facebook tracking Level 4 Musculoskeletal Procedures cost in Arkansas: 32 hospitals compared (APC 5114)

Level 4 Musculoskeletal Procedures in Arkansas

What 32 hospitals in Arkansas charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.

APC 5114 Outpatient 2024 Medicare data
Average charge $27,016 Hospital list price billed
Average allowed $6,128 Medicare's payment + patient's share
Medicare paid $4,864 Average per service
State rank #11 of 49 1 = lowest average payment

Hospitals in Arkansas billed an average of $27,016 for level 4 musculoskeletal procedures, about 4.4 times the average medicare-allowed amount of $6,128. That payment is 9% 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 $6,128Billed $27,016

About 23¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 4 musculoskeletal procedures

Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Arkansas Surgical HospitalNorth Little Rock 442 $17,347 $6,010 $4,765
Mercy Hospital Fort SmithFort Smith 261 $12,894 $6,011 $4,772
Baptist Health Medical Center-Little RockLittle Rock 246 $29,502 $6,053 $4,806
Baxter Regional Medical CenterMountain Home 222 $22,009 $6,395 $5,081
University of Arkansas Medical SciencesLittle Rock 219 $21,107 $6,110 $4,863
Baptist Health Medical Center North Little RockNorth Little Rock 207 $32,694 $5,945 $4,697
Conway Regional Medical CenterConway 161 $26,601 $6,072 $4,823
St Vincent Infirmary Medical CenterLittle Rock 150 $34,954 $6,456 $5,120
CHI St. Vincent Hospital Hot SpringsHot Springs 136 $21,019 $6,445 $5,103
National Park Medical CenterHot Springs 125 $69,216 $6,530 $5,194
Washington Regional Med CenterFayetteville 114 $32,696 $5,999 $4,770
Mercy Hospital Northwest ArkansasRogers 110 $19,069 $5,992 $4,763
Nea Baptist Memorial HospitalJonesboro 108 $24,948 $5,856 $4,630
Baptist Health Medical Center- ConwayConway 98 $31,455 $6,032 $4,786
White River Medical CenterBatesville 75 $21,362 $6,463 $5,141
North Arkansas Reg Med CtrHarrison 72 $17,634 $6,320 $5,006
St Bernards Medical CenterJonesboro 71 $16,463 $6,034 $4,808
Baptist Health - Fort SmithFort Smith 64 $36,031 $5,933 $4,694
Siloam Springs Memorial HospitalSiloam Springs 59 $32,028 $6,034 $4,807
Northwest Medical Center-SpringdaleSpringdale 57 $60,804 $5,950 $4,724
White County Medical CenterSearcy 56 $23,990 $6,450 $5,123
Saline Memorial HospitalBenton 53 $33,803 $5,948 $4,701
St Marys Regional Medical CenterRussellville 44 $71,190 $5,975 $4,734
Jefferson Regional Medical CtrPine Bluff 39 $26,308 $6,514 $5,190
Magnolia Regional Medical CenterMagnolia 16 $14,435 $6,141 $4,825
St Vincent Medical Center/NorthSherwood 12 $44,208 $6,132 $4,886
Arkansas Methodist Medical CenterParagould 11 $22,253 $6,034 $4,808
Johnson Regional Medical CenterClarksville – – – –
Forrest City Medical CenterForrest City – – – –
Stuttgart Regional Medical CtrStuttgart – – – –
Medical Center South ArkansasEl Dorado – – – –
Arkansas Heart Hospital-EncoreBryant – – – –
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Lowest and highest allowed amounts in Arkansas

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

Highest

National Park Medical CenterHot Springs, AR$6,530
Jefferson Regional Medical CtrPine Bluff, AR$6,514
White River Medical CenterBatesville, AR$6,463
St Vincent Infirmary Medical CenterLittle Rock, AR$6,456
White County Medical CenterSearcy, AR$6,450

Level 4 Musculoskeletal Procedures in other states

Questions

How much does level 4 musculoskeletal procedures cost in Arkansas?

In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 32 hospitals in Arkansas was billed at $27,016 on average, while the average medicare-allowed amount was $6,128, of which Medicare paid $4,864. 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 Arkansas, average charges were 4.4 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.