Level 3 Musculoskeletal Procedures in Ohio
What 117 hospitals in Ohio charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$20,422
Hospital list price billed
Average allowed
$2,715
Medicare's payment + patient's share
Medicare paid
$2,148
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $20,422 for level 3 musculoskeletal procedures, about 7.5 times the average medicare-allowed amount of $2,715. 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 $2,715Billed $20,422
About 13¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 3 musculoskeletal procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Crystal Clinic Orthopaedic CenterAkron | 297 | $15,910 | $2,735 | $2,165 |
| Kettering Health DaytonDayton | 210 | $28,048 | $2,759 | $2,182 |
| Institute for Orthopedic SurgeryLima | 209 | $13,859 | $2,728 | $2,168 |
| Cleveland Clinic - Main CampusCleveland | 208 | $14,760 | $2,721 | $2,164 |
| Mercy St Vincent Medical CenterToledo | 162 | $33,891 | $2,876 | $2,282 |
| Christ HospitalCincinnati | 157 | $17,866 | $2,809 | $2,236 |
| Ohio State University HospitalsColumbus | 136 | $23,246 | $2,871 | $2,279 |
| Miami Valley HospitalDayton | 135 | $29,059 | $2,734 | $2,150 |
| Grant Medical CenterColumbus | 115 | $29,055 | $2,814 | $2,226 |
| Southwest General Health CenterMiddleburg Heights | 102 | $13,553 | $1,419 | $1,117 |
| Toledo Hospital theToledo | 92 | $27,657 | $2,822 | $2,232 |
| University of Toledo Medical CenterToledo | 84 | $20,015 | $2,731 | $2,150 |
| Marymount HospitalGarfield Heights | 70 | $16,535 | $2,732 | $2,170 |
| Metrohealth SystemCleveland | 69 | $12,784 | $1,908 | $1,371 |
| Genesis Healthcare SystemZanesville | 68 | $12,877 | $2,583 | $2,026 |
| Bethesda North HospitalCincinnati | 67 | $14,992 | $2,773 | $2,209 |
| St John Medical CenterWestlake | 65 | $17,857 | $2,701 | $2,139 |
| Ohio Valley Medical Center, LLCSpringfield | 65 | $12,354 | $2,869 | $2,276 |
| Good Samaritan HospitalCincinnati | 64 | $11,790 | $2,815 | $2,243 |
| West Chester Medical CenterWest Chester | 62 | $25,063 | $2,706 | $2,134 |
| Hillcrest HospitalCleveland | 59 | $15,817 | $2,763 | $2,202 |
| Adena Regional Medical CenterChillicothe | 58 | $29,396 | $2,755 | $2,180 |
| Medina HospitalMedina | 56 | $16,320 | $2,685 | $2,120 |
| Lake Health Beachwood Medical CenterBeachwood | 55 | $18,344 | $2,723 | $2,162 |
| Lutheran HospitalCleveland | 50 | $16,247 | $2,763 | $2,201 |
| Ohiohealth Mansfield HospitalMansfield | 49 | $24,192 | $2,833 | $2,257 |
| Licking Memorial HospitalNewark | 47 | $14,145 | $2,766 | $2,182 |
| Wilson Memorial HospitalSidney | 45 | $18,317 | $2,802 | $2,212 |
| Holzer Medical CenterGallipolis | 45 | $14,824 | $2,706 | $2,146 |
| University Hospitals Ahuja Medical CenterBeachwood | 45 | $20,360 | $2,714 | $2,152 |
| Parma Community General HospitalParma | 44 | $19,418 | $2,649 | $2,087 |
| Mercy Hospital ClermontBatavia | 44 | $25,795 | $2,713 | $2,141 |
| Atrium Medical CenterMiddletown | 43 | $22,764 | $2,703 | $2,130 |
| Summa Health System - Akron CampusAkron | 42 | $21,014 | $2,650 | $2,090 |
| Bay Park Community HospitalOregon | 42 | $21,041 | $2,710 | $2,145 |
| Mercy Hospital FairfieldFairfield | 40 | $25,595 | $2,759 | $2,186 |
