Level 3 Musculoskeletal Procedures in Virginia
What 66 hospitals in Virginia charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$28,580
Hospital list price billed
Average allowed
$2,856
Medicare's payment + patient's share
Medicare paid
$2,267
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $28,580 for level 3 musculoskeletal procedures, about 10.0 times the average medicare-allowed amount of $2,856. 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 $2,856Billed $28,580
About 10¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 musculoskeletal procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 236 | $15,563 | $2,681 | $2,127 |
| Sentara Leigh HospitalNorfolk | 208 | $18,839 | $2,795 | $2,220 |
| Henrico Doctors' HospitalRichmond | 152 | $87,198 | $2,809 | $2,233 |
| Carilion Medical CenterRoanoke | 120 | $21,790 | $2,741 | $2,177 |
| Sentara Rmh Medical CenterHarrisonburg | 112 | $16,260 | $3,115 | $2,468 |
| Mary Immaculate HospitalNewport News | 100 | $23,335 | $2,787 | $2,220 |
| Cjw Medical CenterRichmond | 91 | $86,377 | $2,762 | $2,194 |
| Bon Secours - St Francis Medical CenterMidlothian | 91 | $25,299 | $2,812 | $2,241 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 90 | $23,934 | $2,972 | $2,365 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 76 | $22,313 | $2,943 | $2,337 |
| Augusta HealthFishersville | 68 | $19,063 | $3,092 | $2,456 |
| Virginia Hospital Center - ArlingtonArlington | 66 | $14,807 | $3,035 | $2,413 |
| Winchester Medical Center INCWinchester | 60 | $11,882 | $3,141 | $2,490 |
| Martha Jefferson HospitalCharlottesville | 58 | $17,192 | $2,776 | $2,203 |
| Inova Fairfax HospitalFalls Church | 55 | $14,689 | $2,938 | $2,326 |
| Reston Hospital CenterReston | 51 | $30,114 | $3,022 | $2,398 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 45 | $21,488 | $2,984 | $2,374 |
| Medical College of Virginia HospitalsRichmond | 45 | $32,763 | $2,794 | $2,223 |
| Stafford Hospital CenterStafford | 40 | $13,918 | $2,975 | $2,358 |
| Inova Fair Oaks HospitalFairfax | 39 | $17,101 | $3,035 | $2,418 |
| The Fauquier Hospital, INCWarrenton | 38 | $26,302 | $3,035 | $2,418 |
| Lewisgale Medical CenterSalem | 35 | $74,234 | $2,747 | $2,187 |
| Sentara Bayside HospitalVirginia Beach | 35 | $21,633 | $2,816 | $2,239 |
| Chesapeake General HospitalChesapeake | 35 | $23,703 | $2,817 | $2,233 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 34 | $20,301 | $2,722 | $2,150 |
| Inova Alexandria HospitalAlexandria | 32 | $15,018 | $3,035 | $2,416 |
| Sentara Careplex HospitalHampton | 32 | $17,281 | $2,816 | $2,242 |
| Bon Secours - Maryview Medical CenterPortsmouth | 30 | $30,522 | $2,713 | $2,146 |
| Pulaski Community HospitalPulaski | 30 | $46,189 | $2,787 | $2,208 |
| Sentara Obici HospitalSuffolk | 29 | $20,526 | $2,480 | $1,960 |
| Montgomery Regional HospitalBlacksburg | 29 | $64,065 | $2,713 | $2,146 |
| Alleghany Regional HospitalJackson River | 29 | $32,048 | $2,827 | $2,205 |
| Inova Loudoun HospitalLeesburg | 27 | $15,584 | $3,035 | $2,418 |
| John Randolph Medical CenterHopewell | 26 | $79,139 | $2,558 | $1,972 |
| Riverside Regional Medical CenterNewport News | 24 | $15,428 | $2,694 | $2,128 |
| Danville Regional Medical CenterDanville | 24 | $33,222 | $2,876 | $2,284 |
| Culpeper Regional HospitalCulpeper | 23 | $19,794 | $3,035 | $2,418 |
| Inova Mount Vernon HospitalAlexandria | 23 | $15,036 | $3,035 | $2,418 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 22 | $15,153 | $2,787 | $2,220 |
| Prince William HospitalManassas | 21 | $15,725 | $2,945 | $2,322 |
| Southside Regional Medical CenterPetersburg | 20 | $37,845 | $2,816 | $2,244 |
| Sentara Northern Virginia Medical CenterWoodbridge | 20 | $25,703 | $2,914 | $2,297 |
| Sentara Norfolk General HospitalNorfolk | 19 | $21,346 | $2,816 | $2,239 |
| Carilion New River Vly Med CtrChristiansburg | 19 | $24,732 | $2,670 | $2,103 |
| Carilion Franklin Memorial HospitalRocky Mount | 19 | $23,543 | $2,787 | $2,220 |
| Riverside Tappahannock HospitalTappahannock | 18 | $9,751 | $3,016 | $2,403 |
| Johnston Memorial HospitalAbingdon | 17 | $20,800 | $2,656 | $2,090 |
| Clinch Valley Medical CenterRichlands | 16 | $30,152 | $2,521 | $1,939 |
| Warren Memorial HospitalFront Royal | 15 | $8,352 | $3,035 | $2,418 |
| Mary Washington Hospital, INCFredericksburg | 13 | $17,472 | $3,035 | $2,418 |
| Sentara Virginia Beach General HospitalVirginia Beach | 13 | $24,217 | $2,816 | $2,244 |
| Riverside Shore Memorial HospitalNassawadox | 12 | $12,631 | $2,984 | $2,375 |
| Stonesprings Hospital CenterDulles | 12 | $38,832 | $3,035 | $2,418 |
| Halifax Regional HospitalSouth Boston | 11 | $21,753 | $3,080 | $2,454 |
| Smyth County Community HospitalMarion | – | – | – | – |
| Southside Community Hospital, INCFarmville | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Bon Secours - Richmond Community HospitalRichmond | – | – | – | – |
| Bon Secours Southern Virginia Medical CenterEmporia | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Wellmont Lonesome Pine HospitalBig Stone Gap | – | – | – | – |
| Twin County Regional HospitalGalax | – | – | – | – |
| Riverside Walter Reed HospitalGloucester | – | – | – | – |
| Spotsylvania Regional Medical CenterFredericksburg | – | – | – | – |
| UVA Health Haymarket Medical CenterHaymarket | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Obici HospitalSuffolk, VA | $2,480 |
|---|---|
| Clinch Valley Medical CenterRichlands, VA | $2,521 |
| John Randolph Medical CenterHopewell, VA | $2,558 |
| Johnston Memorial HospitalAbingdon, VA | $2,656 |
| Carilion New River Vly Med CtrChristiansburg, VA | $2,670 |
Highest
| Winchester Medical Center INCWinchester, VA | $3,141 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $3,115 |
| Augusta HealthFishersville, VA | $3,092 |
| Halifax Regional HospitalSouth Boston, VA | $3,080 |
| Virginia Hospital Center - ArlingtonArlington, VA | $3,035 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Virginia?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 66 hospitals in Virginia was billed at $28,580 on average, while the average medicare-allowed amount was $2,856, of which Medicare paid $2,267. 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 Virginia, average charges were 10.0 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.