facebook tracking Level 4 Musculoskeletal Procedures cost in California: 245 hospitals compared (APC 5114)

Level 4 Musculoskeletal Procedures in California

What 245 hospitals in California charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.

APC 5114 Outpatient 2024 Medicare data
Average charge $69,795 Hospital list price billed
Average allowed $9,047 Medicare's payment + patient's share
Medicare paid $7,417 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $69,795 for level 4 musculoskeletal procedures, about 7.7 times the average medicare-allowed amount of $9,047. That payment is 35% 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 $9,047Billed $69,795

About 13¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 4 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 575 $102,226 $9,975 $8,345
Cedars-Sinai Medical CenterLos Angeles 452 $131,998 $8,704 $7,073
Eisenhower Memorial HospitalRancho Mirage 389 $47,357 $8,737 $7,105
UCSF Medical CenterSan Francisco 340 $62,172 $9,991 $8,359
Scripps Green HospitalLa Jolla 244 $102,717 $8,691 $7,072
Sutter Roseville Medical CenterRoseville 232 $41,249 $9,004 $7,369
University of California Davis Medical CenterSacramento 232 $88,834 $8,914 $7,282
University of California San Diego Medical CenterSan Diego 206 $57,597 $8,374 $6,813
USC University HospitalLos Angeles 202 $51,446 $8,763 $7,130
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 183 $36,905 $8,676 $7,051
Enloe Medical CenterChico 177 $54,534 $8,792 $7,160
Santa Barbara Cottage HospitalSanta Barbara 176 $47,877 $9,414 $7,782
Marina del Rey HospitalMarina del Rey 162 $58,166 $8,738 $7,113
Torrance Memorial Medical CenterTorrance 158 $45,181 $8,659 $7,021
UCI Health-OrangeOrange 157 $61,628 $8,759 $7,132
Kaweah Delta Medical CenterVisalia 154 $26,970 $8,415 $6,836
Clovis Community Medical CenterClovis 152 $32,487 $8,749 $7,116
Mercy Medical Center ReddingRedding 149 $50,590 $8,696 $7,063
Stanford Health Care Tri-ValleyPleasanton 147 $77,296 $10,066 $8,432
Sonora Community HospitalSonora 145 $84,059 $9,369 $7,735
Peninsula Medical CenterBurlingame 140 $48,030 $9,788 $8,156
St Joseph HospitalEureka 131 $68,620 $8,688 $7,048
Marian Medical CenterSanta Maria 127 $73,735 $8,749 $7,114
El Camino HospitalMountain View 124 $97,864 $9,998 $8,363
Memorial Medical CenterModesto 122 $50,964 $8,564 $6,930
Fresno Surgical HospitalFresno 121 $29,598 $8,792 $7,160
Sutter General HospitalSacramento 114 $44,444 $9,866 $8,229
Mercy General HospitalSacramento 110 $85,018 $9,132 $7,498
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 110 $48,093 $9,481 $7,847
Sequoia HospitalRedwood City 108 $75,277 $9,910 $8,274
UCLA Medical CenterLos Angeles 104 $38,580 $8,792 $7,156
Huntington Memorial HospitalPasadena 103 $55,765 $8,639 $7,021
Community Memorial Hospital - VenturaVentura 102 $51,093 $8,792 $7,158
St Jude Medical CenterFullerton 101 $36,404 $8,792 $7,158
Hoag Orthopedic InstituteIrvine 100 $49,022 $8,721 $7,089
Marshall Medical Center (1-Rh)Placerville 97 $89,820 $9,055 $7,422
Patients' Hospital of ReddingRedding 95 $36,356 $8,623 $6,984
Santa Rosa Memorial HospitalSanta Rosa 94 $115,400 $10,011 $8,378
Dominican HospitalSanta Cruz 92 $63,677 $9,368 $7,733
Sharp Memorial HospitalSan Diego 90 $53,390 $8,792 $7,160
Adventist Health BakersfieldBakersfield 90 $78,929 $8,635 $7,002
Sutter Surgical Hospital - North ValleyYuba City 90 $49,250 $8,766 $7,134
Eden Medical CenterCastro Valley 88 $38,594 $9,832 $8,198
Mission Hospital Regional Med CenterMission Viejo 87 $68,974 $8,792 $7,160
Loma Linda University Medical CenterLoma Linda 84 $84,443 $8,792 $7,160
Providence Tarzana Medical CenterTarzana 84 $71,358 $8,733 $7,097
Barton Memorial HospitalSouth Lake Tahoe 83 $83,280 $9,042 $7,408
