facebook tracking Level 3 Musculoskeletal Procedures cost in Kansas: 42 hospitals compared (APC 5113)

Level 3 Musculoskeletal Procedures in Kansas

What 42 hospitals in Kansas charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.

APC 5113 Outpatient 2024 Medicare data
Average charge $15,690 Hospital list price billed
Average allowed $2,754 Medicare's payment + patient's share
Medicare paid $2,186 Average per service
State rank #13 of 49 1 = lowest average payment

Hospitals in Kansas billed an average of $15,690 for level 3 musculoskeletal procedures, about 5.7 times the average medicare-allowed amount of $2,754. 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 $2,754Billed $15,690

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

Kansas hospitals: level 3 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Kansas City Orthopaedic InstituteLeawood 182 $22,375 $2,814 $2,239
Stormont-Vail HealthcareTopeka 180 $15,867 $2,752 $2,175
University of Kansas HospitalKansas City 173 $14,244 $2,273 $1,804
Kansas Surgery & Recovery CenterWichita 171 $11,364 $2,731 $2,164
Mercy Specialty Hospital Southeast KansasGalena 121 $20,180 $2,763 $2,200
Salina Regional Health CenterSalina 115 $15,140 $2,896 $2,295
Pratt Regional Medical CenterPratt 102 $9,598 $2,960 $2,356
Manhattan Surgical Hospital LLCManhattan 101 $12,026 $2,753 $2,190
Salina Surgical HospitalSalina 85 $5,944 $2,673 $2,122
Summit Surgical LLCHutchinson 73 $11,617 $2,751 $2,189
Great Bend Regional HospitalGreat Bend 68 $9,732 $2,849 $2,266
St Francis Health CenterTopeka 65 $16,637 $2,827 $2,252
St Catherine HospitalGarden City 50 $14,427 $3,042 $2,402
Rock Regional Hospital, LLCDerby 48 $17,093 $2,754 $2,192
Hays Medical CenterHays 41 $11,780 $2,859 $2,254
Olathe Medical CenterOlathe 41 $12,914 $2,776 $2,197
Wesley Medical CenterWichita 39 $53,368 $2,763 $2,202
Via Christi Hospitals Wichita INCWichita 35 $14,208 $2,606 $2,063
Via Christi Hospital Wichita St Teresa INCWichita 34 $14,167 $2,763 $2,202
Saint Luke's South HospitalOverland Park 29 $20,779 $2,827 $2,252
Labette County Medical CenterParsons 28 $8,413 $2,791 $2,190
NMC HealthNewton 25 $8,136 $2,763 $2,202
Promise Regional Medical Center Hutchinson INCHutchinson 23 $22,010 $2,960 $2,358
Shawnee Mission Medical CenterOverland Park 23 $28,715 $2,729 $2,154
Mercy Hospital PittsburgPittsburg 19 $19,333 $2,960 $2,358
Lawrence Memorial HospitalLawrence 19 $15,139 $3,027 $2,412
Ascension Via Christi Hospital ManhattanManhattan 18 $19,314 $2,763 $2,202
Southwest Medical CenterLiberal 16 $13,008 $2,812 $2,211
Centura St. Catherine-Dodge CityDodge City 16 $17,685 $2,960 $2,358
Adventhealth OttawaOttawa 15 $35,358 $2,706 $2,090
Providence Medical CenterKansas City 13 $20,895 $2,827 $2,252
Kansas Spine Hospital LLCWichita 13 $11,902 $2,634 $2,072
Susan B Allen Memorial HospitalEl Dorado – – – –
Stormont Vail Health Flint HillsJunction City – – – –
McPherson HospitalMcPherson – – – –
Miami County Medical CenterPaola – – – –
Overland Park Regional CenterShawnee Mission – – – –
Menorah Medical CenterShawnee Mission – – – –
Kansas Heart HospitalWichita – – – –
Ascentist HospitalLeawood – – – –
Kansas Medical Center LLCAndover – – – –
Sck HealthArkansas City – – – –
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Lowest and highest allowed amounts in Kansas

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

University of Kansas HospitalKansas City, KS$2,273
Via Christi Hospitals Wichita INCWichita, KS$2,606
Kansas Spine Hospital LLCWichita, KS$2,634
Salina Surgical HospitalSalina, KS$2,673
Adventhealth OttawaOttawa, KS$2,706

Highest

Level 3 Musculoskeletal Procedures in other states

Questions

How much does level 3 musculoskeletal procedures cost in Kansas?

In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 42 hospitals in Kansas was billed at $15,690 on average, while the average medicare-allowed amount was $2,754, of which Medicare paid $2,186. 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 Kansas, average charges were 5.7 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.