Level 4 Musculoskeletal Procedures in Alabama
What 55 hospitals in Alabama charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$54,840
Hospital list price billed
Average allowed
$5,780
Medicare's payment + patient's share
Medicare paid
$4,562
Average per service
State rank
#2 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $54,840 for level 4 musculoskeletal procedures, about 9.5 times the average medicare-allowed amount of $5,780. That payment is 14% below the U.S. average of $6,708.
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 $5,780Billed $54,840
About 11¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 4 musculoskeletal procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 469 | $34,593 | $5,849 | $4,616 |
| St Vincent's BirminghamBirmingham | 338 | $35,943 | $5,838 | $4,620 |
| Grandview Medical CenterBirmingham | 274 | $149,657 | $5,605 | $4,405 |
| Crestwood Medical CenterHuntsville | 168 | $104,801 | $5,838 | $4,611 |
| D C H Regional Medical CenterTuscaloosa | 155 | $25,130 | $6,410 | $5,079 |
| University of Alabama HospitalBirmingham | 141 | $52,553 | $5,837 | $4,623 |
| Jack Hughston Memorial HospitalPhenix City | 139 | $15,671 | $5,673 | $4,465 |
| Flowers HospitalDothan | 134 | $102,618 | $5,860 | $4,612 |
| Marshall Medical Center SouthBoaz | 104 | $15,258 | $5,613 | $4,408 |
| South Baldwin Regional Medical CenterFoley | 101 | $107,417 | $5,753 | $4,545 |
| Athens-Limestone HospitalAthens | 91 | $25,450 | $4,073 | $3,227 |
| Springhill Medical CenterMobile | 84 | $13,624 | $5,766 | $4,560 |
| Jackson Hospital & Clinic INCMontgomery | 78 | $25,724 | $5,638 | $4,429 |
| East Alabama Medical Center and SnfOpelika | 66 | $12,060 | $6,253 | $4,963 |
| Mobile InfirmaryMobile | 65 | $20,256 | $5,531 | $4,363 |
| Cullman Regional Medical CenterCullman | 62 | $24,672 | $6,299 | $4,982 |
| Southeast Alabama Medical CenterDothan | 61 | $50,445 | $5,968 | $4,722 |
| North Alabama Medical CenterFlorence | 57 | $32,807 | $5,707 | $4,516 |
| Thomas HospitalFairhope | 55 | $28,893 | $5,848 | $4,642 |
| Riverview Regional Medical CenterGadsden | 46 | $81,254 | $5,931 | $4,726 |
| Walker Baptist Medical CenterJasper | 43 | $66,649 | $5,999 | $4,708 |
| Gadsden Regional Medical CenterGadsden | 41 | $120,942 | $5,611 | $4,399 |
| Northeast Alabama Regional Med CenterAnniston | 38 | $53,928 | $6,249 | $4,923 |
| Decatur General HospitalDecatur | 38 | $33,635 | $6,043 | $4,815 |
| Medical Center EnterpriseEnterprise | 37 | $123,455 | $5,734 | $4,543 |
| Baptist Medical Center SouthMontgomery | 33 | $27,512 | $5,565 | $4,377 |
| Shelby Baptist Medical CenterAlabaster | 30 | $68,527 | $5,020 | $3,804 |
| Providence HospitalMobile | 30 | $15,826 | $5,774 | $4,569 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 30 | $31,667 | $5,972 | $4,752 |
| Brookwood Medical CenterBirmingham | 28 | $109,361 | $5,755 | $4,541 |
| Dekalb Regional Medical CenterFort Payne | 25 | $67,025 | $6,077 | $4,802 |
| St Vincent's EastBirmingham | 18 | $38,032 | $5,708 | $4,494 |
| Highlands Medical CenterScottsboro | 18 | $23,441 | $6,261 | $4,925 |
| Helen Keller Memorial HospitalSheffield | 17 | $15,410 | $5,585 | $4,394 |
| USA Health University HospitalMobile | 16 | $23,221 | $5,636 | $4,431 |
| Princeton Baptist Medical CenterBirmingham | 16 | $93,350 | $5,675 | $4,453 |
| Andalusia Regional HospitalAndalusia | 15 | $46,204 | $6,122 | $4,878 |
| Russell HospitalAlexander City | 15 | $15,680 | $5,303 | $4,101 |
| North Baldwin InfirmaryBay Minette | 12 | $11,701 | $5,938 | $4,731 |
| Coosa Valley Medical CenterSylacauga | 11 | $22,518 | $5,502 | $4,286 |
| Mizell Memorial HospitalOpp | – | – | – | – |
| UAB Callahan Eye Hospital AuthorityBirmingham | – | – | – | – |
| Dale Medical CenterOzark | – | – | – | – |
| North Mississippi Health Services - South MarionWinfield | – | – | – | – |
| Elmore Community HospitalWetumpka | – | – | – | – |
| Citizens Baptist Medical CenterTalladega | – | – | – | – |
| Prattville Baptist HospitalPrattville | – | – | – | – |
| Vaughan Reg Med Center Parkway CampusSelma | – | – | – | – |
| Troy Regional Medical CenterTroy | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| Baptist Medical Center EastMontgomery | – | – | – | – |
| L V Stabler Memorial HospitalGreenville | – | – | – | – |
| Shoals HospitalMuscle Shoals | – | – | – | – |
| Russellville HospitalRussellville | – | – | – | – |
| St Vincent's ChiltonClanton | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Athens-Limestone HospitalAthens, AL | $4,073 |
|---|---|
| Shelby Baptist Medical CenterAlabaster, AL | $5,020 |
| Russell HospitalAlexander City, AL | $5,303 |
| Coosa Valley Medical CenterSylacauga, AL | $5,502 |
| Mobile InfirmaryMobile, AL | $5,531 |
Highest
| D C H Regional Medical CenterTuscaloosa, AL | $6,410 |
|---|---|
| Cullman Regional Medical CenterCullman, AL | $6,299 |
| Highlands Medical CenterScottsboro, AL | $6,261 |
| East Alabama Medical Center and SnfOpelika, AL | $6,253 |
| Northeast Alabama Regional Med CenterAnniston, AL | $6,249 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Alabama?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 55 hospitals in Alabama was billed at $54,840 on average, while the average medicare-allowed amount was $5,780, of which Medicare paid $4,562. 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 Alabama, average charges were 9.5 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.