Level 4 Musculoskeletal Procedures in Indiana
What 76 hospitals in Indiana charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$46,937
Hospital list price billed
Average allowed
$6,361
Medicare's payment + patient's share
Medicare paid
$5,049
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $46,937 for level 4 musculoskeletal procedures, about 7.4 times the average medicare-allowed amount of $6,361. 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 $6,361Billed $46,937
About 14¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 4 musculoskeletal procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Orthoindy HospitalIndianapolis | 363 | $26,424 | $6,419 | $5,098 |
| St Mary's Medical Center of Evansville INCEvansville | 346 | $59,363 | $6,260 | $4,961 |
| Deaconess Hospital INCEvansville | 302 | $25,671 | $6,361 | $5,062 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 230 | $61,277 | $5,785 | $4,576 |
| Physicians' Medical Center LLCNew Albany | 183 | $23,562 | $6,329 | $5,032 |
| St Vincent Hospital & Health ServicesIndianapolis | 151 | $60,986 | $6,311 | $5,006 |
| Community HospitalMunster | 133 | $34,120 | $6,486 | $5,119 |
| Union Hospital INCTerre Haute | 119 | $37,562 | $6,419 | $5,104 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 113 | $45,544 | $6,467 | $5,152 |
| Indiana University Health Arnett HospitalLafayette | 103 | $59,538 | $6,242 | $4,943 |
| Bloomington HospitalBloomington | 101 | $67,601 | $6,462 | $5,148 |
| Memorial Hospital and Health Care CenterJasper | 101 | $27,823 | $6,377 | $5,079 |
| Hendricks Regional HealthDanville | 94 | $35,007 | $6,462 | $5,146 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 90 | $63,140 | $6,377 | $5,080 |
| Reid Hosp & Hlth Care ServicesRichmond | 68 | $31,444 | $6,670 | $5,279 |
| Franciscan Health LafayetteLafayette | 67 | $62,354 | $6,234 | $4,935 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 65 | $42,485 | $6,306 | $5,006 |
| Riverview HospitalNoblesville | 64 | $42,955 | $6,331 | $5,028 |
| Good Samaritan HospitalVincennes | 62 | $29,865 | $6,316 | $5,019 |
| Columbus Regional HospitalColumbus | 60 | $30,684 | $6,407 | $5,066 |
| Saint Joseph Reg Medical CtrSouth Bend | 56 | $41,286 | $6,324 | $4,975 |
| Unity Medical and Surgical HospitalMishawaka | 51 | $35,158 | $6,355 | $5,043 |
| Lutheran Hospital of IndianaFort Wayne | 50 | $61,890 | $6,376 | $5,057 |
| Franciscan Health IndianapolisIndianapolis | 50 | $45,728 | $6,454 | $5,129 |
| Clarian Health PartnersIndianapolis | 49 | $64,731 | $6,442 | $5,117 |
| Dupont Hospital LLCFort Wayne | 49 | $93,425 | $6,496 | $5,176 |
| St Vincent Carmel Hospital INCCarmel | 48 | $64,215 | $6,355 | $5,041 |
| Community Hospital NorthIndianapolis | 48 | $59,638 | $6,355 | $5,041 |
| Henry County Memorial HospitalNew Castle | 47 | $37,100 | $6,243 | $4,929 |
| Schneck Medical CenterSeymour | 47 | $52,763 | $6,408 | $5,082 |
| St Joseph Hospital & Health Center INCKokomo | 45 | $68,696 | $6,425 | $5,095 |
| Saint John's Health SystemAnderson | 43 | $60,059 | $6,462 | $5,148 |
| Memorial HospitalLogansport | 42 | $29,415 | $6,700 | $5,312 |
| Community Hospital of Anderson and Madison CountyAnderson | 42 | $46,641 | $6,339 | $5,026 |
| Parkview HospitalFort Wayne | 41 | $61,273 | $6,606 | $5,260 |
| St Mary Medical Center INCHobart | 41 | $39,062 | $6,336 | $4,961 |
| Ball Memorial Hospital INCMuncie | 41 | $73,061 | $6,468 | $5,153 |
| Memorial Hospital of South BendSouth Bend | 40 | $59,422 | $6,456 | $5,144 |
