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 Illinois, average charges were 7.9 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.