Level 3 Musculoskeletal Procedures in Minnesota
What 46 hospitals in Minnesota charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$13,180
Hospital list price billed
Average allowed
$2,975
Medicare's payment + patient's share
Medicare paid
$2,360
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $13,180 for level 3 musculoskeletal procedures, about 4.4 times the average medicare-allowed amount of $2,975. 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 $2,975Billed $13,180
About 23¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 musculoskeletal procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 392 | $15,723 | $2,749 | $2,182 |
| Mayo Clinic Health System - MankatoMankato | 78 | $11,398 | $3,199 | $2,539 |
| United HospitalSt Paul | 74 | $13,498 | $2,987 | $2,365 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 74 | $9,350 | $3,222 | $2,567 |
| Park Nicollet Methodist HospitalSaint Louis Park | 74 | $14,365 | $3,041 | $2,412 |
| Regions HospitalSt Paul | 65 | $12,312 | $2,985 | $2,354 |
| Olmsted Medical CenterRochester | 56 | $13,109 | $3,113 | $2,481 |
| Alomere HealthAlexandria | 52 | $12,636 | $3,066 | $2,423 |
| Northfield HospitalNorthfield | 51 | $11,396 | $3,094 | $2,463 |
| Itasca Medical CenterGrand Rapids | 50 | $9,801 | $2,840 | $2,261 |
| Owatonna HospitalOwatonna | 46 | $10,384 | $2,871 | $2,282 |
| St Cloud HospitalSt Cloud | 45 | $15,738 | $2,942 | $2,329 |
| St Lukes HospitalDuluth | 42 | $12,512 | $3,014 | $2,390 |
| Buffalo HospitalBuffalo | 42 | $15,262 | $3,020 | $2,402 |
| Fairview Red Wing HospitalRed Wing | 41 | $10,765 | $3,071 | $2,447 |
| Essentia Health DuluthDuluth | 41 | $13,966 | $2,896 | $2,281 |
| St Marys Regional Health CenterDetroit Lakes | 38 | $11,323 | $3,227 | $2,571 |
| Fairview Southdale HospitalEdina | 37 | $17,444 | $3,094 | $2,465 |
| Sanford Bemidji Medical CenterBemidji | 37 | $7,885 | $3,227 | $2,571 |
| Ridgeview Medical CenterWaconia | 36 | $10,772 | $3,026 | $2,391 |
| Lake Region Healthcare CorporationFergus Falls | 30 | $10,994 | $3,012 | $2,400 |
| St Francis Regional Medical CenterShakopee | 30 | $11,903 | $2,806 | $2,218 |
| Abbott Northwestern Hospital INCMinneapolis | 25 | $14,899 | $3,094 | $2,465 |
| Mercy HospitalCoon Rapids | 24 | $15,742 | $2,965 | $2,360 |
| Virginia Regional Medical CenterVirginia | 21 | $13,373 | $3,013 | $2,398 |
| Rice Memorial HospitalWillmar | 20 | $14,170 | $2,904 | $2,314 |
| St John's HospitalSt Paul | 20 | $11,946 | $3,094 | $2,465 |
| Essentia Health St Mary's Medical CenterDuluth | 19 | $11,401 | $2,813 | $2,189 |
| Hennepin County Medical CenterMinneapolis | 19 | $18,371 | $2,931 | $2,326 |
| Lakeview Memorial HospitalStillwater | 19 | $9,437 | $3,094 | $2,465 |
| Healtheast Woodwinds HospitalWoodbury | 18 | $17,151 | $3,094 | $2,455 |
| Winona Health ServicesWinona | 17 | $6,672 | $3,227 | $2,569 |
| Fairview Lakes Health ServicesWyoming | 15 | $11,145 | $2,765 | $2,132 |
| Maple Grove HospitalMaple Grove | 15 | $9,602 | $2,765 | $2,135 |
| North Memorial Medical CenterRobbinsdale | 14 | $15,877 | $3,094 | $2,465 |
| Range Regional Health ServicesHibbing | 14 | $12,270 | $3,013 | $2,401 |
| University of Minnesota Medical Center, FairviewMinneapolis | 14 | $19,746 | $2,826 | $2,247 |
| Sanford Worthington Medical CenterWorthington | 13 | $8,914 | $3,222 | $2,564 |
| Hutchinson Area Health CareHutchinson | 13 | $13,056 | $3,263 | $2,599 |
| Allina Health Faribault Medical CenterFaribault | 12 | $11,950 | $3,071 | $2,447 |
| Fairview Northland Regional HospitalPrinceton | 11 | $12,870 | $3,094 | $2,465 |
| Fairmont Medical CenterFairmont | 11 | $10,350 | $3,078 | $2,403 |
| Fairview Ridges HospitalBurnsville | 11 | $13,045 | $3,094 | $2,465 |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Essentia Health St Joseph's Medical CenterBrainerd | – | – | – | – |
| Gillette Children's HealthcareSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,749 |
|---|---|
| Maple Grove HospitalMaple Grove, MN | $2,765 |
| Fairview Lakes Health ServicesWyoming, MN | $2,765 |
| St Francis Regional Medical CenterShakopee, MN | $2,806 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $2,813 |
Highest
| Hutchinson Area Health CareHutchinson, MN | $3,263 |
|---|---|
| Winona Health ServicesWinona, MN | $3,227 |
| Sanford Bemidji Medical CenterBemidji, MN | $3,227 |
| St Marys Regional Health CenterDetroit Lakes, MN | $3,227 |
| Sanford Worthington Medical CenterWorthington, MN | $3,222 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Minnesota?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 46 hospitals in Minnesota was billed at $13,180 on average, while the average medicare-allowed amount was $2,975, of which Medicare paid $2,360. 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 Minnesota, average charges were 4.4 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.