Level 4 Musculoskeletal Procedures in Illinois
What 104 hospitals in Illinois charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$44,915
Hospital list price billed
Average allowed
$6,652
Medicare's payment + patient's share
Medicare paid
$5,278
Average per service
State rank
#29 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $44,915 for level 4 musculoskeletal procedures, about 6.8 times the average medicare-allowed amount of $6,652. That payment is about the same as 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 $6,652Billed $44,915
About 15¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 4 musculoskeletal procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 477 | $33,367 | $6,605 | $5,250 |
| Northwestern Memorial HospitalChicago | 236 | $61,832 | $6,841 | $5,426 |
| Saint Francis Medical CenterPeoria | 161 | $58,306 | $6,333 | $5,002 |
| Memorial Medical CenterSpringfield | 160 | $36,456 | $6,612 | $5,267 |
| Advocate Condell Medical CenterLibertyville | 160 | $38,458 | $6,684 | $5,308 |
| Advocate Good Shepherd HospitalBarrington | 141 | $24,492 | $6,713 | $5,338 |
| Elmhurst Memorial HospitalElmhurst | 135 | $43,485 | $6,552 | $5,169 |
| The University of Chicago Medical CenterChicago | 128 | $67,515 | $6,871 | $5,457 |
| Proctor HospitalPeoria | 126 | $51,594 | $6,528 | $5,184 |
| Rush University Medical CenterChicago | 118 | $37,542 | $6,911 | $5,496 |
| St Johns HospitalSpringfield | 115 | $41,493 | $6,611 | $5,268 |
| Sarah Bush Lincoln Health CenterMattoon | 113 | $40,104 | $6,843 | $5,408 |
| Advocate Lutheran General HospitalPark Ridge | 109 | $25,376 | $6,643 | $5,263 |
| Memorial HospitalBelleville | 108 | $32,338 | $6,269 | $4,975 |
| Riverside Medical CenterKankakee | 104 | $48,738 | $6,625 | $5,257 |
| Edward HospitalNaperville | 104 | $48,312 | $6,740 | $5,351 |
| Decatur Memorial HospitalDecatur | 103 | $40,605 | $6,562 | $5,217 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 101 | $32,170 | $6,626 | $5,245 |
| Central Dupage HospitalWinfield | 93 | $71,310 | $6,621 | $5,237 |
| Northwestern Medicine McHenryMcHenry | 92 | $57,268 | $6,718 | $5,351 |
| Lake Forest HospitalLake Forest | 91 | $67,006 | $6,633 | $5,261 |
| St Elizabeth HospitalBelleville | 88 | $33,454 | $6,100 | $4,802 |
| Provena - Saint Joseph HospitalElgin | 83 | $72,854 | $6,922 | $5,499 |
| Alexian Brothers Medical CenterElk Grove Village | 82 | $42,273 | $6,890 | $5,474 |
| Copley Memorial HospitalAurora | 79 | $44,213 | $6,846 | $5,423 |
| Northwest Community HospitalArlington Heights | 79 | $36,952 | $6,724 | $5,337 |
| Bromenn Healthcare SystemNormal | 78 | $24,653 | $6,459 | $5,133 |
| Silver Cross HospitalJoliet | 78 | $25,416 | $6,723 | $5,342 |
| Loyola University Medical CenterMaywood | 78 | $29,436 | $6,603 | $5,188 |
| Palos Community HospitalPalos Heights | 75 | $50,701 | $6,792 | $5,410 |
| Blessing HospitalQuincy | 73 | $67,924 | $7,081 | $5,642 |
| Sherman HospitalElgin | 68 | $37,396 | $6,825 | $5,400 |
| Carle Foundation HospitalUrbana | 67 | $33,324 | $6,099 | $4,812 |
| Methodist Medical Center of IllinoisPeoria | 65 | $53,365 | $6,611 | $5,268 |
| Delnor Community HospitalGeneva | 65 | $57,008 | $6,881 | $5,482 |
| St Alexius Medical CenterSchaumburg | 62 | $44,827 | $6,958 | $5,541 |
| Saint Anthony Medical CenterRockford | 61 | $39,342 | $6,571 | $5,180 |
| Kishwaukee Community HospitalDekalb | 60 | $83,712 | $6,842 | $5,451 |
| Advocate Good Samaritan HospitalDowners Grove | 59 | $34,947 | $6,792 | $5,412 |
| Morris Hospital & Healthcare CentersMorris | 57 | $51,918 | $6,792 | $5,412 |
| Trinity Rock IslandRock Island | 57 | $27,019 | $6,430 | $5,083 |
| Anderson HospitalMaryville | 56 | $24,566 | $6,345 | $4,997 |
| Resurrection Medical CenterChicago | 52 | $50,837 | $6,792 | $5,409 |
| Advocate Illinois Masonic Medical CenterChicago | 52 | $51,034 | $6,792 | $5,412 |
| Hinsdale HospitalHinsdale | 51 | $36,506 | $6,686 | $5,303 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 50 | $29,048 | $6,958 | $5,540 |
| Herrin HospitalHerrin | 48 | $57,897 | $6,173 | $4,826 |
| Provena St Joseph Medical CenterJoliet | 45 | $48,871 | $6,792 | $5,412 |
