Level 3 Musculoskeletal Procedures in Indiana
What 76 hospitals in Indiana charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$24,062
Hospital list price billed
Average allowed
$2,859
Medicare's payment + patient's share
Medicare paid
$2,267
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $24,062 for level 3 musculoskeletal procedures, about 8.4 times the average medicare-allowed amount of $2,859. That payment is 5% 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 $2,859Billed $24,062
About 12¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 3 musculoskeletal procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Mary's Medical Center of Evansville INCEvansville | 258 | $32,518 | $2,859 | $2,270 |
| Orthoindy HospitalIndianapolis | 220 | $16,342 | $2,829 | $2,224 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 183 | $31,881 | $2,522 | $1,997 |
| Union Hospital INCTerre Haute | 130 | $26,146 | $2,924 | $2,323 |
| Indiana University Health Arnett HospitalLafayette | 102 | $26,496 | $2,774 | $2,187 |
| Deaconess Hospital INCEvansville | 85 | $13,942 | $2,851 | $2,272 |
| Physicians' Medical Center LLCNew Albany | 83 | $12,336 | $2,858 | $2,271 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 79 | $26,448 | $2,910 | $2,305 |
| Memorial Hospital and Health Care CenterJasper | 75 | $13,097 | $2,824 | $2,237 |
| Good Samaritan HospitalVincennes | 70 | $12,516 | $2,885 | $2,299 |
| Reid Hosp & Hlth Care ServicesRichmond | 65 | $17,679 | $2,967 | $2,348 |
| Community HospitalMunster | 63 | $19,179 | $3,044 | $2,423 |
| Schneck Medical CenterSeymour | 60 | $23,515 | $2,832 | $2,232 |
| St Vincent Hospital & Health ServicesIndianapolis | 60 | $31,777 | $2,866 | $2,275 |
| Riverview HospitalNoblesville | 55 | $17,881 | $2,803 | $2,209 |
| Franciscan Physicians Hospital LLCMunster | 51 | $29,558 | $3,044 | $2,419 |
| Henry County Memorial HospitalNew Castle | 45 | $15,588 | $2,859 | $2,277 |
| Witham Health ServicesLebanon | 43 | $18,407 | $2,924 | $2,329 |
| Saint Joseph Reg Medical CtrSouth Bend | 41 | $24,084 | $2,931 | $2,319 |
| St Mary Medical Center INCHobart | 40 | $23,227 | $2,984 | $2,361 |
| Memorial Hospital of South BendSouth Bend | 40 | $16,900 | $2,659 | $2,094 |
| La Porte Regional Health SystLa Porte | 39 | $43,176 | $2,885 | $2,299 |
| Franciscan Health LafayetteLafayette | 39 | $36,082 | $2,767 | $2,176 |
| Clarian Health PartnersIndianapolis | 38 | $35,960 | $2,949 | $2,340 |
| Parkview HospitalFort Wayne | 36 | $27,132 | $2,989 | $2,378 |
| Major HospitalShelbyville | 35 | $28,155 | $2,924 | $2,329 |
| Hendricks Regional HealthDanville | 34 | $24,151 | $2,855 | $2,261 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 33 | $24,384 | $2,746 | $2,159 |
| Franciscan St Anthony Health - Crown PointCrown Point | 33 | $21,352 | $2,971 | $2,352 |
| Community Hospital of Anderson and Madison CountyAnderson | 32 | $16,336 | $2,924 | $2,329 |
| Porter, Valparaiso HospitalValparaiso | 31 | $33,578 | $2,813 | $2,226 |
| Bloomington HospitalBloomington | 30 | $31,052 | $2,924 | $2,329 |
| Memorial HospitalLogansport | 30 | $19,834 | $3,008 | $2,379 |
| Columbus Regional HospitalColumbus | 30 | $16,989 | $2,899 | $2,287 |
| Pinnacle HospitalCrown Point | 30 | $37,926 | $2,638 | $2,098 |
| Methodist Hospitals, INCGary | 29 | $26,550 | $3,044 | $2,425 |
| Elkhart General HospitalElkhart | 28 | $14,542 | $2,989 | $2,381 |
| Howard Regional Health SystemKokomo | 25 | $19,966 | $2,865 | $2,258 |