| Mary Rutan HospitalBellefontaine | 40 | $26,061 | $2,910 | $2,293 |
| Knox Community HospitalMt Vernon | 37 | $13,942 | $2,936 | $2,313 |
| Southern Ohio Medical CenterPortsmouth | 36 | $24,670 | $2,819 | $2,220 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 36 | $32,428 | $2,753 | $2,168 |
| Summa Western Reserve HospitalCuyahoga Falls | 36 | $27,398 | $2,754 | $2,194 |
| Soin Medical CenterBeaver Creek | 36 | $27,550 | $2,777 | $2,183 |
| Fairview HospitalCleveland | 35 | $12,289 | $2,524 | $1,962 |
| Kettering Medical Center - SycamoreMiamisburg | 35 | $31,051 | $2,839 | $2,248 |
| Alliance Community HospitalAlliance | 34 | $12,909 | $2,754 | $2,194 |
| Upper Valley Medical CenterTroy | 34 | $15,385 | $2,769 | $2,185 |
| Surgical Hospital at SouthwoodsYoungstown | 34 | $15,071 | $2,754 | $2,194 |
| Berger HospitalCircleville | 33 | $20,225 | $2,825 | $2,236 |
| University Hospital, INCCincinnati | 32 | $28,457 | $2,762 | $2,201 |
| St Joseph Health CenterWarren | 32 | $18,074 | $2,754 | $2,189 |
| Jewish Hospital, LLCCincinnati | 31 | $35,236 | $2,815 | $2,240 |
| McCullough-Hyde Memorial HospitalOxford | 31 | $21,544 | $2,815 | $2,239 |
| St Rita's Medical CenterLima | 31 | $39,262 | $2,768 | $2,203 |
| Community Hospitals and Wellness CentersBryan | 31 | $18,503 | $2,818 | $2,230 |
| University Hospitals of ClevelandCleveland | 31 | $18,016 | $2,632 | $2,070 |
| Riverside Methodist HospitalColumbus | 30 | $27,603 | $2,818 | $2,226 |
| UH Regional HospitalsRichmond Heights | 30 | $15,195 | $2,672 | $2,108 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 30 | $26,089 | $2,815 | $2,240 |
| Dublin Methodist HospitalDublin | 30 | $32,334 | $2,741 | $2,152 |
| Marion General HospitalMarion | 29 | $29,272 | $2,833 | $2,251 |
| Grand Lake Health SystemSt Marys | 29 | $12,831 | $2,616 | $2,053 |
| Grady Memorial HospitalDelaware | 29 | $26,604 | $2,815 | $2,227 |
| Mount Carmel New Albany Surgical HospitalNew Albany | 29 | $37,572 | $2,894 | $2,306 |
| Cleveland Clinic Avon HospitalAvon | 29 | $17,946 | $2,763 | $2,202 |
| University Hospitals - Elyria Medical CenterElyria | 28 | $15,403 | $2,763 | $2,202 |
| Kettering Medical CenterKettering | 27 | $25,363 | $2,905 | $2,315 |
| Mercy Regional Medical CenterLorain | 26 | $17,481 | $2,679 | $2,114 |
| Firelands Community HospitalSandusky | 25 | $11,021 | $2,666 | $2,107 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 25 | $10,509 | $2,667 | $2,104 |
| Wood County HospitalBowling Green | 24 | $15,058 | $2,762 | $2,201 |
| Blanchard Valley Health AssnFindlay | 23 | $12,835 | $2,571 | $2,009 |
| Memorial HospitalFremont | 23 | $14,215 | $2,475 | $1,914 |
| St Elizabeth Boardman Health CenterYoungstown | 23 | $18,282 | $2,659 | $2,099 |
| Mercy Hospital AndersonCincinnati | 22 | $28,370 | $2,611 | $2,033 |
| Lake Hospital SystemPainesville | 22 | $21,934 | $2,518 | $1,968 |
| Southeastern Ohio Regional Medical CenterCambridge | 22 | $19,626 | $2,950 | $2,350 |
| Van Wert County HospitalVan Wert | 21 | $7,017 | $2,893 | $2,300 |
| Marietta Memorial HospitalMarietta | 19 | $9,541 | $2,013 | $1,548 |
| Union HospitalDover | 18 | $15,498 | $2,754 | $2,194 |
| Mercy Medical CenterCanton | 18 | $18,517 | $2,754 | $2,184 |