Marinhealth Medical CenterGreenbrae 83 $128,378 $9,983 $8,351
Twin Cities Community HospitalTempleton 83 $91,578 $8,706 $7,073
Scripps Memorial Hospital - EncinitasEncinitas 80 $109,220 $8,703 $7,068
Hoag Memorial Hospital PresbyterianNewport Beach 79 $46,413 $8,702 $7,070
Queen of the Valley Medical CenterNapa 76 $65,459 $9,917 $8,285
Providence Saint Joseph Medical CtrBurbank 75 $59,224 $8,602 $6,970
Sutter Medical Center of Santa RosaSanta Rosa 74 $46,868 $9,543 $7,910
Mercy Medical Ctr MercedMerced 74 $34,140 $8,696 $7,048
Grossmont HospitalLa Mesa 71 $59,874 $8,792 $7,157
Saint John's Health CenterSanta Monica 69 $41,319 $8,792 $7,160
Los Robles Hospital & Medical CenterThousand Oaks 69 $176,429 $8,689 $7,057
St Johns Regional Medical CenterOxnard 68 $65,728 $8,687 $7,049
Scripps Memorial Hospital la JollaLa Jolla 67 $98,032 $8,344 $6,732
Long Beach Memorial Medical CenterLong Beach 67 $56,439 $8,792 $7,159
French Hospital Medical CenterSan Luis Obispo 65 $69,705 $8,792 $7,160
Good Samaritan HospitalSan Jose 64 $177,405 $10,066 $8,432
Washington HospitalFremont 61 $71,106 $10,066 $8,434
California Pacific Medical Ctr-Davies Campus HospSan Francisco 60 $40,049 $10,074 $8,441
Valley Presbyterian HospitalVan Nuys 60 $36,733 $8,792 $7,160
Providence Little Company of Mary Med Ctr TorranceTorrance 58 $54,308 $8,746 $7,110
PIH Health Hospital-WhittierWhittier 57 $58,460 $8,600 $6,957
John F Kennedy Memorial HospIndio 54 $130,800 $8,793 $7,148
Saint Agnes Medical CenterFresno 53 $50,565 $8,657 $7,025
Glendale Adventist Medical CtrGlendale 52 $84,243 $8,708 $7,079
Community Hospital of the Monterey PeninsulaMonterey 50 $48,176 $9,897 $8,265
Doctors Medical CenterModesto 50 $108,700 $8,506 $6,873
Community Regional Medical CenterFresno 48 $62,109 $8,792 $7,158
Henry Mayo Newhall Memorial HospitalValencia 48 $65,047 $8,793 $7,153
Southwest Healthcare SystemMurrieta 47 $49,547 $8,793 $7,152
Mercy San Juan Medical CenterCarmichael 46 $78,480 $8,812 $7,174
Dameron HospitalStockton 44 $99,152 $8,980 $7,348
Goleta Valley Cottage HospitalSanta Barbara 44 $61,470 $8,792 $7,160
Los Alamitos Medical CenterLos Alamitos 44 $117,380 $8,792 $7,157
Salinas Valley Memorial HospitalSalinas 43 $58,189 $10,066 $8,434
Northbay Medical CenterFairfield 43 $208,179 $10,092 $8,450
Oroville HospitalOroville 42 $25,178 $8,792 $7,160
Scripps Mercy HospitalSan Diego 42 $106,966 $8,793 $7,149
Novato Community HospitalNovato 42 $48,381 $9,983 $8,351
St Joseph HospitalOrange 41 $41,260 $8,792 $7,160
White Memorial Medical CenterLos Angeles 41 $120,188 $8,793 $7,155
Shasta Regional Medical CenterRedding 41 $96,432 $8,618 $6,986
Woodland Memorial HospitalWoodland 40 $53,930 $9,132 $7,500
Emanuel Medical Center INCTurlock 38 $172,379 $8,824 $7,182
Sierra Vista Regional Medical CenterSan Luis Obispo 38 $91,511 $8,792 $7,160
Pomona Valley Hospital Medical CenterPomona 37 $66,143 $8,792 $7,160
San Ramon Regional Medical CtrSan Ramon 37 $92,669 $9,953 $8,317
Adventist Health TulareTulare 36 $36,658 $8,792 $7,160
St Elizabeth Community HospitalRed Bluff 35 $64,029 $9,414 $7,782
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 35 $42,876 $9,972 $8,340
UCI Health-Placentia LindaPlacentia 34 $99,414 $8,792 $7,160
San Antonio Community HospitalUpland 33 $62,392 $8,364 $6,724
Sierra Nevada Memorial HospitalGrass Valley 33 $37,974 $9,132 $7,500
Rideout Memorial HospitalMarysville 32 $54,701 $9,414 $7,780
Redlands Community HospitalRedlands 32 $53,158 $8,792 $7,157
Mercy HospitalBakersfield 32 $62,580 $8,345 $6,712
Sutter Auburn Faith HospitalAuburn 31 $51,040 $8,890 $7,257
Sutter Davis HospitalDavis 31 $48,124 $8,890 $7,258
Lompoc Healthcare DistrictLompoc 30 $20,636 $8,646 $7,041
St Mary Medical CenterApple Valley 30 $35,237 $8,792 $7,160
Mercy Hospital of FolsomFolsom 30 $83,134 $9,132 $7,490
