Level 3 Musculoskeletal Procedures in Pennsylvania
What 128 hospitals in Pennsylvania charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$24,977
Hospital list price billed
Average allowed
$2,901
Medicare's payment + patient's share
Medicare paid
$2,303
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $24,977 for level 3 musculoskeletal procedures, about 8.6 times the average medicare-allowed amount of $2,901. That payment is 3% 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 $2,901Billed $24,977
About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 musculoskeletal procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 379 | $20,135 | $3,086 | $2,448 |
| Oss Orthopaedic HospitalYork | 183 | $12,922 | $2,922 | $2,317 |
| Crozer Chester Medical CenterChester | 173 | $19,263 | $2,555 | $2,033 |
| Penn Presbyterian Medical CenterPhiladelphia | 168 | $42,436 | $3,133 | $2,490 |
| Geisinger Medical CenterDanville | 161 | $59,086 | $2,840 | $2,252 |
| Surgical Institute of ReadingWyomissing | 144 | $17,114 | $2,897 | $2,305 |
| St Luke's Hospital BethlehemBethlehem | 136 | $36,282 | $3,033 | $2,402 |
| Evangelical Community HospitalLewisburg | 119 | $28,554 | $2,891 | $2,302 |
| Phoenixville HospitalPhoenixville | 106 | $14,840 | $3,099 | $2,464 |
| Lancaster General HospitalLancaster | 97 | $18,683 | $2,868 | $2,275 |
| Physicians Care Surgical HospitalRoyersford | 94 | $26,396 | $3,037 | $2,417 |
| Thomas Jefferson University HospitalPhiladelphia | 93 | $23,083 | $3,087 | $2,458 |
| Robert Packer HospitalSayre | 89 | $15,317 | $2,787 | $2,182 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 86 | $44,598 | $1,957 | $1,552 |
| UPMC St MargaretPittsburgh | 83 | $33,967 | $2,839 | $2,251 |
| UPMC PassavantPittsburgh | 83 | $30,438 | $2,863 | $2,272 |
| UPMC Presbyterian ShadysidePittsburgh | 83 | $43,013 | $2,845 | $2,250 |
| Gettysburg HospitalGettysburg | 78 | $13,212 | $1,664 | $1,322 |
| Wilkes-Barre General HospitalWilkes-Barre | 78 | $30,857 | $2,832 | $2,240 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 77 | $25,483 | $3,261 | $2,598 |
| Williamsport Hospital & Medical CenterWilliamsport | 74 | $22,518 | $2,829 | $2,240 |
| UPMC Pinnacle HospitalsHarrisburg | 73 | $14,462 | $2,901 | $2,310 |
| Doylestown HospitalDoylestown | 70 | $21,367 | $3,123 | $2,488 |
| Chester County HospitalWest Chester | 68 | $20,129 | $3,123 | $2,487 |
| Lehigh Valley Hospital - Dickson CityDickson City | 68 | $22,527 | $2,857 | $2,265 |
| Saint Vincent Health CenterErie | 67 | $22,480 | $3,333 | $2,633 |
| Main Line Hospital PaoliPaoli | 67 | $17,935 | $3,087 | $2,451 |
| Jefferson Health- NortheastPhiladelphia | 66 | $16,697 | $3,050 | $2,413 |
| Milton S Hershey Medical CenterHershey | 63 | $37,599 | $2,321 | $1,849 |
| Advanced Surgical HospitalWashington | 62 | $20,125 | $2,854 | $2,265 |
| Dubois Regional Medical CenterDubois | 59 | $9,672 | $2,920 | $2,297 |
| St Mary Medical CenterLanghorne | 59 | $21,890 | $3,217 | $2,563 |
| St Luke's Hospital - Anderson CampusEaston | 57 | $39,334 | $2,868 | $2,267 |
| St Clair Memorial HospitalPittsburgh | 53 | $16,100 | $2,891 | $2,303 |
