Level 3 Musculoskeletal Procedures in Missouri
What 61 hospitals in Missouri charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$18,408
Hospital list price billed
Average allowed
$2,773
Medicare's payment + patient's share
Medicare paid
$2,197
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $18,408 for level 3 musculoskeletal procedures, about 6.6 times the average medicare-allowed amount of $2,773. 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 $2,773Billed $18,408
About 15¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 musculoskeletal procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 199 | $20,049 | $2,736 | $2,155 |
| Mercy Hospital SpringfieldSpringfield | 180 | $18,679 | $2,631 | $2,079 |
| University Hospitals & ClinicsColumbia | 169 | $21,461 | $2,683 | $2,122 |
| Lester E Cox Medical CentersSpringfield | 151 | $16,864 | $2,689 | $2,139 |
| St John's Mercy Medical CenterSt Louis | 93 | $12,733 | $2,757 | $2,170 |
| Lake Regional Health SystemOsage Beach | 72 | $11,381 | $2,915 | $2,320 |
| Mercy Hospital SouthSt Louis | 68 | $9,962 | $2,865 | $2,278 |
| St Francis Medical CenterCape Girardeau | 67 | $21,111 | $2,929 | $2,323 |
| Bothwell Regional Health CenterSedalia | 63 | $7,768 | $3,027 | $2,411 |
| Phelps County Regional Medical CenterRolla | 59 | $21,186 | $2,960 | $2,330 |
| Mosaic Life Care at St JosephSt Joseph | 55 | $11,254 | $3,045 | $2,426 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 53 | $14,422 | $2,829 | $2,253 |
| Nkc HealthNorth Kansas City | 53 | $19,311 | $2,745 | $2,164 |
| Barnes-Jewish St Peters HospitalSt Peters | 52 | $16,847 | $2,881 | $2,295 |
| St Lukes HospitalChesterfield | 51 | $11,789 | $2,701 | $2,115 |
| Golden Valley Memorial HospitalClinton | 46 | $10,175 | $3,027 | $2,412 |
| Saint Luke's Northland HospSmithville | 45 | $19,510 | $2,777 | $2,202 |
| Boone Hospital CenterColumbia | 44 | $14,994 | $2,754 | $2,194 |
| Missouri Baptist Medical CenterTown and Country | 44 | $16,116 | $2,778 | $2,203 |
| St Luke's Des Peres HospitalSaint Louis | 44 | $19,216 | $2,775 | $2,177 |
| St Lukes Hospital of Kansas CityKansas City | 43 | $30,687 | $2,827 | $2,252 |
| St Johns Mercy HospitalWashington | 41 | $11,064 | $2,881 | $2,286 |
| SSM Depaul Health CenterBridgeton | 39 | $15,380 | $2,772 | $2,196 |
| SSM St Joseph Health CenterSt Charles | 38 | $15,260 | $1,936 | $1,542 |
| Mercy Hospital JoplinJoplin | 36 | $14,089 | $2,722 | $2,168 |
| Jefferson Memorial HospitalCrystal City | 35 | $13,820 | $2,749 | $2,164 |
| Progress West Healthcare CenterO'fallon | 35 | $16,343 | $2,624 | $2,033 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 34 | $81,632 | $2,915 | $2,318 |
| Western Missouri Medical CenterWarrensburg | 33 | $10,810 | $2,915 | $2,322 |
| St Joseph Medical CenterKansas City | 30 | $34,301 | $2,752 | $2,177 |
| Barnes-Jewish West County HospitalSt Louis | 30 | $17,141 | $2,420 | $1,928 |
| Parkland Health CenterFarmington | 30 | $17,087 | $2,879 | $2,294 |
| Ozarks Medical CenterWest Plains | 29 | $13,207 | $2,915 | $2,322 |
| Citizens Memorial HospitalBolivar | 29 | $13,334 | $2,865 | $2,282 |
| Freeman Health System - Freeman WestJoplin | 28 | $14,728 | $2,722 | $2,166 |
| Northeast Regional Medical CenterKirksville | 27 | $36,130 | $2,965 | $2,355 |
| SSM St Mary's Health CenterSt Louis | 26 | $19,192 | $2,656 | $2,081 |
| Truman Medical Center LakewoodKansas City | 26 | $9,844 | $2,827 | $2,252 |
| Liberty HospitalLiberty | 26 | $21,146 | $2,827 | $2,252 |
| SSM St Joseph Hospital WestLake St Louis | 23 | $14,728 | $2,656 | $2,096 |
| Missouri Delta Medical CenterSikeston | 22 | $10,851 | $3,066 | $2,404 |
| Christian Hospital NortheastSt Louis | 22 | $18,343 | $2,470 | $1,947 |
| Southeast Missouri HospitalCape Girardeau | 21 | $33,030 | $2,961 | $2,359 |
| Centerpoint Medical CenterIndependence | 20 | $40,076 | $2,827 | $2,252 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 19 | $35,634 | $2,827 | $2,252 |
| Cox Medical Center BransonBranson | 18 | $21,388 | $2,915 | $2,322 |
| St Marys Health CenterJefferson City | 17 | $22,273 | $2,578 | $2,054 |
| St Louis University HospitalSt Louis | 17 | $19,043 | $2,496 | $1,989 |
| Lee's Summit HospitalLee's Summit | 17 | $33,312 | $2,827 | $2,252 |
| Mosaic Medical Center - MaryvilleMaryville | 15 | $13,070 | $2,950 | $2,351 |
| Cameron Community HospitalCameron | 15 | $19,876 | $2,827 | $2,252 |
| Nevada Regional Medical CenterNevada | 13 | $15,030 | $2,466 | $1,965 |
| St Johns Hospital-LebanonLebanon | 12 | $6,161 | $2,915 | $2,322 |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| SSM St Joseph Health CenterSt Charles, MO | $1,936 |
|---|---|
| Barnes-Jewish West County HospitalSt Louis, MO | $2,420 |
| Nevada Regional Medical CenterNevada, MO | $2,466 |
| Christian Hospital NortheastSt Louis, MO | $2,470 |
| St Louis University HospitalSt Louis, MO | $2,496 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $3,066 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $3,045 |
| Bothwell Regional Health CenterSedalia, MO | $3,027 |
| Golden Valley Memorial HospitalClinton, MO | $3,027 |
| Northeast Regional Medical CenterKirksville, MO | $2,965 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Missouri?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 61 hospitals in Missouri was billed at $18,408 on average, while the average medicare-allowed amount was $2,773, of which Medicare paid $2,197. 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 Missouri, average charges were 6.6 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.