Level 3 Musculoskeletal Procedures in North Carolina
What 78 hospitals in North Carolina charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$20,018
Hospital list price billed
Average allowed
$2,846
Medicare's payment + patient's share
Medicare paid
$2,256
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $20,018 for level 3 musculoskeletal procedures, about 7.0 times the average medicare-allowed amount of $2,846. That payment is 5% 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 $2,846Billed $20,018
About 14¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 musculoskeletal procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 180 | $17,979 | $2,990 | $2,376 |
| Carolina East Medical CenterNew Bern | 175 | $15,343 | $2,989 | $2,376 |
| Duke University Medical CenterDurham | 145 | $18,098 | $2,859 | $2,270 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 137 | $28,055 | $2,800 | $2,226 |
| Caromont Regional Medical CenterGastonia | 122 | $16,641 | $2,852 | $2,257 |
| Carolinas Medical Center/Behav HealthCharlotte | 120 | $37,559 | $2,793 | $2,201 |
| Presbyterian HospitalCharlotte | 115 | $12,724 | $2,868 | $2,277 |
| North Carolina Baptist HospitalWinston-Salem | 108 | $26,337 | $2,785 | $2,202 |
| Forsyth Memorial HospitalWinston-Salem | 93 | $11,296 | $2,875 | $2,275 |
| Margaret R Pardee Mem HospitalHendersonville | 84 | $16,937 | $2,790 | $2,212 |
| UNC HospitalsChapel Hill | 82 | $17,197 | $2,898 | $2,297 |
| Moses H Cone Memorial Hospital, theGreensboro | 80 | $17,182 | $2,875 | $2,285 |
| Firsthealth Moore Regional HospitalPinehurst | 70 | $13,897 | $2,868 | $2,285 |
| Grace Hospital INCMorganton | 66 | $28,338 | $2,740 | $2,176 |
| ECU Health Medical CenterGreenville | 65 | $16,901 | $2,739 | $2,175 |
| Lake Norman Regional Medical CenterMooresville | 64 | $36,540 | $2,800 | $2,209 |
| Caldwell Memorial HospitalLenoir | 59 | $16,809 | $2,526 | $1,993 |
| Rowan Regional Medical CenterSalisbury | 58 | $15,024 | $2,869 | $2,274 |
| Brunswick Community HospitalSupply | 49 | $22,195 | $2,817 | $2,244 |
| Nash General HospitalRocky Mount | 47 | $19,508 | $2,862 | $2,280 |
| Wakemed, Raleigh CampusRaleigh | 41 | $29,306 | $2,914 | $2,322 |
| Hugh Chatham Memorial HospitalElkin | 39 | $11,308 | $2,817 | $2,244 |
| C J Harris Community HospitalSylva | 38 | $23,270 | $2,817 | $2,244 |
| Alamance Regional Medical CenterBurlington | 37 | $15,681 | $2,956 | $2,349 |
| North Carolina Eye & Ear HospDurham | 36 | $8,898 | $2,890 | $2,297 |
| Rex HospitalRaleigh | 36 | $15,184 | $2,850 | $2,257 |
| Duke Regional HospitalDurham | 36 | $24,618 | $2,920 | $2,326 |
| Duke Health Raleigh HospitalRaleigh | 34 | $17,596 | $2,778 | $2,181 |
| Cape Fear Valley Medical CenterFayetteville | 33 | $12,814 | $2,862 | $2,277 |
| Iredell Memorial Hospital INCStatesville | 33 | $32,122 | $2,838 | $2,243 |
| Cleveland Regional Medical CenterShelby | 31 | $24,916 | $2,804 | $2,219 |
| Watauga Medical CenterBoone | 31 | $19,781 | $3,017 | $2,402 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 30 | $24,122 | $2,670 | $2,093 |
| Medical Park HospitalWinston-Salem | 30 | $12,119 | $2,872 | $2,272 |
| Carolinas Medical Center-UnionMonroe | 29 | $27,120 | $2,829 | $2,231 |
| Novant Health Mint Hill Medical CenterCharlotte | 29 | $19,605 | $2,765 | $2,170 |
| Carteret General HospitalMorehead City | 28 | $8,257 | $2,589 | $2,063 |
| Catawba Valley Medical CenterHickory | 28 | $16,351 | $2,779 | $2,197 |