Riverside Community HospitalRiverside 29 $156,688 $8,566 $6,926
Northridge Hospital Medical CenterNorthridge 28 $83,845 $8,792 $7,160
St Josephs Med Center of StocktonStockton 27 $78,050 $9,808 $8,176
Lodi Memorial HospitalLodi 27 $121,431 $8,980 $7,348
Orange Coast Memorial Medical CenterFountain Valley 27 $61,242 $8,792 $7,160
Loma Linda University Medical Center-MurrietaMurrieta 27 $54,647 $8,793 $7,152
Bakersfield Memorial HospitalBakersfield 26 $61,144 $8,517 $6,876
Petaluma Valley HospitalPetaluma 26 $73,223 $9,543 $7,902
Providence Holy Cross Medical CenterMission Hills 26 $60,350 $8,792 $7,160
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 26 $50,422 $9,927 $8,268
St Mary's Medical CenterSan Francisco 26 $50,528 $10,217 $8,582
Good Samaritan HospitalLos Angeles 26 $55,724 $8,517 $6,876
Hanford Community Medical CenterHanford 25 $37,656 $8,160 $6,629
Tri-City Medical CenterOceanside 25 $40,644 $8,793 $7,147
USC Arcadia HospitalArcadia 25 $48,184 $8,220 $6,588
Palomar Medical CenterEscondido 23 $76,361 $6,302 $4,670
Saddleback Memorial Medical CenterLaguna Hills 23 $58,608 $8,792 $7,160
John Muir Medical Center - Walnut Creek CampusWalnut Creek 22 $109,464 $9,953 $8,321
Kern Medical CenterBakersfield 22 $36,028 $8,623 $6,974
Emanate Health Inter-Community HospitalCovina 22 $43,728 $8,792 $7,160
Temecula Valley HospitalTemecula 22 $55,889 $8,792 $7,160
Mad River Community HospitalArcata 21 $34,139 $8,793 $7,149
Santa Clara Valley Medical CenterSan Jose 21 $39,792 $10,066 $8,423
Downey Regional Medical CenterDowney 21 $35,159 $8,792 $7,160
Casa Colina HospitalPomona 21 $34,624 $8,793 $7,149
Ventura County Medical CenterVentura 20 $37,282 $8,792 $7,160
Palomar Medical Center PowayPoway 20 $52,493 $7,002 $5,370
Palmdale Regional Medical CenterLancaster 19 $129,590 $8,464 $6,814
Hollywood Presbyterian Medical CenterLos Angeles 18 $46,587 $8,793 $7,147
Sonoma Valley HospitalSonoma 18 $96,374 $9,543 $7,911
St Bernardine Medical CenterSan Bernardino 18 $49,895 $8,792 $7,160
San Francisco General HospitalSan Francisco 18 $83,593 $10,217 $8,585
Desert Regional Medical CenterPalm Springs 18 $158,584 $8,792 $7,160
West Hills Hospital & Medical CenterWest Hills 18 $201,725 $8,793 $7,154
John Muir Medical Center - Concord CampusConcord 18 $83,384 $9,953 $8,321
St Helena HospitalDeer Park 17 $116,713 $9,177 $7,545
Verdugo Hills HospitalGlendale 17 $43,356 $8,371 $6,739
Sutter Tracy Community HospitalTracy 17 $39,904 $8,548 $6,916
Pioneers Memorial Healthcare DistrictBrawley 17 $25,032 $8,792 $7,160
Regional Medical Center of San JoseSan Jose 16 $155,771 $10,066 $8,434
Saint Francis Memorial HospitalSan Francisco 16 $80,856 $10,217 $8,585
Simi Valley Hospital & Health Care ServicesSimi Valley 16 $71,625 $8,792 $7,160
Contra Costa Regional Medical CenterMartinez 16 $30,916 $9,953 $8,321
Highland HospitalOakland 16 $61,161 $9,927 $8,274
Stanislaus Surgical HospitalModesto 16 $80,262 $8,984 $7,337
Sharp Coronado Hospital and Hlthcr CtrCoronado 15 $61,941 $8,792 $7,160
Natividad Medical CenterSalinas 15 $55,132 $9,509 $7,877
Methodist Hospital of SacramentoSacramento 15 $64,804 $6,941 $5,665
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 14 $47,221 $10,217 $8,585
Sutter Solano Medical CenterVallejo 14 $36,674 $10,284 $8,652
Los Angeles General Medical CenterLos Angeles 14 $64,196 $8,792 $7,156
Fountain Valley Regional Hospital & Medical CenterFountain Valley 14 $118,575 $8,792 $7,160
Whittier Hospital Medical CenterWhittier 14 $49,278 $8,792 $7,160
Lac/Olive View-UCLA Medical CenterSylmar 13 $61,831 $8,793 $7,142
San Gabriel Valley Medical CenterSan Gabriel 13 $54,401 $8,793 $7,142
City of Hope Natl Medical CtrDuarte 13 $79,203 $8,792 $7,160
San Joaquin General HospitalFrench Camp 12 $43,095 $8,980 $7,348