| Geisinger-Community Medical CenterScranton | 50 | $52,603 | $2,891 | $2,303 |
| Altoona Regional Health SystemAltoona | 50 | $17,776 | $3,047 | $2,416 |
| Holy Spirit HospitalCamp Hill | 47 | $38,699 | $2,931 | $2,332 |
| Temple University HospitalPhiladelphia | 47 | $63,795 | $3,206 | $2,538 |
| St Luke's Quakertown HospitalQuakertown | 47 | $40,839 | $3,074 | $2,431 |
| Reading Hospital and Med CtrWest Reading | 44 | $17,857 | $2,957 | $2,356 |
| Grand View HospitalSellersville | 42 | $16,336 | $3,063 | $2,429 |
| Main Line Hospital LankenauWynnewood | 42 | $16,666 | $3,123 | $2,476 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 41 | $17,456 | $3,123 | $2,488 |
| Carlisle Regional Medical CtrCarlisle | 39 | $14,530 | $2,931 | $2,335 |
| Mercy Hospital ScrantonScranton | 39 | $35,040 | $2,714 | $2,126 |
| Jefferson Regional Medical CenterClairton | 39 | $18,906 | $2,891 | $2,303 |
| Mount Nittany Medical CenterState College | 39 | $18,589 | $3,266 | $2,602 |
| Hospital of the Univ of PaPhiladelphia | 38 | $48,738 | $2,540 | $2,024 |
| Jameson Memorial HospitalNew Castle | 37 | $13,647 | $2,844 | $2,256 |
| Lansdale HospitalLansdale | 35 | $8,974 | $3,037 | $2,412 |
| Washington Hospital, theWashington | 35 | $11,784 | $2,891 | $2,303 |
| Pottstown Memorial Med CenterPottstown | 34 | $16,489 | $3,037 | $2,411 |
| UPMC MemorialYork | 32 | $10,607 | $1,701 | $1,355 |
| Lewistown HospitalLewistown | 31 | $15,890 | $2,503 | $1,986 |
| Allegheny General HospitalPittsburgh | 29 | $21,860 | $2,812 | $2,222 |
| Wellspan Surgery and Rehabilitation HospitalYork | 29 | $29,264 | $2,990 | $2,382 |
| Meadville Medical CenterMeadville | 28 | $12,370 | $3,096 | $2,467 |
| Uniontown HospitalUniontown | 27 | $5,674 | $2,891 | $2,303 |
| Chambersburg HospitalChambersburg | 27 | $19,663 | $3,134 | $2,478 |
| Hazleton General HospitalHazleton | 27 | $21,733 | $2,891 | $2,303 |
| Wayne Memorial HospitalHonesdale | 26 | $12,598 | $2,572 | $2,038 |
| UPMC EastMonroeville | 25 | $32,900 | $2,741 | $2,165 |
| UPMC LititzLititz | 24 | $17,334 | $2,909 | $2,318 |
| Latrobe Area HospitalLatrobe | 24 | $12,400 | $2,891 | $2,292 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 24 | $17,772 | $2,797 | $2,204 |
| Butler Health SystemButler | 22 | $13,363 | $2,891 | $2,292 |
| St Luke's Hospital - Carbon CampusLehighton | 22 | $32,030 | $2,843 | $2,244 |
| Conemaugh Valley Memorial HospitalJohnstown | 21 | $14,112 | $3,096 | $2,467 |
| Indiana Regional Medical CenterIndiana | 21 | $16,950 | $3,102 | $2,471 |
| Allegheny Valley HospitalNatrona Heights | 20 | $13,274 | $2,891 | $2,294 |
| Easton HospitalEaston | 19 | $43,565 | $2,978 | $2,346 |
| Penn State Health Hampden Medical CenterEnola | 19 | $29,758 | $2,900 | $2,311 |
| Heritage Valley BeaverBeaver | 18 | $6,273 | $2,570 | $2,047 |
| Nason HospitalRoaring Spring | 18 | $16,902 | $2,891 | $2,303 |
| Chestnut Hill HospitalPhiladelphia | 17 | $58,147 | $3,145 | $2,497 |
| Hamot Medical CenterErie | 17 | $31,576 | $3,412 | $2,707 |
| Grove City Medical CenterGrove City | 17 | $12,840 | $2,891 | $2,303 |
| AHN Wexford HospitalWexford | 17 | $19,489 | $2,891 | $2,303 |
