Level 4 Musculoskeletal Procedures in Louisiana
What 65 hospitals in Louisiana charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$42,930
Hospital list price billed
Average allowed
$5,934
Medicare's payment + patient's share
Medicare paid
$4,705
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Louisiana billed an average of $42,930 for level 4 musculoskeletal procedures, about 7.2 times the average medicare-allowed amount of $5,934. That payment is 12% 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 $5,934Billed $42,930
About 14¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 4 musculoskeletal procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Specialists Hospital ShreveportShreveport | 291 | $26,722 | $5,838 | $4,614 |
| Willis Knighton Medical CenterShreveport | 223 | $37,619 | $6,004 | $4,742 |
| Ochsner Foundation HospitalNew Orleans | 192 | $72,181 | $5,948 | $4,738 |
| Park Place Surgical HospitalLafayette | 192 | $33,070 | $5,869 | $4,652 |
| AvalaCovington | 134 | $40,684 | $6,060 | $4,825 |
| St Francis Medical CenterMonroe | 130 | $22,496 | $5,875 | $4,666 |
| Lafayette General Medical CenterLafayette | 129 | $46,650 | $5,838 | $4,629 |
| CHRISTUS Central Louisiana Surgical HospitalAlexandria | 124 | $67,895 | $5,995 | $4,733 |
| Lafayette Surgical Specialty HospitalLafayette | 118 | $26,349 | $5,871 | $4,662 |
| Tulane Medical CenterNew Orleans | 109 | $95,619 | $5,971 | $4,740 |
| CHRISTUS St Patrick HospitalLake Charles | 92 | $69,208 | $6,030 | $4,783 |
| Lake Charles Memorial HospitalLake Charles | 91 | $39,352 | $6,031 | $4,774 |
| The Spine Hospital of LouisianaBaton Rouge | 85 | $25,918 | $5,894 | $4,660 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette | 78 | $35,267 | $5,887 | $4,672 |
| Thibodaux Regional Medical CenterThibodaux | 71 | $37,882 | $5,873 | $4,652 |
| CHRISTUS Schumpert Health SystemShreveport | 66 | $47,407 | $5,916 | $4,654 |
| Surgical Specialty Center of Baton RougeBaton Rouge | 63 | $17,139 | $6,049 | $4,819 |
| Terrebonne General Medical CenterHouma | 58 | $23,855 | $6,002 | $4,782 |
| Slidell Memorial HospitalSlidell | 58 | $37,114 | $5,977 | $4,744 |
| Opelousas General Health SystemOpelousas | 51 | $23,260 | $6,002 | $4,779 |
| St Tammany Parish HospitalCovington | 49 | $52,974 | $5,961 | $4,730 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge | 43 | $30,665 | $5,937 | $4,696 |
| Ochsner Medical Center-Baton RougeBaton Rouge | 42 | $35,272 | $5,821 | $4,592 |
| Omega Hospital, LLCMetairie | 41 | $42,371 | $5,858 | $4,646 |
| Sterling Surgical HospitalSlidell | 37 | $34,760 | $6,060 | $4,828 |
| Monroe Surgical HospitalMonroe | 36 | $27,506 | $5,834 | $4,624 |
| CHRISTUS Ochsner Lake Area HospitalLake Charles | 32 | $80,036 | $6,010 | $4,785 |
| Touro InfirmaryNew Orleans | 29 | $42,182 | $6,060 | $4,828 |
| Acadia General HospitalCrowley | 28 | $23,893 | $5,948 | $4,739 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport | 21 | $37,975 | $5,811 | $4,581 |
| Southern Surgical HospitalSlidell | 20 | $85,780 | $5,818 | $4,587 |
| Ochsner Medical Center-Kenner LLCKenner | 19 | $42,011 | $5,806 | $4,574 |
| CHRISTUS St Frances Cabrini HospitalAlexandria | 18 | $72,509 | $5,920 | $4,661 |
| Baton Rouge General Medical CenterBaton Rouge | 18 | $29,191 | $6,008 | $4,786 |
| Cypress Pointe Surgical HospitalHammond | 18 | $45,303 | $5,792 | $4,614 |
| West Jefferson Medical CenterMarrero | 17 | $45,129 | $6,060 | $4,813 |
| Minden Medical CenterMinden | 17 | $57,489 | $6,006 | $4,785 |
| Lane Regional Medical CenterZachary | 16 | $35,949 | $6,049 | $4,819 |
| Glenwood Regional Medical CenterWest Monroe | 16 | $36,095 | $5,948 | $4,739 |
| North Oaks Medical CenterHammond | 14 | $62,028 | $5,957 | $4,746 |
| Byrd Regional HospitalLeesville | 13 | $66,544 | $5,761 | $4,513 |
| Northern Louisiana Medical CenterRuston | 12 | $40,550 | $5,948 | $4,739 |
| Woman's HospitalBaton Rouge | 12 | $29,428 | $6,049 | $4,819 |
| Rapides Regional Medical CenterAlexandria | 11 | $129,565 | $6,194 | $4,935 |
| University Medical Center New OrleansNew Orleans | – | – | – | – |
| University Medical CenterLafayette | – | – | – | – |
| Natchitoches Regional Medical CenterNatchitoches | – | – | – | – |
| Ochsner LSU Health MonroeMonroe | – | – | – | – |
| West Calcasieu Cameron HospitalSulphur | – | – | – | – |
| Ochsner St MaryMorgan City | – | – | – | – |
| Abbeville General HospitalAbbeville | – | – | – | – |
| Beauregard Memorial HospitalDeridder | – | – | – | – |
| Jennings American Legion HospitalJennings | – | – | – | – |
| Iberia General Hospital and Medical CenterNew Iberia | – | – | – | – |
| St Charles Parish HospitalLuling | – | – | – | – |
| LSU Medical Center-Univ HospShreveport | – | – | – | – |
| Avoyelles HospitalMarksville | – | – | – | – |
| Franklin Medical CenterWinnsboro | – | – | – | – |
| Mercy Regional Medical CenterVille Platte | – | – | – | – |
| Leonard J Chabert Medical CenterHouma | – | – | – | – |
| Physicians Medical CenterHouma | – | – | – | – |
| St Bernard Parish HospitalChalmette | – | – | – | – |
| Our Lady of the Angels HospitalBogalusa | – | – | – | – |
| New Orleans East HospitalNew Orleans | – | – | – | – |
| Acadian Medical CenterEunice | – | – | – | – |
Lowest and highest allowed amounts in Louisiana
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
| Byrd Regional HospitalLeesville, LA | $5,761 |
|---|---|
| Cypress Pointe Surgical HospitalHammond, LA | $5,792 |
| Ochsner Medical Center-Kenner LLCKenner, LA | $5,806 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA | $5,811 |
| Southern Surgical HospitalSlidell, LA | $5,818 |
Highest
| Rapides Regional Medical CenterAlexandria, LA | $6,194 |
|---|---|
| West Jefferson Medical CenterMarrero, LA | $6,060 |
| AvalaCovington, LA | $6,060 |
| Touro InfirmaryNew Orleans, LA | $6,060 |
| Sterling Surgical HospitalSlidell, LA | $6,060 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Louisiana?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 65 hospitals in Louisiana was billed at $42,930 on average, while the average medicare-allowed amount was $5,934, of which Medicare paid $4,705. 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 Louisiana, average charges were 7.2 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.