| Elkhart General HospitalElkhart | 39 | $45,342 | $6,606 | $5,264 |
| Methodist Hospitals, INCGary | 38 | $53,486 | $6,728 | $5,361 |
| Witham Health ServicesLebanon | 35 | $32,551 | $6,462 | $5,147 |
| Indiana University Health West HospitalAvon | 35 | $73,088 | $6,462 | $5,130 |
| Major HospitalShelbyville | 34 | $48,975 | $6,310 | $4,997 |
| Franciscan Physicians Hospital LLCMunster | 33 | $49,767 | $6,570 | $5,202 |
| Porter, Valparaiso HospitalValparaiso | 32 | $103,323 | $6,381 | $5,082 |
| Community Hospital SouthIndianapolis | 30 | $45,440 | $6,171 | $4,887 |
| IU Health Goshen HospitalGoshen | 29 | $28,961 | $6,606 | $5,264 |
| Franciscan St Anthony Health - Crown PointCrown Point | 29 | $47,580 | $6,728 | $5,361 |
| Dearborn County HospitalLawrenceburg | 28 | $36,868 | $6,377 | $5,078 |
| Johnson Memorial HospitalFranklin | 27 | $40,749 | $6,462 | $5,134 |
| King's Daughters' Hospital and Health Services,TheMadison | 27 | $47,604 | $6,830 | $5,436 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 27 | $39,003 | $6,462 | $5,148 |
| Clark Memorial HospitalJeffersonville | 24 | $40,677 | $6,287 | $4,991 |
| Parkview Huntington HospitalHuntington | 23 | $53,300 | $6,172 | $4,872 |
| La Porte Regional Health SystLa Porte | 22 | $78,435 | $5,684 | $4,375 |
| Pinnacle HospitalCrown Point | 21 | $138,576 | $6,728 | $5,352 |
| Kosciusko Community HospitalWarsaw | 20 | $86,119 | $6,393 | $5,092 |
| Howard Regional Health SystemKokomo | 18 | $44,832 | $5,967 | $4,632 |
| Hancock Regional HospitalGreenfield | 18 | $32,651 | $6,176 | $4,855 |
| Indiana University Health North HospitalCarmel | 18 | $68,627 | $6,458 | $5,146 |
| Marion General HospitalMarion | 17 | $46,995 | $6,921 | $5,514 |
| Ascension St Vincent FishersFishers | 16 | $63,771 | $6,462 | $5,137 |
| Community Hospital EastIndianapolis | 14 | $57,505 | $6,519 | $5,194 |
| Eskenazi HealthIndianapolis | 13 | $54,928 | $6,066 | $4,752 |
| Franciscan St Margaret Health - DyerDyer | 13 | $48,757 | $6,728 | $5,361 |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| Terre Haute Regional HospitalTerre Haute | – | – | – | – |
| St Francis Hospital MooresvilleMooresville | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Bluffton Regional Medical CenterBluffton | – | – | – | – |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | – | – | – | – |
| Parkview Whitley HospitalColumbia City | – | – | – | – |
| Starke Memorial HospitalKnox | – | – | – | – |
| Parkview Noble HospitalKendallville | – | – | – | – |
| Monroe HospitalBloomington | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| La Porte Regional Health SystLa Porte, IN | $5,684 |
|---|---|
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $5,785 |
| Howard Regional Health SystemKokomo, IN | $5,967 |
| Eskenazi HealthIndianapolis, IN | $6,066 |
| Community Hospital SouthIndianapolis, IN | $6,171 |
Highest
| Marion General HospitalMarion, IN | $6,921 |
|---|---|
| King's Daughters' Hospital and Health Services,TheMadison, IN | $6,830 |
| Pinnacle HospitalCrown Point, IN | $6,728 |
| Methodist Hospitals, INCGary, IN | $6,728 |
| Franciscan St Margaret Health - DyerDyer, IN | $6,728 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Indiana?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 76 hospitals in Indiana was billed at $46,937 on average, while the average medicare-allowed amount was $6,361, of which Medicare paid $5,049. 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 Indiana, average charges were 7.4 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.