facebook tracking Level 4 Musculoskeletal Procedures cost in Florida: 161 hospitals compared (APC 5114)

Level 4 Musculoskeletal Procedures in Florida

What 161 hospitals in Florida charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.

APC 5114 Outpatient 2024 Medicare data
Average charge $74,028 Hospital list price billed
Average allowed $6,397 Medicare's payment + patient's share
Medicare paid $5,080 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in Florida billed an average of $74,028 for level 4 musculoskeletal procedures, about 11.6 times the average medicare-allowed amount of $6,397. That payment is 5% 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 $6,397Billed $74,028

About 9¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 4 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Baptist Medical CenterJacksonville 609 $45,864 $6,403 $5,085
Mayo ClinicJacksonville 423 $33,205 $6,325 $5,023
Adventhealth OrlandoOrlando 349 $73,623 $6,451 $5,133
Sarasota Memorial HospitalSarasota 281 $60,054 $6,446 $5,128
Lee Memorial HospitalFort Myers 245 $63,110 $6,121 $4,854
Shands Hospital at the University of FloridaGainesville 241 $45,323 $5,973 $4,737
Gulf Breeze HospitalGulf Breeze 230 $86,398 $6,436 $5,115
Physicians Regional Medical Center - Pine RidgeNaples 222 $108,257 $6,457 $5,139
Flagler HospitalSt Augustine 219 $27,338 $6,915 $5,499
Naples Community HospitalNaples 208 $37,678 $6,406 $5,088
Boca Raton Regional HospitalBoca Raton 201 $56,766 $6,464 $5,149
Ocala Regional Medical CenterOcala 197 $106,556 $6,402 $5,083
Orlando Regional HealthcareOrlando 169 $89,220 $6,358 $5,039
St Vincent's Medical CenterJacksonville 165 $75,070 $6,418 $5,099
Morton Plant HospitalClearwater 154 $54,825 $6,413 $5,096
Cape Coral HospitalCape Coral 146 $52,054 $6,480 $5,163
Martin Memorial Health SystemsStuart 145 $51,217 $6,480 $5,161
Baptist HospitalPensacola 136 $81,065 $6,442 $5,125
South Lake HospitalClermont 129 $84,799 $6,440 $5,120
Tampa General HospitalTampa 120 $111,334 $6,506 $5,186
St Luke's HospitalJacksonville 117 $74,773 $6,480 $5,161
West Florida HospitalPensacola 114 $134,554 $6,344 $5,026
North Florida Regional Medical CenterGainesville 113 $142,736 $6,480 $5,162
Baptist Medical Center BeachesJacksonville Beach 109 $48,092 $6,386 $5,068
Good Samaritan Medical CenterWest Palm Beach 109 $159,162 $5,580 $4,258
Holmes Regional Medical CenterMelbourne 106 $71,303 $6,480 $5,161
Jupiter Medical CenterJupiter 106 $49,086 $6,432 $5,114
Univ of Miami Hosp & ClinicsMiami 105 $72,661 $6,382 $5,063
Leesburg Regional Medical CenterLeesburg 105 $39,281 $6,480 $5,162
Adventhealth Daytona BeachDaytona Beach 102 $50,494 $6,480 $5,156
West Boca Medical CenterBoca Raton 100 $87,214 $6,222 $4,901
Bethesda Memorial HospitalBoynton Beach 94 $69,320 $6,480 $5,163
Sarasota Memorial Hospital - VeniceNorth Venice 94 $59,507 $6,425 $5,106
Mount Sinai Medical CenterMiami Beach 89 $33,200 $6,481 $5,151
Capital Regional Medical CenterTallahassee 89 $96,661 $6,422 $5,101
Viera HospitalMelbourne 88 $70,285 $6,423 $5,104
St Joseph's HospitalTampa 87 $57,420 $6,362 $5,038
Sacred Heart HospitalPensacola 86 $48,705 $6,480 $5,163
St Anthony's HospitalSt Petersburg 85 $48,835 $6,206 $4,935
Tallahassee Memorial HealthcareTallahassee 85 $47,756 $6,361 $5,039
Wuesthoff Medical Center - MelbourneMelbourne 81 $143,509 $6,480 $5,154
Indian River Medical CenterVero Beach 80 $48,943 $6,419 $5,112
Gulf Coast Medical Center Lee HealthFort Myers 79 $58,265 $6,480 $5,161
Doctors Hospital of SarasotaSarasota 78 $112,043 $6,480 $5,158
Adventhealth TampaTampa 78 $98,356 $6,349 $5,031
Doctors Hospital INCCoral Gables 75 $78,764 $6,412 $5,092
Adventhealth OcalaOcala 74 $139,075 $6,411 $5,085
Palm Beach Gardens Medical CenterPalm Beach Gardens 73 $137,343 $6,197 $4,880