Sharp Chula Vista Medical CenterChula Vista 12 $71,047 $8,792 $7,160
Corona Regional Medical CenterCorona 12 $72,428 $8,792 $7,160
Lakewood Regional Medical CenterLakewood 12 $85,824 $8,792 $7,160
Chapman Medical CenterOrange 12 $75,788 $8,793 $7,141
Glendale Mem Hospital & Hlth CenterGlendale 11 $59,723 $8,792 $7,160
Sutter Coast HospitalCrescent City 11 $36,079 $9,414 $7,782
St Rose HospitalHayward – – – –
Sutter Amador HospitalJackson – – – –
Alta Bates Summit Medical CenterOakland – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Kaiser Foundation Hospital - South San FranciscoMillbrae – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
San Mateo Medical CenterSan Mateo – – – –
Doctors Hospital of MantecaManteca – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
St Mary Medical CenterLong Beach – – – –
Watsonville Community HospitalWatsonville – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Arrowhead Regional Medical CenterColton – – – –
Sierra View District HospitalPorterville – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Barstow Community HospitalBarstow – – – –
Ukiah Valley Medical Center/Hospital DUkiah – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Hemet Valley Medical CenterHemet – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Memorial Hospital of GardenaGardena – – – –
Kaiser Foundation HospitalSan Rafael – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Victor Valley Community HospitalVictorville – – – –
Memorial Hospital los BanosLos Banos – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
San Dimas Community HospitalSan Dimas – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Delano Regional Medical CenterDelano – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
East los Angeles Doctors HospitalLos Angeles – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Menifee Valley Medical CenterSun City – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Mission Community Hospital - PanoramaPanorama City – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Monterey Park HospitalMonterey Park – – – –
Garfield Medical CenterMonterey Park – – – –
Centinela Hospital Medical CenterInglewood – – – –
Western Medical Center Hosp AnaheimAnaheim – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
L a Downtown Medical CenterLos Angeles – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Coast Plaza HospitalNorwalk – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Foothill Regional Medical CenterTustin – – – –
Docs Surgical HospitalLos Angeles – – – –
Children's Hosp and Hlth CtrSan Diego – – – –
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Lowest and highest allowed amounts in California

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

Palomar Medical CenterEscondido, CA$6,302
Methodist Hospital of SacramentoSacramento, CA$6,941
Palomar Medical Center PowayPoway, CA$7,002
Hanford Community Medical CenterHanford, CA$8,160
USC Arcadia HospitalArcadia, CA$8,220

Highest

Sutter Solano Medical CenterVallejo, CA$10,284
St Mary's Medical CenterSan Francisco, CA$10,217
California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA$10,217
Saint Francis Memorial HospitalSan Francisco, CA$10,217
San Francisco General HospitalSan Francisco, CA$10,217

Level 4 Musculoskeletal Procedures in other states

Questions

How much does level 4 musculoskeletal procedures cost in California?

In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 245 hospitals in California was billed at $69,795 on average, while the average medicare-allowed amount was $9,047, of which Medicare paid $7,417. 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 California, average charges were 7.7 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.