| Saint John's Health SystemAnderson | 25 | $26,393 | $2,924 | $2,329 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 24 | $26,414 | $2,885 | $2,291 |
| St Joseph Hospital & Health Center INCKokomo | 23 | $27,260 | $2,959 | $2,358 |
| Indiana University Health West HospitalAvon | 23 | $32,499 | $2,924 | $2,320 |
| Dearborn County HospitalLawrenceburg | 21 | $18,434 | $2,885 | $2,299 |
| Monroe HospitalBloomington | 21 | $15,006 | $2,885 | $2,298 |
| Johnson Memorial HospitalFranklin | 20 | $21,028 | $2,807 | $2,209 |
| Parkview Whitley HospitalColumbia City | 19 | $29,774 | $2,939 | $2,342 |
| Dupont Hospital LLCFort Wayne | 19 | $39,563 | $2,939 | $2,342 |
| Clark Memorial HospitalJeffersonville | 17 | $22,008 | $2,885 | $2,299 |
| Kosciusko Community HospitalWarsaw | 17 | $33,498 | $2,757 | $2,169 |
| St Catherine Hospital INCEast Chicago | 16 | $17,081 | $3,044 | $2,422 |
| Marion General HospitalMarion | 16 | $31,896 | $3,131 | $2,495 |
| King's Daughters' Hospital and Health Services,TheMadison | 15 | $21,227 | $3,090 | $2,462 |
| Parkview Huntington HospitalHuntington | 15 | $16,992 | $2,893 | $2,305 |
| Franciscan Health IndianapolisIndianapolis | 14 | $13,453 | $2,950 | $2,337 |
| Unity Medical and Surgical HospitalMishawaka | 14 | $14,076 | $2,921 | $2,322 |
| St Vincent Carmel Hospital INCCarmel | 12 | $35,429 | $2,924 | $2,329 |
| Lutheran Hospital of IndianaFort Wayne | – | – | – | – |
| Eskenazi HealthIndianapolis | – | – | – | – |
| IU Health Goshen HospitalGoshen | – | – | – | – |
| Hancock Regional HospitalGreenfield | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| Terre Haute Regional HospitalTerre Haute | – | – | – | – |
| St Francis Hospital MooresvilleMooresville | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Community Hospital EastIndianapolis | – | – | – | – |
| Bluffton Regional Medical CenterBluffton | – | – | – | – |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | – | – | – | – |
| Ball Memorial Hospital INCMuncie | – | – | – | – |
| Franciscan St Margaret Health - DyerDyer | – | – | – | – |
| Starke Memorial HospitalKnox | – | – | – | – |
| Community Hospital SouthIndianapolis | – | – | – | – |
| Parkview Noble HospitalKendallville | – | – | – | – |
| Indiana University Health North HospitalCarmel | – | – | – | – |
| Community Hospital NorthIndianapolis | – | – | – | – |
| Ascension St Vincent FishersFishers | – | – | – | – |
| Franciscan Health Orthopedic Hospital CarmelCarmel | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $2,522 |
|---|---|
| Pinnacle HospitalCrown Point, IN | $2,638 |
| Memorial Hospital of South BendSouth Bend, IN | $2,659 |
| Franciscan St Anthony Health - Michigan CityMichigan City, IN | $2,746 |
| Kosciusko Community HospitalWarsaw, IN | $2,757 |
Highest
| Marion General HospitalMarion, IN | $3,131 |
|---|---|
| King's Daughters' Hospital and Health Services,TheMadison, IN | $3,090 |
| Franciscan Physicians Hospital LLCMunster, IN | $3,044 |
| St Catherine Hospital INCEast Chicago, IN | $3,044 |
| Community HospitalMunster, IN | $3,044 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Indiana?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 76 hospitals in Indiana was billed at $24,062 on average, while the average medicare-allowed amount was $2,859, of which Medicare paid $2,267. 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 Indiana, average charges were 8.4 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.