Halifax Health Medical CenterDaytona Beach 71 $56,359 $6,480 $5,163
Cape Canaveral HospitalCocoa Beach 71 $69,611 $6,408 $5,090
Brandon Regional HospitalBrandon 71 $112,055 $6,408 $5,088
Tampa General Hospital Crystal RiverCrystal River 71 $96,205 $6,480 $5,161
Lakewood Ranch Medical CenterBradenton 70 $108,724 $6,480 $5,162
Holy Cross Hospital INCFort Lauderdale 64 $52,933 $6,480 $5,163
Lakeland Regional Medical CenterLakeland 64 $40,863 $6,349 $5,042
Cleveland Clinic HospitalWeston 64 $42,279 $6,319 $4,999
Adventhealth Wesley ChapelWesley Chapel 64 $96,172 $6,480 $5,160
Gulf Coast Medical CenterPanama City 63 $88,269 $6,276 $4,958
Lake City Medical CenterLake City 59 $78,158 $6,940 $5,528
St Mary's Medical CenterWest Palm Beach 59 $126,413 $6,134 $4,811
Ascension St Vincent's St Johns CountySt. Johns 59 $87,101 $6,393 $5,076
Palm Bay HospitalPalm Bay 57 $67,338 $6,443 $5,120
Adventhealth New Smyrna BeachNew Smyrna Beach 56 $43,852 $6,480 $5,163
Shands Jacksonville Medical CenterJacksonville 55 $78,077 $6,293 $4,972
Jfk Medical CenterAtlantis 53 $138,279 $6,383 $5,059
Florida Hospital WatermanEustis 52 $45,384 $6,381 $5,060
Sacred Heart Hospital on the Emerald CoastMiramar Beach 52 $46,188 $6,480 $5,154
Ascension St Vincent's Clay CountyMiddleburg 51 $77,388 $6,480 $5,163
Jackson Health SystemMiami 48 $31,987 $6,471 $5,153
University Community Hospital at CarrollwoodTampa 47 $97,344 $6,370 $5,053
Memorial Regional HospitalHollywood 46 $53,700 $6,480 $5,163
Baptist Hospital of Miami INCMiami 45 $70,062 $6,366 $5,040
Manatee Memorial HospitalBradenton 45 $111,515 $6,480 $5,163
St Lucie Medical CenterPort St Lucie 44 $197,714 $6,128 $4,811
Health CentralOcoee 43 $80,666 $6,480 $5,163
Florida Hospital DelandDeland 43 $59,081 $6,480 $5,162
Adventhealth Palm CoastPalm Coast 43 $61,224 $6,480 $5,159
Delray Medical CenterDelray Beach 43 $122,324 $5,880 $4,557
South Miami HospitalMiami 42 $63,950 $6,480 $5,163
Fawcett Memorial HospitalPort Charlotte 42 $149,530 $6,480 $5,163
Orange Park Medical CenterOrange Park 40 $154,608 $6,480 $5,163
H Lee Moffitt Cancer CenterTampa 40 $34,661 $6,480 $5,163
Baptist Medical Center - NassauFernandina Beach 38 $50,283 $6,480 $5,161
Mease Hospital DunedinDunedin 37 $45,879 $6,480 $5,163
Sebastian River Medical CenterSebastian 37 $100,470 $6,203 $4,884
Aventura Hospital & Med CenterMiami 35 $91,790 $6,480 $5,163
Santa Rosa Medical CenterMilton 31 $82,553 $6,480 $5,163
Blake Medical CenterBradenton 31 $82,419 $6,480 $5,160
Oak Hill HospitalBrooksville 29 $161,909 $6,480 $5,163
Wellington Regional Medical CenterWellington 29 $88,043 $6,480 $5,156
Villages Regional Hospital theLady Lake 29 $54,625 $6,302 $4,985
Parrish Medical CenterTitusville 28 $40,437 $5,558 $4,232
Adventhealth SebringSebring 28 $51,383 $6,480 $5,163
Fort Walton Beach Medical CenterFort Walton Beach 28 $157,933 $6,480 $5,162
Memorial Hospital WestHollywood 28 $59,801 $6,305 $4,987
Bay Medical CenterPanama City 27 $70,434 $6,480 $5,161
Orlando Health Rockledge HospitalRockledge 27 $102,173 $6,480 $5,163
West Kendall Baptist HospitalMiami 27 $80,524 $6,480 $5,163
Bayfront Medical Center INCSt Petersburg 26 $99,079 $6,282 $4,965
Mease Countryside HospitalSafety Harbor 26 $59,068 $6,480 $5,163
Twin Cities HospitalNiceville 25 $101,936 $6,351 $5,060
Lower Keys Medical CenterKey West 25 $87,549 $6,719 $5,301
Broward General Medical CenterFort Lauderdale 24 $33,766 $6,481 $5,152
HCA Florida Trinity HospitalNew Port Richey 24 $142,429 $6,265 $4,948
Citrus Memorial HospitalInverness 22 $103,131 $6,480 $5,163
Adventhealth Port CharlottePort Charlotte 22 $118,082 $5,185 $4,079
Winter Haven HospitalWinter Haven 21 $52,671 $6,407 $5,089
Brooksville Regional HospitalBrooksville 21 $108,914 $6,480 $5,163
Englewood Community HospitalEnglewood 21 $167,910 $6,481 $5,151
Regional Medical Center Bayonet PointHudson 19 $122,027 $6,209 $4,891
