facebook tracking Level 4 Musculoskeletal Procedures cost in Kansas: 43 hospitals compared (APC 5114)

Level 4 Musculoskeletal Procedures in Kansas

What 43 hospitals in Kansas charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.

APC 5114 Outpatient 2024 Medicare data
Average charge $32,569 Hospital list price billed
Average allowed $6,178 Medicare's payment + patient's share
Medicare paid $4,905 Average per service
State rank #12 of 49 1 = lowest average payment

Hospitals in Kansas billed an average of $32,569 for level 4 musculoskeletal procedures, about 5.3 times the average medicare-allowed amount of $6,178. That payment is 8% 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 $6,178Billed $32,569

About 19¢ was paid for every $1 hospitals in Kansas billed for this service.

Kansas hospitals: level 4 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Kansas Spine Hospital LLCWichita 381 $21,678 $6,049 $4,806
University of Kansas HospitalKansas City 294 $41,337 $6,137 $4,880
Kansas City Orthopaedic InstituteLeawood 258 $36,705 $6,171 $4,901
Stormont-Vail HealthcareTopeka 236 $27,625 $6,082 $4,813
Kansas Surgery & Recovery CenterWichita 225 $15,689 $6,026 $4,784
Salina Regional Health CenterSalina 167 $31,176 $6,448 $5,118
Manhattan Surgical Hospital LLCManhattan 149 $33,529 $6,026 $4,782
Mercy Specialty Hospital Southeast KansasGalena 146 $33,480 $6,074 $4,832
Salina Surgical HospitalSalina 104 $21,007 $6,076 $4,834
Hays Medical CenterHays 97 $21,673 $6,574 $5,233
Pratt Regional Medical CenterPratt 93 $17,196 $6,429 $5,099
Shawnee Mission Medical CenterOverland Park 93 $65,612 $6,194 $4,922
Menorah Medical CenterShawnee Mission 79 $57,510 $6,082 $4,820
Wesley Medical CenterWichita 72 $94,592 $5,973 $4,728
Via Christi Hospitals Wichita INCWichita 64 $25,666 $6,032 $4,790
Great Bend Regional HospitalGreat Bend 59 $24,314 $6,541 $5,212
St Francis Health CenterTopeka 57 $43,218 $6,160 $4,890
Promise Regional Medical Center Hutchinson INCHutchinson 57 $41,460 $6,541 $5,212
Olathe Medical CenterOlathe 46 $25,302 $6,248 $4,960
Rock Regional Hospital, LLCDerby 43 $31,248 $5,842 $4,600
Lawrence Memorial HospitalLawrence 42 $28,667 $6,691 $5,331
NMC HealthNewton 41 $16,993 $6,108 $4,866
Labette County Medical CenterParsons 41 $15,107 $6,414 $5,085
Summit Surgical LLCHutchinson 37 $20,005 $6,108 $4,860
Saint Luke's South HospitalOverland Park 34 $46,893 $6,248 $4,978
Via Christi Hospital Wichita St Teresa INCWichita 32 $24,922 $6,108 $4,866
Ascentist HospitalLeawood 31 $46,629 $6,248 $4,978
St Catherine HospitalGarden City 30 $32,888 $6,767 $5,355
Southwest Medical CenterLiberal 29 $29,441 $6,362 $5,032
Centura St. Catherine-Dodge CityDodge City 29 $41,458 $6,541 $5,212
Mercy Hospital PittsburgPittsburg 22 $25,560 $6,541 $5,208
Providence Medical CenterKansas City 22 $50,347 $5,795 $4,525
Miami County Medical CenterPaola 20 $20,594 $6,248 $4,978
Adventhealth OttawaOttawa 18 $76,591 $6,395 $5,035
Susan B Allen Memorial HospitalEl Dorado 16 $17,574 $6,108 $4,864
Overland Park Regional CenterShawnee Mission 16 $75,371 $5,937 $4,640
Kansas Medical Center LLCAndover 14 $11,539 $6,108 $4,866
Stormont Vail Health Flint HillsJunction City – – – –
McPherson HospitalMcPherson – – – –
Ascension Via Christi Hospital ManhattanManhattan – – – –
Coffeyville Regional Medical Center, INCCoffeyville – – – –
Minimally Invasive Surgery HospitalLenexa – – – –
Sck HealthArkansas City – – – –
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Lowest and highest allowed amounts in Kansas

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

Providence Medical CenterKansas City, KS$5,795
Rock Regional Hospital, LLCDerby, KS$5,842
Overland Park Regional CenterShawnee Mission, KS$5,937
Wesley Medical CenterWichita, KS$5,973
Manhattan Surgical Hospital LLCManhattan, KS$6,026

Highest

St Catherine HospitalGarden City, KS$6,767
Lawrence Memorial HospitalLawrence, KS$6,691
Hays Medical CenterHays, KS$6,574
Mercy Hospital PittsburgPittsburg, KS$6,541
Promise Regional Medical Center Hutchinson INCHutchinson, KS$6,541

Level 4 Musculoskeletal Procedures in other states

Questions

How much does level 4 musculoskeletal procedures cost in Kansas?

In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 43 hospitals in Kansas was billed at $32,569 on average, while the average medicare-allowed amount was $6,178, of which Medicare paid $4,905. 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 Kansas, average charges were 5.3 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.