| ECU Health North HospitalRoanoke Rapids | 28 | $13,759 | $3,017 | $2,404 |
| Albemarle Hospital AuthorityElizabeth City | 27 | $19,549 | $2,928 | $2,315 |
| Presbyterian Hospital HuntersvilleHuntersville | 26 | $20,606 | $2,909 | $2,317 |
| Atrium Health PinevilleCharlotte | 24 | $38,004 | $2,909 | $2,316 |
| Cape Fear Valley Hoke HospitalRaeford | 24 | $9,875 | $2,724 | $2,152 |
| Lexington Memorial Hospital INCLexington | 23 | $21,536 | $2,655 | $2,054 |
| Wayne Memorial HospitalGoldsboro | 22 | $13,977 | $3,059 | $2,386 |
| Johnston Memorial HospitalSmithfield | 19 | $18,945 | $2,790 | $2,188 |
| Haywood Regional Medical CenterClyde | 19 | $22,861 | $2,817 | $2,240 |
| Frye Regional Medical CenterHickory | 18 | $36,586 | $2,782 | $2,217 |
| Wilson Medical CenterWilson | 18 | $34,639 | $2,862 | $2,280 |
| Adventhealth HendersonvilleFletcher | 17 | $33,305 | $2,817 | $2,236 |
| Roanoke Chowan HospitalAhoskie | 17 | $8,331 | $3,017 | $2,404 |
| Rutherford Hospital INCRutherfordton | 16 | $20,963 | $3,017 | $2,399 |
| Carolinas Medical Center-NortheastConcord | 15 | $33,543 | $2,754 | $2,163 |
| Northern Hospital of Surry CountyMt Airy | 15 | $9,079 | $2,772 | $2,190 |
| Wakemed, Cary HospitalCary | 15 | $20,713 | $2,759 | $2,167 |
| Columbus Regional Healthcare SystemWhiteville | 14 | $20,801 | $2,817 | $2,244 |
| Presbyterian Hospital-MatthewsMatthews | 14 | $17,638 | $2,909 | $2,317 |
| Scotland Memorial HospitalLaurinburg | 13 | $19,625 | $2,349 | $1,764 |
| Onslow Memorial HospitalJacksonville | 13 | $15,658 | $2,785 | $2,219 |
| Southeastern Regional Medical CenterLumberton | 13 | $16,990 | $2,841 | $2,219 |
| UNC RockinghamEden | 13 | $8,354 | $2,645 | $2,072 |
| Betsy Johnson Regional HospitalDunn | 13 | $15,439 | $2,817 | $2,230 |
| Davie Medical CenterBermuda Run | 13 | $25,051 | $2,951 | $2,344 |
| Sampson Regional Medical CenterClinton | 12 | $9,572 | $2,817 | $2,244 |
| McDowell HospitalMarion | 12 | $28,130 | $2,880 | $2,294 |
| High Point Regional Hlth SystHigh Point | – | – | – | – |
| Central Carolina HospitalSanford | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Thomasville Medical CenterThomasville | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Maria Parham HospitalHenderson | – | – | – | – |
| Carolinas Medical Center-LincolnLincolnton | – | – | – | – |
| Carolinas Med Ctr-UniversityCharlotte | – | – | – | – |
| Novant Health Ballantyne Medical CenterCharlotte | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Scotland Memorial HospitalLaurinburg, NC | $2,349 |
|---|---|
| Caldwell Memorial HospitalLenoir, NC | $2,526 |
| Carteret General HospitalMorehead City, NC | $2,589 |
| UNC RockinghamEden, NC | $2,645 |
| Lexington Memorial Hospital INCLexington, NC | $2,655 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $3,059 |
|---|---|
| Rutherford Hospital INCRutherfordton, NC | $3,017 |
| Watauga Medical CenterBoone, NC | $3,017 |
| Roanoke Chowan HospitalAhoskie, NC | $3,017 |
| ECU Health North HospitalRoanoke Rapids, NC | $3,017 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in North Carolina?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 78 hospitals in North Carolina was billed at $20,018 on average, while the average medicare-allowed amount was $2,846, of which Medicare paid $2,256. 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 North Carolina, average charges were 7.0 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.