Level 3 Musculoskeletal Procedures in Washington
What 45 hospitals in Washington charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$22,300
Hospital list price billed
Average allowed
$3,260
Medicare's payment + patient's share
Medicare paid
$2,586
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $22,300 for level 3 musculoskeletal procedures, about 6.8 times the average medicare-allowed amount of $3,260. That payment is 9% above 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 $3,260Billed $22,300
About 15¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 3 musculoskeletal procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Confluence Health HospitalWenatchee | 167 | $17,137 | $3,394 | $2,684 |
| Valley Hospital & Medical CenterSpokane | 107 | $19,214 | $3,225 | $2,561 |
| Yakima Valley Memorial HospitalYakima | 103 | $14,268 | $3,317 | $2,635 |
| Olympic Medical CenterPort Angeles | 103 | $7,513 | $3,456 | $2,749 |
| Evergreenhealth Medical CenterKirkland | 91 | $16,394 | $3,306 | $2,634 |
| Skagit Valley HospitalMt Vernon | 90 | $18,898 | $3,273 | $2,607 |
| Virginia Mason Medical CenterSeattle | 88 | $19,310 | $3,183 | $2,523 |
| University of Washington Medical CtrSeattle | 88 | $17,599 | $3,219 | $2,558 |
| St Michael Medical CenterBremerton | 88 | $45,250 | $3,365 | $2,655 |
| Providence Holy Family HospitalSpokane | 80 | $19,320 | $3,216 | $2,556 |
| Tacoma General HospitalTacoma | 71 | $26,177 | $3,204 | $2,543 |
| Peacehealth St Joseph Medical CenterBellingham | 63 | $22,012 | $3,435 | $2,727 |
| Providence St Peter HospitalOlympia | 58 | $20,702 | $3,273 | $2,607 |
| St Joseph Medical CenterTacoma | 55 | $37,859 | $3,238 | $2,558 |
| Swedish Medical CenterSeattle | 53 | $23,056 | $3,468 | $2,762 |
| Grays Harbor Community HospitalAberdeen | 51 | $29,573 | $3,436 | $2,724 |
| Providence Sacred Heart Medical CenterSpokane | 43 | $17,268 | $3,249 | $2,588 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 43 | $27,448 | $3,211 | $2,534 |
| Harborview Medical CenterSeattle | 42 | $21,772 | $3,249 | $2,588 |
| Toppenish Community HospitalToppenish | 41 | $21,979 | $1,490 | $1,182 |
| Samaritan HospitalMoses Lake | 40 | $21,110 | $3,410 | $2,703 |
| Valley Medical CenterRenton | 38 | $18,663 | $3,167 | $2,495 |
| Providence St Mary Medical CenterWalla Walla | 35 | $25,549 | $3,479 | $2,769 |
| St Clare HospitalLakewood | 33 | $37,009 | $3,093 | $2,416 |
| Overlake Hospital Medical CenterBellevue | 33 | $40,979 | $3,306 | $2,618 |
| Trios HealthKennewick | 27 | $18,243 | $3,153 | $2,492 |
| Swedish IssaquahIssaquah | 26 | $23,651 | $3,306 | $2,633 |
| Cascade Valley HospitalArlington | 23 | $15,529 | $3,191 | $2,519 |
| St Anthony HospitalGig Harbor | 23 | $49,631 | $3,335 | $2,653 |
| Island HospitalAnacortes | 19 | $19,768 | $3,187 | $2,539 |
| Peachealth St John Medical CenterLongview | 19 | $27,673 | $3,448 | $2,717 |
| Kadlec Regional Medical CenterRichland | 16 | $14,715 | $3,249 | $2,588 |
| St Francis Community HospitalFederal Way | 16 | $48,979 | $3,141 | $2,451 |
| Providence Regional Medical Center EverettEverett | 15 | $28,295 | $3,306 | $2,634 |
| Deaconess Medical CenterSpokane | 15 | $19,060 | $3,076 | $2,416 |
| S W Washington Medical CenterVancouver | 15 | $20,018 | $3,216 | $2,504 |
| Auburn Regional Medical CenterAuburn | 14 | $27,077 | $3,118 | $2,435 |
| Legacy Salmon Creek Medical CenterVancouver | 14 | $16,952 | $3,396 | $2,706 |
| Multicare Covington Medical CenterCovington | 12 | $29,132 | $3,306 | $2,634 |
| Swedish Edmonds HospitalEdmonds | 11 | $20,393 | $3,306 | $2,634 |
| Capital Medical CenterOlympia | 11 | $25,309 | $3,335 | $2,657 |
| Highline Medical CenterBurien | – | – | – | – |
| Providence Centralia HospitalCentralia | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Toppenish Community HospitalToppenish, WA | $1,490 |
|---|---|
| Deaconess Medical CenterSpokane, WA | $3,076 |
| St Clare HospitalLakewood, WA | $3,093 |
| Auburn Regional Medical CenterAuburn, WA | $3,118 |
| St Francis Community HospitalFederal Way, WA | $3,141 |
Highest
| Providence St Mary Medical CenterWalla Walla, WA | $3,479 |
|---|---|
| Swedish Medical CenterSeattle, WA | $3,468 |
| Olympic Medical CenterPort Angeles, WA | $3,456 |
| Peachealth St John Medical CenterLongview, WA | $3,448 |
| Grays Harbor Community HospitalAberdeen, WA | $3,436 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Washington?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 45 hospitals in Washington was billed at $22,300 on average, while the average medicare-allowed amount was $3,260, of which Medicare paid $2,586. 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 Washington, average charges were 6.8 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.