Adventhealth North PinellasTarpon Springs 18 $78,217 $6,480 $5,163
Heart of Florida Reg Med CtrDavenport 18 $172,079 $6,480 $5,163
Northside HospitalSt Petersburg 18 $135,992 $6,480 $5,159
HCA Florida Memorial HospitalJacksonville 17 $131,260 $6,480 $5,162
Westside Regional Medical CenterPlantation 17 $94,384 $6,480 $5,163
Florida Hospital Fish MemorialOrange City 16 $41,936 $6,480 $5,163
Shorepoint Health Punta GordaPunta Gorda 15 $111,301 $6,480 $5,163
Central Florida Regional HospitalSanford 15 $108,966 $6,136 $4,819
Northwest Medical CenterPompano Beach 15 $135,934 $6,136 $4,818
South Bay HospitalGreater Sun Center 15 $94,462 $6,481 $5,151
South Florida Baptist HospitalPlant City 14 $52,886 $6,480 $5,163
North Shore Medical CenterMiami 13 $125,391 $6,481 $5,149
North Broward Medical CenterPompano Beach 13 $35,967 $6,355 $5,063
Imperial Point Medical CenterFort Lauderdale 13 $35,311 $6,083 $4,765
Coral Springs Medical CenterPompano Beach 13 $35,299 $6,481 $5,145
Oviedo Medical CenterOviedo 13 $129,514 $6,480 $5,163
Highlands Regional Medical CenterSebring 12 $119,303 $6,480 $5,163
University Hospital & Medical CenterTamarac 12 $72,890 $6,480 $5,163
HCA Florida Lawnwood HospitalFort Pierce 12 $100,828 $6,480 $5,163
Ucf Lake Nona HospitalOrlando 12 $135,007 $6,050 $4,733
HCA Florida University HospitalDavie 11 $112,602 $6,480 $5,163
Florida Hospital ZephyrhillsZephyrhills – – – –
Palm Springs General HospitalHialeah – – – –
Hialeah HospitalHialeah – – – –
Morton Plant North Bay HospitalNew Port Richey – – – –
Lehigh Regional Medical CenterLehigh Acres – – – –
Osceola Regional Medical CenterKissimmee – – – –
Bartow Regional Medical CenterBartow – – – –
North Okaloosa Medical CenterCrestview – – – –
Homestead HospitalHomestead – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
Jackson HospitalMarianna – – – –
Plantation General HospitalPlantation – – – –
St Petersburg General HospitalSt Petersburg – – – –
Larkin Community HospitalSouth Miami – – – –
Coral Gables HospitalCoral Gables – – – –
Palmetto General HospitalHialeah – – – –
Memorial Hospital of TampaTampa – – – –
Kendall Regional Medical CenterMiami – – – –
Adventhealth Dade CityDade City – – – –
Memorial Hospital PembrokeHollywood – – – –
Putnam Community Medical CtrPalatka – – – –
Largo Medical CenterLargo – – – –
Raulerson HospitalOkeechobee – – – –
Palms West HospitalLoxahatchee – – – –
Keralty HospitalMiami – – – –
Memorial Hospital MiramarMiramar – – – –
St Cloud Regional Medical CenterSt Cloud – – – –
Halifax Health /UF Health Medical Center of DeltonDeltona – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
Adventhealth Palm Coast ParkwayPalm Coast – – – –
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Lowest and highest allowed amounts in Florida

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

Adventhealth Port CharlottePort Charlotte, FL$5,185
Parrish Medical CenterTitusville, FL$5,558
Good Samaritan Medical CenterWest Palm Beach, FL$5,580
Delray Medical CenterDelray Beach, FL$5,880
Shands Hospital at the University of FloridaGainesville, FL$5,973

Highest

Lake City Medical CenterLake City, FL$6,940
Flagler HospitalSt Augustine, FL$6,915
Lower Keys Medical CenterKey West, FL$6,719
Tampa General HospitalTampa, FL$6,506
Coral Springs Medical CenterPompano Beach, FL$6,481

Level 4 Musculoskeletal Procedures in other states

Questions

How much does level 4 musculoskeletal procedures cost in Florida?

In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 161 hospitals in Florida was billed at $74,028 on average, while the average medicare-allowed amount was $6,397, of which Medicare paid $5,080. 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 Florida, average charges were 11.6 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.