| Lima Memorial Health SystemLima | 17 | $30,317 | $2,834 | $2,246 |
| Cleveland Clinic - Akron GeneralAkron | 17 | $16,821 | $2,754 | $2,194 |
| Avita OntarioOntario | 17 | $12,387 | $2,815 | $2,243 |
| Wooster Community HospitalWooster | 16 | $7,959 | $2,631 | $2,068 |
| Wayne HospitalGreenville | 16 | $15,142 | $2,635 | $2,072 |
| Fairfield Medical CenterLancaster | 16 | $18,142 | $2,894 | $2,306 |
| Ashtabula County Medical CenterAshtabula | 15 | $12,437 | $2,950 | $2,350 |
| Doctors HospitalColumbus | 15 | $30,665 | $2,869 | $2,286 |
| Mercy Hospital of DefianceDefiance | 15 | $16,051 | $2,893 | $2,298 |
| East Ohio Regional HospitalMartins Ferry | 14 | $9,656 | $2,754 | $2,194 |
| Mount Carmel St Ann's HospitalWesterville | 13 | $29,202 | $2,894 | $2,306 |
| Fisher Titus Memorial HospitalNorwalk | 13 | $11,260 | $2,599 | $2,024 |
| Bellevue HospitalBellevue | 13 | $24,120 | $2,654 | $2,115 |
| South Pointe HospitalWarrensville Heights | 13 | $16,950 | $2,763 | $2,202 |
| Trihealth Clinton Regional HospitalWilmington | 13 | $14,424 | $2,754 | $2,194 |
| Salem Community HospitalSalem | 12 | $15,777 | $2,754 | $2,194 |
| Mount Carmel HealthColumbus | 11 | $28,294 | $2,685 | $2,097 |
| Trumbull Memorial HospitalWarren | 11 | $23,961 | $2,754 | $2,194 |
| Samaritan Hospital - Peoples HospitalAshland | – | – | – | – |
| O'bleness Memorial HospitalAthens | – | – | – | – |
| Greene Memorial HospitalXenia | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| St Elizabeth Health CenterYoungstown | – | – | – | – |
| University Hospitals Portage Medical CenterRavenna | – | – | – | – |
| Euclid HospitalEuclid | – | – | – | – |
| Aultman HospitalCanton | – | – | – | – |
| Springfield Regional Medical CenterSpringfield | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| East Liverpool City HospitalEast Liverpool | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Joel Pomerene Memorial HospitalMillersburg | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Arthur G James Cancer HospitalColumbus | – | – | – | – |
| Kings Daughters Medical Center OhioPortsmouth | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
| Children's Hosp Medical CenterCincinnati | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Southwest General Health CenterMiddleburg Heights, OH | $1,419 |
|---|---|
| Metrohealth SystemCleveland, OH | $1,908 |
| Marietta Memorial HospitalMarietta, OH | $2,013 |
| Memorial HospitalFremont, OH | $2,475 |
| Lake Hospital SystemPainesville, OH | $2,518 |
Highest
| Ashtabula County Medical CenterAshtabula, OH | $2,950 |
|---|---|
| Southeastern Ohio Regional Medical CenterCambridge, OH | $2,950 |
| Knox Community HospitalMt Vernon, OH | $2,936 |
| Mary Rutan HospitalBellefontaine, OH | $2,910 |
| Kettering Medical CenterKettering, OH | $2,905 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Ohio?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 117 hospitals in Ohio was billed at $20,422 on average, while the average medicare-allowed amount was $2,715, of which Medicare paid $2,148. 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 Ohio, average charges were 7.5 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.