| Advocate Trinity HospitalChicago | 45 | $30,759 | $6,552 | $5,170 |
| Alton Memorial HospitalAlton | 43 | $33,998 | $6,611 | $5,268 |
| Macneal HospitalBerwyn | 43 | $51,525 | $6,829 | $5,414 |
| Swedish Covenant HospitalChicago | 43 | $36,734 | $6,792 | $5,412 |
| Provena St Marys HospitalKankakee | 43 | $51,317 | $6,728 | $5,361 |
| St Marys HospitalCentralia | 39 | $46,936 | $6,341 | $4,998 |
| Crossroads Community HospitalMt Vernon | 39 | $74,872 | $6,341 | $4,998 |
| Swedish American HospitalRockford | 36 | $105,082 | $6,958 | $5,544 |
| Javon Bea HospitalRockford | 36 | $40,826 | $6,465 | $5,121 |
| Adventist la Grange Memorial HospitalLa Grange | 35 | $43,204 | $6,489 | $5,097 |
| Heartland Regional Medical CenterMarion | 35 | $71,179 | $6,461 | $5,117 |
| Rush Oak Park HospitalOak Park | 33 | $37,622 | $6,628 | $5,248 |
| Jersey Community HospitalJerseyville | 31 | $30,343 | $6,442 | $5,097 |
| Fhn Memorial HospitalFreeport | 31 | $45,815 | $6,377 | $5,081 |
| St Anthonys Memorial HospitalEffingham | 29 | $33,918 | $6,886 | $5,447 |
| Good Samaritan Regional Hlth CenterMt Vernon | 27 | $40,889 | $6,611 | $5,268 |
| OSF Saint Elizabeth Mdl CtrOttawa | 27 | $52,119 | $6,753 | $5,338 |
| St Marys HospitalDecatur | 27 | $40,651 | $6,221 | $4,877 |
| Memorial Hospital of CarbondaleCarbondale | 26 | $49,496 | $6,409 | $5,065 |
| Ingalls Memorial HospitalHarvey | 26 | $52,020 | $6,792 | $5,412 |
| Adventist Bolingbrook HospitalBolingbrook | 25 | $58,115 | $6,576 | $5,194 |
| Adventist GlenoaksGlendale Heights | 22 | $45,755 | $6,792 | $5,407 |
| St Joseph Medical CenterBloomington | 21 | $42,746 | $6,611 | $5,268 |
| OSF Saint Katharine Medical CenterDixon | 20 | $43,469 | $6,611 | $5,268 |
| Cgh Medical CenterSterling | 20 | $58,684 | $6,612 | $5,263 |
| Pekin Memorial HospitalPekin | 20 | $41,585 | $6,348 | $5,004 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 20 | $47,772 | $6,522 | $5,132 |
| Saint Joseph HospitalChicago | 20 | $50,340 | $6,681 | $5,267 |
| St Mary Medical CenterGalesburg | 19 | $56,210 | $7,081 | $5,642 |
| Provena Mercy Medical CenterAurora | 17 | $59,922 | $6,989 | $5,568 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 16 | $69,768 | $6,792 | $5,412 |
| University of Illinois Hospital and ClinicsChicago | 15 | $36,813 | $6,958 | $5,544 |
| Illini HospitalSilvis | 15 | $18,511 | $6,611 | $5,268 |
| Rhc St Francis HospitalEvanston | 14 | $64,987 | $6,958 | $5,535 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | 11 | $32,141 | $6,175 | $4,919 |
| Graham Hospital AssociationCanton | – | – | – | – |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| Midwestern Region Med CenterZion | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| HSHS Holy Family HospitalGreenville | – | – | – | – |
| St Josephs HospitalBreese | – | – | – | – |
| Carle Richland Memorial HospitalOlney | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| Little Company of Mary HospitalEvergreen Park | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Harrisburg Medical CenterHarrisburg | – | – | – | – |
| Community First Medical CenterChicago | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Carle Foundation HospitalUrbana, IL | $6,099 |
|---|---|
| St Elizabeth HospitalBelleville, IL | $6,100 |
| Herrin HospitalHerrin, IL | $6,173 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake, IL | $6,175 |
| St Marys HospitalDecatur, IL | $6,221 |
Highest
| Blessing HospitalQuincy, IL | $7,081 |
|---|---|
| St Mary Medical CenterGalesburg, IL | $7,081 |
| Provena Mercy Medical CenterAurora, IL | $6,989 |
| Rhc St Francis HospitalEvanston, IL | $6,958 |
| Loyola Gottlieb Memorial HospitalMelrose Park, IL | $6,958 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Illinois?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 104 hospitals in Illinois was billed at $44,915 on average, while the average medicare-allowed amount was $6,652, of which Medicare paid $5,278. 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 Illinois, average charges were 6.8 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.