Level 3 Musculoskeletal Procedures in Michigan
What 86 hospitals in Michigan charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$17,492
Hospital list price billed
Average allowed
$2,779
Medicare's payment + patient's share
Medicare paid
$2,200
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $17,492 for level 3 musculoskeletal procedures, about 6.3 times the average medicare-allowed amount of $2,779. That payment is 7% 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 $2,779Billed $17,492
About 16¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 3 musculoskeletal procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Surgeons Choice Medical CenterSouthfield | 143 | $13,695 | $2,810 | $2,228 |
| Spectrum Health - Butterworth CampusGrand Rapids | 129 | $10,836 | $2,525 | $1,992 |
| Henry Ford HospitalDetroit | 103 | $13,077 | $2,462 | $1,945 |
| William Beaumont HospitalRoyal Oak | 97 | $25,507 | $2,762 | $2,177 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 97 | $25,162 | $2,690 | $2,124 |
| Midmichigan Medical Center-MidlandMidland | 80 | $12,074 | $2,979 | $2,361 |
| William Beaumont Hospital-TroyTroy | 80 | $23,188 | $2,842 | $2,253 |
| Bronson Methodist HospitalKalamazoo | 73 | $8,898 | $2,770 | $2,193 |
| Univ of Michigan HospitalsAnn Arbor | 71 | $22,428 | $2,961 | $2,347 |
| Bay Regional Medical CenterBay City | 70 | $10,742 | $2,885 | $2,289 |
| Edward W Sparrow HospitalLansing | 64 | $14,478 | $2,715 | $2,139 |
| McLaren Greater LansingLansing | 60 | $10,632 | $2,852 | $2,261 |
| Allegiance HealthJackson | 58 | $12,278 | $2,863 | $2,272 |
| St Mary Mercy HospitalLivonia | 54 | $19,076 | $1,894 | $1,495 |
| Chelsea Community HospitalChelsea | 53 | $22,918 | $3,043 | $2,421 |
| Henry Ford Health Warren HospitalWarren | 50 | $31,602 | $2,651 | $2,112 |
| Providence Hospital and Medical CentersSouthfield | 49 | $23,403 | $2,890 | $2,297 |
| Northern Michigan Regional HospitalPetoskey | 49 | $8,053 | $3,039 | $2,421 |
| St John Hospital and Medical CenterDetroit | 48 | $17,959 | $2,746 | $2,159 |
| Covenant Medical Center, INCSaginaw | 47 | $15,653 | $2,787 | $2,183 |
| Trinity Health Muskegon HospitalMuskegon | 43 | $19,131 | $3,000 | $2,380 |
| Lakeland Hospital, St JosephSt Joseph | 40 | $11,884 | $2,764 | $2,177 |
| Dickinson County Memorial HospitalIron Mountain | 40 | $9,808 | $2,960 | $2,346 |
| Huron Valley-Sinai HospitalCommerce Twp | 39 | $32,299 | $2,831 | $2,237 |
| Marquette General Hlth SystemMarquette | 38 | $27,408 | $3,096 | $2,466 |
| Port Huron HospitalPort Huron | 37 | $7,812 | $2,730 | $2,137 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 37 | $14,980 | $2,890 | $2,303 |
| Saint Mary's Health CareGrand Rapids | 36 | $18,600 | $2,694 | $2,137 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 36 | $24,797 | $2,753 | $2,169 |
| Battle Creek Health SystemBattle Creek | 35 | $9,327 | $2,770 | $2,194 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 34 | $23,317 | $2,655 | $2,102 |
| University of Michigan Health - WestWyoming | 34 | $10,585 | $2,636 | $2,073 |
| Corewell Health Watervliet HospitalWatervliet | 33 | $15,288 | $2,495 | $1,974 |
| Mercy Hospital - CadillacCadillac | 33 | $11,279 | $2,857 | $2,262 |
| Munson Medical CenterTraverse City | 33 | $14,359 | $2,929 | $2,326 |
| Borgess Medical CenterKalamazoo | 33 | $21,419 | $2,690 | $2,106 |
| Beaumont Hospital - TaylorTaylor | 32 | $27,055 | $2,599 | $2,050 |
| Holland Community HospitalHolland | 31 | $11,828 | $2,820 | $2,246 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 31 | $8,453 | $2,865 | $2,248 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 29 | $25,799 | $2,912 | $2,301 |
| Henry Ford Macomb HospitalClinton Twp | 29 | $13,326 | $2,726 | $2,147 |
| Henry Ford Wyandotte HospitalWyandotte | 29 | $13,718 | $2,778 | $2,186 |
| Corewell Health Trenton HospitalTrenton | 29 | $27,408 | $2,769 | $2,191 |
| Saint Joseph Mercy Livingston HospitalHowell | 28 | $24,089 | $2,876 | $2,271 |
