Level 3 Musculoskeletal Procedures in Kentucky
What 54 hospitals in Kentucky charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$21,154
Hospital list price billed
Average allowed
$2,727
Medicare's payment + patient's share
Medicare paid
$2,156
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $21,154 for level 3 musculoskeletal procedures, about 7.8 times the average medicare-allowed amount of $2,727. That payment is 9% 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 $2,727Billed $21,154
About 13¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 3 musculoskeletal procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 298 | $20,223 | $2,746 | $2,179 |
| Jewish HospitalLouisville | 237 | $19,413 | $2,567 | $2,019 |
| St Elizabeth Med Center-SouthEdgewood | 130 | $14,758 | $2,657 | $2,099 |
| Baptist Hospital EastLouisville | 109 | $26,721 | $2,711 | $2,144 |
| Hardin Memorial HospitalElizabethtown | 69 | $21,510 | $2,724 | $2,156 |
| St Elizabeth Ft ThomasFort Thomas | 62 | $14,396 | $2,815 | $2,243 |
| University of Kentucky HospLexington | 62 | $21,612 | $2,415 | $1,902 |
| Pikeville Medical CenterPikeville | 59 | $19,126 | $2,940 | $2,341 |
| St Elizabeth FlorenceFlorence | 56 | $15,462 | $2,735 | $2,158 |
| Western Baptist HospitalPaducah | 49 | $30,616 | $2,962 | $2,349 |
| Owensboro Medical Health SystemOwensboro | 46 | $18,371 | $2,891 | $2,276 |
| Jennie Stuart Medical CenterHopkinsville | 39 | $14,779 | $2,849 | $2,255 |
| Baptist Health Deaconess MadisonvilleMadisonville | 38 | $26,080 | $2,862 | $2,269 |
| Jackson Purchase Medical CenterMayfield | 36 | $38,254 | $2,896 | $2,294 |
| T J Samson Community HospitalGlasgow | 34 | $14,544 | $2,760 | $2,157 |
| Saint Joseph HospitalLexington | 30 | $19,201 | $2,706 | $2,130 |
| Lake Cumberland Regional HospitalSomerset | 30 | $36,984 | $2,884 | $2,292 |
| Greenview Regional HospitalBowling Green | 29 | $27,598 | $2,797 | $2,228 |
| The Medical Center at Bowling GreenBowling Green | 26 | $23,071 | $2,625 | $2,052 |
| Central Baptist HospitalLexington | 24 | $51,923 | $2,710 | $2,140 |
| St Claire Regional Medical CenterMorehead | 23 | $12,958 | $2,984 | $2,377 |
| Murray-Calloway County HospitalMurray | 21 | $17,752 | $2,716 | $2,164 |
| King's Daughters' Medical CenterAshland | 20 | $25,563 | $2,757 | $2,187 |
| Taylor Regional HospitalCampbellsville | 20 | $17,138 | $2,607 | $2,055 |
| Highlands Regional Medical CenterPrestonsburg | 16 | $19,323 | $2,745 | $2,187 |
| Saint Joseph Mount SterlingMt Sterling | 16 | $10,517 | $2,492 | $1,929 |
| Lourdes HospitalPaducah | 16 | $23,654 | $2,962 | $2,340 |
| Spring View HospitalLebanon | 15 | $33,666 | $2,716 | $2,164 |
| Saint Joseph LondonLondon | 14 | $21,177 | $2,716 | $2,161 |
| Meadowview Regional Medical CenterMaysville | 14 | $24,334 | $2,908 | $2,316 |
| Deaconess Henderson HospitalHenderson | 14 | $15,032 | $2,851 | $2,270 |
| Baptist Hospital NortheastLa Grange | 14 | $33,245 | $2,634 | $2,063 |
| Saint Joseph EastLexington | 13 | $14,815 | $2,803 | $2,233 |
| Ephraim McDowell Regional Medical CenterDanville | 12 | $10,255 | $2,786 | $2,220 |
| Clark Regional Medical CenterWinchester | 12 | $22,293 | $2,617 | $2,047 |
| University of Louisville HospitalLouisville | 12 | $19,072 | $2,789 | $2,215 |
| Baptist Health RichmondRichmond | 11 | $19,651 | $2,382 | $1,816 |
| Whitesburg Arh HospitalWhitesburg | – | – | – | – |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Flaget Memorial HospitalBardstown | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Paintsville Arh HospitalPaintsville | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Baptist Regional Medical CtrCorbin | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Baptist Health RichmondRichmond, KY | $2,382 |
|---|---|
| University of Kentucky HospLexington, KY | $2,415 |
| Saint Joseph Mount SterlingMt Sterling, KY | $2,492 |
| Jewish HospitalLouisville, KY | $2,567 |
| Taylor Regional HospitalCampbellsville, KY | $2,607 |
Highest
| St Claire Regional Medical CenterMorehead, KY | $2,984 |
|---|---|
| Lourdes HospitalPaducah, KY | $2,962 |
| Western Baptist HospitalPaducah, KY | $2,962 |
| Pikeville Medical CenterPikeville, KY | $2,940 |
| Meadowview Regional Medical CenterMaysville, KY | $2,908 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Kentucky?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 54 hospitals in Kentucky was billed at $21,154 on average, while the average medicare-allowed amount was $2,727, of which Medicare paid $2,156. 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 Kentucky, average charges were 7.8 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.