| West Penn HospitalPittsburgh | 16 | $17,735 | $2,747 | $2,159 |
| Northwest Medical CenterOil City | 16 | $13,389 | $2,891 | $2,303 |
| Edgewood Surgical HospitalTransfer | 16 | $13,869 | $2,891 | $2,303 |
| Good Samaritan HospitalLebanon | 15 | $17,728 | $2,702 | $2,119 |
| Sharon Regional Health SystemSharon | 15 | $37,294 | $2,892 | $2,269 |
| Ephrata Community HospitalEphrata | 15 | $30,404 | $2,951 | $2,352 |
| Bucks County Specialty HospitalBensalem | 15 | $45,326 | $3,123 | $2,482 |
| Holy Redeemer Hosp and Med CtrJenkintown | 14 | $11,447 | $3,037 | $2,419 |
| Riddle Memorial HospitalMedia | 14 | $17,695 | $3,145 | $2,493 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 14 | $13,188 | $3,037 | $2,419 |
| Penn State Health Lancaster Medical CenterLancaster | 14 | $40,698 | $2,445 | $1,948 |
| UPMC HorizonGreenville | 13 | $31,585 | $2,891 | $2,303 |
| Somerset HospitalSomerset | 12 | $16,633 | $3,096 | $2,458 |
| Excela Health Westmoreland Regional HospitalGreensburg | 12 | $11,664 | $2,891 | $2,288 |
| Monongahela Valley HospitalMonongahela | 12 | $10,432 | $2,891 | $2,303 |
| ACMH HospitalKittanning | 12 | $17,991 | $2,709 | $2,108 |
| UPMC KaneKane | 11 | $8,633 | $3,096 | $2,464 |
| Albert Einstein Medical CenterPhiladelphia | 11 | $18,499 | $3,145 | $2,506 |
| St Luke's Miners Memorial HospitalCoaldale | 11 | $26,701 | $2,766 | $2,160 |
| Geisinger Medical Center MuncyMuncy | 11 | $11,692 | $2,891 | $2,303 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Lower Bucks HospitalBristol | – | – | – | – |
| Delaware County Memorial HospitalDrexel Hill | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| St Joseph Medical CenterReading | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Waynesboro HospitalWaynesboro | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| Highlands HospitalConnellsville | – | – | – | – |
| Fox Chase Cancer CenterPhiladelphia | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Pocono Medical CenterEast Stroudsburg | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Abington Memorial HospitalAbington | – | – | – | – |
| Hanover HospitalHanover | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Gettysburg HospitalGettysburg, PA | $1,664 |
|---|---|
| UPMC MemorialYork, PA | $1,701 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $1,957 |
| Milton S Hershey Medical CenterHershey, PA | $2,321 |
| Penn State Health Lancaster Medical CenterLancaster, PA | $2,445 |
Highest
| Hamot Medical CenterErie, PA | $3,412 |
|---|---|
| Saint Vincent Health CenterErie, PA | $3,333 |
| Mount Nittany Medical CenterState College, PA | $3,266 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $3,261 |
| St Mary Medical CenterLanghorne, PA | $3,217 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Pennsylvania?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 128 hospitals in Pennsylvania was billed at $24,977 on average, while the average medicare-allowed amount was $2,901, of which Medicare paid $2,303. 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 Pennsylvania, average charges were 8.6 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.