| McLaren MacombMt Clemens | 28 | $22,887 | $2,770 | $2,190 |
| Beaumont Hospital - DearbornDearborn | 27 | $26,901 | $2,698 | $2,122 |
| Ascension Providence Rochester HospitalRochester | 26 | $24,148 | $2,885 | $2,298 |
| Corewell Health Wayne HospitalWayne | 25 | $27,320 | $2,848 | $2,256 |
| Central Michigan Community HospitalMt Pleasant | 24 | $12,963 | $2,838 | $2,261 |
| Sinai-Grace HospitalDetroit | 23 | $34,932 | $2,695 | $2,103 |
| McLaren Regional Medical CenterFlint | 20 | $12,339 | $3,041 | $2,423 |
| Harper University HospitalDetroit | 19 | $45,847 | $2,890 | $2,303 |
| Spectrum Health United Memorial - United CampusGreenville | 18 | $9,702 | $2,705 | $2,132 |
| Corewell Health Big Rapids HospitalBig Rapids | 18 | $11,739 | $3,053 | $2,433 |
| McLaren OaklandPontiac | 18 | $16,304 | $2,725 | $2,141 |
| Alpena Regional Medical CenterAlpena | 17 | $12,217 | $3,039 | $2,422 |
| Oaklawn HospitalMarshall | 17 | $23,502 | $2,824 | $2,250 |
| Memorial HealthcareOwosso | 16 | $19,689 | $2,834 | $2,258 |
| Garden City HospitalGarden City | 16 | $21,401 | $2,706 | $2,115 |
| St Joseph Mercy OaklandPontiac | 15 | $21,754 | $2,885 | $2,298 |
| Mymichigan Medical Center SaginawSaginaw | 15 | $11,504 | $2,885 | $2,295 |
| Mymichigan Medical Center AlmaAlma | 14 | $8,591 | $2,834 | $2,258 |
| Corewell Health Ludington HospitalLudington | 14 | $9,696 | $2,834 | $2,258 |
| Munson Healthcare Manistee HospitalManistee | 14 | $10,612 | $3,052 | $2,432 |
| Insight Hospital and Medical Center ColdwaterColdwater | 13 | $12,608 | $2,658 | $2,082 |
| Three Rivers Area HospitalThree Rivers | 12 | $12,630 | $2,899 | $2,310 |
| West Branch Regional Medical CenterWest Branch | 12 | $7,490 | $3,020 | $2,406 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 12 | $21,111 | $3,041 | $2,423 |
| Southeast Michigan Surgical HospitalWarren | 12 | $31,162 | $2,542 | $1,992 |
| St Joseph Mercy Port HuronPort Huron | 11 | $18,824 | $2,851 | $2,271 |
| Hurley Medical CenterFlint | 11 | $27,272 | $3,019 | $2,406 |
| Lapeer Regional Medical CenterLapeer | 11 | $7,933 | $2,885 | $2,298 |
| Zeeland Community HospitalZeeland | – | – | – | – |
| Hillsdale Community Health CenterHillsdale | – | – | – | – |
| Mercy Hospital - GraylingGrayling | – | – | – | – |
| Straith Hospital for Special SurgerySouthfield | – | – | – | – |
| Promedica Monroe Regional HospitalMonroe | – | – | – | – |
| St Joseph Health SystemTawas City | – | – | – | – |
| Portage Health HospitalHancock | – | – | – | – |
| Otsego Memorial HospitalGaylord | – | – | – | – |
| Trinity Health Grand Haven HospitalGrand Haven | – | – | – | – |
| Midmichigan Medical Center-ClareClare | – | – | – | – |
| Carson City HospitalCarson City | – | – | – | – |
| St John River District HospitalEast China | – | – | – | – |
| Detroit Receiving Hospital & Univ Health CenterDetroit | – | – | – | – |
| Sturgis HospitalSturgis | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| St Mary Mercy HospitalLivonia, MI | $1,894 |
|---|---|
| Henry Ford HospitalDetroit, MI | $2,462 |
| Corewell Health Watervliet HospitalWatervliet, MI | $2,495 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $2,525 |
| Southeast Michigan Surgical HospitalWarren, MI | $2,542 |
Highest
| Marquette General Hlth SystemMarquette, MI | $3,096 |
|---|---|
| Corewell Health Big Rapids HospitalBig Rapids, MI | $3,053 |
| Munson Healthcare Manistee HospitalManistee, MI | $3,052 |
| Chelsea Community HospitalChelsea, MI | $3,043 |
| McLaren Regional Medical CenterFlint, MI | $3,041 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Michigan?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 86 hospitals in Michigan was billed at $17,492 on average, while the average medicare-allowed amount was $2,779, of which Medicare paid $2,200. 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 Michigan, average charges were 6.3 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.