Level 4 Musculoskeletal Procedures in Kentucky
What 53 hospitals in Kentucky charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$44,622
Hospital list price billed
Average allowed
$6,103
Medicare's payment + patient's share
Medicare paid
$4,832
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $44,622 for level 4 musculoskeletal procedures, about 7.3 times the average medicare-allowed amount of $6,103. That payment is 9% 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 $6,103Billed $44,622
About 14¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 4 musculoskeletal procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 390 | $47,659 | $6,031 | $4,781 |
| Baptist Hospital EastLouisville | 228 | $59,932 | $6,099 | $4,842 |
| Jewish HospitalLouisville | 202 | $41,085 | $5,988 | $4,737 |
| Hardin Memorial HospitalElizabethtown | 151 | $49,147 | $6,001 | $4,748 |
| Western Baptist HospitalPaducah | 137 | $61,777 | $6,469 | $5,133 |
| St Elizabeth FlorenceFlorence | 120 | $23,572 | $6,118 | $4,873 |
| Pikeville Medical CenterPikeville | 106 | $37,286 | $6,351 | $5,031 |
| Central Baptist HospitalLexington | 97 | $60,499 | $6,195 | $4,933 |
| University of Kentucky HospLexington | 95 | $34,210 | $5,884 | $4,624 |
| Owensboro Medical Health SystemOwensboro | 86 | $45,990 | $6,496 | $5,151 |
| St Elizabeth Med Center-SouthEdgewood | 85 | $31,336 | $6,041 | $4,788 |
| Saint Joseph HospitalLexington | 81 | $23,423 | $6,080 | $4,814 |
| Lake Cumberland Regional HospitalSomerset | 81 | $68,388 | $6,308 | $4,984 |
| King's Daughters' Medical CenterAshland | 64 | $33,171 | $5,877 | $4,637 |
| Lourdes HospitalPaducah | 64 | $34,289 | $6,301 | $4,968 |
| The Medical Center at Bowling GreenBowling Green | 52 | $53,812 | $5,802 | $4,542 |
| Greenview Regional HospitalBowling Green | 51 | $53,226 | $6,181 | $4,925 |
| St Elizabeth Ft ThomasFort Thomas | 45 | $24,275 | $5,891 | $4,627 |
| Ephraim McDowell Regional Medical CenterDanville | 45 | $27,251 | $6,157 | $4,906 |
| Baptist Health Deaconess MadisonvilleMadisonville | 36 | $69,180 | $6,144 | $4,834 |
| T J Samson Community HospitalGlasgow | 35 | $26,576 | $6,264 | $4,930 |
| Clark Regional Medical CenterWinchester | 35 | $46,108 | $5,913 | $4,649 |
| Georgetown Community HospitalGeorgetown | 35 | $64,747 | $6,222 | $4,957 |
| Murray-Calloway County HospitalMurray | 30 | $29,591 | $6,002 | $4,782 |
| Jennie Stuart Medical CenterHopkinsville | 27 | $26,316 | $6,238 | $4,932 |
| Flaget Memorial HospitalBardstown | 25 | $29,157 | $6,164 | $4,911 |
| University of Louisville HospitalLouisville | 22 | $45,104 | $5,605 | $4,353 |
| St Claire Regional Medical CenterMorehead | 20 | $31,182 | $6,594 | $5,254 |
| Highlands Regional Medical CenterPrestonsburg | 19 | $28,865 | $5,813 | $4,576 |
| Jackson Purchase Medical CenterMayfield | 19 | $72,078 | $5,996 | $4,656 |
| Saint Joseph LondonLondon | 18 | $28,244 | $5,736 | $4,506 |
| Baptist Hospital NortheastLa Grange | 18 | $65,134 | $5,901 | $4,638 |
| Taylor Regional HospitalCampbellsville | 17 | $26,508 | $6,002 | $4,782 |
| Saint Joseph Mount SterlingMt Sterling | 16 | $21,424 | $5,839 | $4,596 |
| Saint Joseph EastLexington | 16 | $29,295 | $6,196 | $4,926 |
| Spring View HospitalLebanon | 13 | $54,189 | $6,002 | $4,782 |
| Jewish Hospital - ShelbyvilleShelbyville | 12 | $36,476 | $6,164 | $4,911 |
| Baptist Health RichmondRichmond | 11 | $37,242 | $5,719 | $4,467 |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Deaconess Henderson HospitalHenderson | – | – | – | – |
| The Medical Center at RussellvilleRussellville | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Baptist Regional Medical CtrCorbin | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| University of Louisville HospitalLouisville, KY | $5,605 |
|---|---|
| Baptist Health RichmondRichmond, KY | $5,719 |
| Saint Joseph LondonLondon, KY | $5,736 |
| The Medical Center at Bowling GreenBowling Green, KY | $5,802 |
| Highlands Regional Medical CenterPrestonsburg, KY | $5,813 |
Highest
| St Claire Regional Medical CenterMorehead, KY | $6,594 |
|---|---|
| Owensboro Medical Health SystemOwensboro, KY | $6,496 |
| Western Baptist HospitalPaducah, KY | $6,469 |
| Pikeville Medical CenterPikeville, KY | $6,351 |
| Lake Cumberland Regional HospitalSomerset, KY | $6,308 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Kentucky?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 53 hospitals in Kentucky was billed at $44,622 on average, while the average medicare-allowed amount was $6,103, of which Medicare paid $4,832. 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 Kentucky, average charges were 7.3 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.