Level 4 Musculoskeletal Procedures in Arizona
What 52 hospitals in Arizona charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$57,539
Hospital list price billed
Average allowed
$7,012
Medicare's payment + patient's share
Medicare paid
$5,573
Average per service
State rank
#37 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $57,539 for level 4 musculoskeletal procedures, about 8.2 times the average medicare-allowed amount of $7,012. That payment is 5% above 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 $7,012Billed $57,539
About 12¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 4 musculoskeletal procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 355 | $34,991 | $6,929 | $5,511 |
| Surgical Specialty Hospital of ArizonaPhoenix | 194 | $47,451 | $6,852 | $5,433 |
| Tucson Medical CenterTucson | 187 | $24,050 | $6,931 | $5,513 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 175 | $87,139 | $6,881 | $5,462 |
| Arizona Orthopedic Surgical HospitalChandler | 140 | $60,701 | $6,897 | $5,478 |
| Northwest Medical CenterTucson | 123 | $80,927 | $6,931 | $5,511 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 122 | $84,627 | $6,976 | $5,557 |
| Yuma Regional Medical CenterYuma | 119 | $53,955 | $7,371 | $5,853 |
| Oro Valley HospitalOro Valley | 119 | $73,646 | $6,821 | $5,400 |
| Arizona Spine and Joint HospitalMesa | 113 | $34,142 | $6,937 | $5,519 |
| Havasu Regional Medical CenterLake Havasu City | 112 | $74,172 | $7,744 | $6,168 |
| Yavapai Regional Medical CenterPrescott | 111 | $38,157 | $7,471 | $5,953 |
| Banner del E Webb Medical CenterSun City West | 97 | $47,451 | $6,924 | $5,506 |
| Flagstaff Medical CenterFlagstaff | 95 | $25,560 | $7,471 | $5,953 |
| Mercy Gilbert Medical CenterGilbert | 95 | $66,192 | $6,859 | $5,436 |
| Summit Healthcare Regional Medical CenterShow Low | 91 | $33,176 | $7,471 | $5,953 |
| University Medical CenterTucson | 84 | $35,652 | $6,910 | $5,490 |
| Banner Desert Medical CenterMesa | 84 | $49,113 | $6,844 | $5,425 |
| Chandler Regional Medical CenterChandler | 68 | $73,454 | $6,976 | $5,556 |
| St Joseph's Hospital and Medical CenterPhoenix | 66 | $68,341 | $6,976 | $5,557 |
| John C Lincoln North Mountain HospitalPhoenix | 64 | $86,865 | $6,976 | $5,555 |
| John C Lincoln Deer Valley HospitalPhoenix | 64 | $88,491 | $6,889 | $5,465 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 62 | $86,623 | $6,976 | $5,558 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 59 | $80,297 | $6,676 | $5,261 |
| Banner Boswell Medical CenterSun City | 57 | $43,038 | $6,879 | $5,452 |
| Banner Thunderbird Medical CenterGlendale | 52 | $47,755 | $6,976 | $5,558 |
| Banner Gateway Medical CenterGilbert | 52 | $49,566 | $6,762 | $5,344 |
| Banner - University Medical Center PhoenixPhoenix | 49 | $44,603 | $6,863 | $5,441 |
| Abrazo Scottsdale CampusPhoenix | 48 | $90,757 | $6,860 | $5,442 |
| Honorhealth Four Peaks Medical CenterMesa | 47 | $67,308 | $6,976 | $5,554 |
| Sierra Vista Regional Health Center INCSierra Vista | 43 | $71,527 | $7,471 | $5,953 |
| Carondelet St Josephs HospitalTucson | 39 | $157,950 | $6,976 | $5,558 |
| Northwest Medical Center SahuaritaSahuarita | 39 | $77,672 | $6,836 | $5,416 |
| Banner-University Medical Center South CampusTucson | 38 | $39,048 | $6,976 | $5,553 |
| Banner Baywood Medical CenterMesa | 35 | $60,055 | $6,976 | $5,558 |
| Banner Estrella Medical CenterPhoenix | 34 | $50,145 | $6,813 | $5,395 |
| Banner Ironwood Medical CenterQueen Creek | 33 | $43,625 | $6,976 | $5,552 |
| Verde Valley Medical CenterCottonwood | 30 | $27,919 | $7,471 | $5,953 |
| Casa Grande Regional Medical CenterCasa Grande | 30 | $37,130 | $7,471 | $5,953 |
| O.A.S.I.S. HospitalPhoenix | 29 | $49,152 | $6,976 | $5,558 |
| Arrowhead HospitalGlendale | 27 | $96,662 | $6,976 | $5,552 |
| Banner Ocotillo Medical CenterChandler | 27 | $53,639 | $6,770 | $5,352 |
| Valley View Medical CenterFort Mohave | 18 | $95,694 | $7,079 | $5,633 |
| Dignity Health Arizona General HospitalMesa | 18 | $44,009 | $6,976 | $5,558 |
| Western Arizona Regional Medical CtrBullhead City | 15 | $153,978 | $6,976 | $5,558 |
| Kingman Regional Medical CenterKingman | 14 | $77,233 | $6,976 | $5,558 |
| Carondelet St Marys HospitalTucson | – | – | – | – |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| Abrazo Central CampusPhoenix | – | – | – | – |
| West Valley HospitalGoodyear | – | – | – | – |
| Dignity Health - Arizona General HospitalLaveen | – | – | – | – |
| City of Hope Cancer Center PhoenixGoodyear | – | – | – | – |
Lowest and highest allowed amounts in Arizona
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
| Honorhealth Sonoran Crossing Medical CenterPhoenix, AZ | $6,676 |
|---|---|
| Banner Gateway Medical CenterGilbert, AZ | $6,762 |
| Banner Ocotillo Medical CenterChandler, AZ | $6,770 |
| Banner Estrella Medical CenterPhoenix, AZ | $6,813 |
| Oro Valley HospitalOro Valley, AZ | $6,821 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $7,744 |
|---|---|
| Verde Valley Medical CenterCottonwood, AZ | $7,471 |
| Yavapai Regional Medical CenterPrescott, AZ | $7,471 |
| Casa Grande Regional Medical CenterCasa Grande, AZ | $7,471 |
| Flagstaff Medical CenterFlagstaff, AZ | $7,471 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Arizona?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 52 hospitals in Arizona was billed at $57,539 on average, while the average medicare-allowed amount was $7,012, of which Medicare paid $5,573. 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 Arizona, average charges were 8.2 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.