Level 4 Musculoskeletal Procedures in Michigan
What 88 hospitals in Michigan charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$32,188
Hospital list price billed
Average allowed
$6,197
Medicare's payment + patient's share
Medicare paid
$4,905
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $32,188 for level 4 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $6,197. 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 $6,197Billed $32,188
About 19¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 4 musculoskeletal procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Spectrum Health - Butterworth CampusGrand Rapids | 160 | $24,265 | $5,925 | $4,669 |
| Bronson Methodist HospitalKalamazoo | 155 | $16,261 | $6,130 | $4,857 |
| William Beaumont HospitalRoyal Oak | 154 | $43,405 | $6,278 | $4,981 |
| Midmichigan Medical Center-MidlandMidland | 131 | $19,992 | $6,555 | $5,190 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 128 | $37,930 | $6,537 | $5,198 |
| William Beaumont Hospital-TroyTroy | 123 | $41,343 | $6,213 | $4,913 |
| Edward W Sparrow HospitalLansing | 119 | $28,870 | $5,940 | $4,673 |
| Providence Hospital and Medical CentersSouthfield | 118 | $32,961 | $6,302 | $5,003 |
| Univ of Michigan HospitalsAnn Arbor | 117 | $42,715 | $6,571 | $5,231 |
| Henry Ford HospitalDetroit | 115 | $25,039 | $5,788 | $4,606 |
| Trinity Health Muskegon HospitalMuskegon | 103 | $31,740 | $6,570 | $5,197 |
| Munson Medical CenterTraverse City | 103 | $25,063 | $6,518 | $5,169 |
| St John Hospital and Medical CenterDetroit | 97 | $33,243 | $6,184 | $4,883 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 85 | $27,497 | $6,156 | $4,857 |
| Lakeland Hospital, St JosephSt Joseph | 81 | $29,747 | $6,112 | $4,842 |
| Marquette General Hlth SystemMarquette | 80 | $60,239 | $6,842 | $5,451 |
| St Mary Mercy HospitalLivonia | 76 | $34,165 | $3,560 | $2,808 |
| Ascension Providence Rochester HospitalRochester | 75 | $35,603 | $6,241 | $4,945 |
| Bay Regional Medical CenterBay City | 73 | $22,135 | $6,237 | $4,938 |
| Surgeons Choice Medical CenterSouthfield | 73 | $23,005 | $6,115 | $4,834 |
| Covenant Medical Center, INCSaginaw | 68 | $25,189 | $6,092 | $4,791 |
| Henry Ford Macomb HospitalClinton Twp | 65 | $26,433 | $6,301 | $5,020 |
| St Joseph Mercy OaklandPontiac | 61 | $38,899 | $6,293 | $4,994 |
| Allegiance HealthJackson | 60 | $27,286 | $6,388 | $5,089 |
| Northern Michigan Regional HospitalPetoskey | 59 | $19,026 | $6,630 | $5,261 |
| Borgess Medical CenterKalamazoo | 58 | $35,715 | $6,147 | $4,877 |
| Chelsea Community HospitalChelsea | 56 | $33,601 | $6,727 | $5,353 |
| McLaren Greater LansingLansing | 52 | $29,844 | $6,192 | $4,894 |
| Henry Ford Health Warren HospitalWarren | 51 | $39,619 | $6,062 | $4,794 |
| Port Huron HospitalPort Huron | 50 | $20,468 | $6,200 | $4,916 |
| McLaren MacombMt Clemens | 50 | $36,237 | $6,200 | $4,920 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 49 | $48,459 | $5,974 | $4,721 |
| Promedica Monroe Regional HospitalMonroe | 48 | $19,527 | $5,858 | $4,560 |
| Oaklawn HospitalMarshall | 48 | $47,745 | $6,034 | $4,766 |
| Saint Mary's Health CareGrand Rapids | 47 | $33,724 | $6,100 | $4,859 |
| University of Michigan Health - WestWyoming | 46 | $23,146 | $5,514 | $4,283 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 45 | $31,078 | $6,603 | $5,235 |
| Saint Joseph Mercy Livingston HospitalHowell | 41 | $39,403 | $6,412 | $5,079 |
| Huron Valley-Sinai HospitalCommerce Twp | 38 | $63,338 | $6,376 | $5,078 |
| Battle Creek Health SystemBattle Creek | 35 | $16,073 | $5,869 | $4,596 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 34 | $41,000 | $5,934 | $4,586 |
| McLaren Regional Medical CenterFlint | 34 | $27,427 | $6,411 | $5,039 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 34 | $43,003 | $6,112 | $4,806 |
| Henry Ford Wyandotte HospitalWyandotte | 33 | $25,733 | $6,234 | $4,936 |
| Hillsdale Community Health CenterHillsdale | 31 | $21,001 | $6,233 | $4,960 |
| Holland Community HospitalHolland | 29 | $21,609 | $6,068 | $4,794 |
| Beaumont Hospital - TaylorTaylor | 28 | $50,915 | $5,969 | $4,688 |
| Mymichigan Medical Center SaginawSaginaw | 27 | $18,638 | $6,034 | $4,738 |
| Corewell Health Wayne HospitalWayne | 27 | $46,780 | $5,875 | $4,636 |
| Corewell Health Trenton HospitalTrenton | 27 | $51,442 | $6,138 | $4,859 |
| Beaumont Hospital - DearbornDearborn | 24 | $50,110 | $6,176 | $4,878 |
| Alpena Regional Medical CenterAlpena | 23 | $23,621 | $6,485 | $5,120 |
| McLaren OaklandPontiac | 23 | $31,783 | $5,873 | $4,576 |
| Three Rivers Area HospitalThree Rivers | 22 | $27,567 | $6,408 | $5,097 |
| Lapeer Regional Medical CenterLapeer | 22 | $22,829 | $6,376 | $5,080 |
| Southeast Michigan Surgical HospitalWarren | 22 | $68,063 | $6,301 | $5,020 |
| Dickinson County Memorial HospitalIron Mountain | 21 | $19,069 | $6,675 | $5,318 |
| Central Michigan Community HospitalMt Pleasant | 21 | $30,621 | $6,272 | $4,997 |
| Mercy Hospital - CadillacCadillac | 21 | $22,155 | $6,675 | $5,314 |
| Corewell Health Ludington HospitalLudington | 20 | $26,279 | $6,477 | $5,106 |
| Otsego Memorial HospitalGaylord | 20 | $21,333 | $6,675 | $5,318 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 19 | $13,244 | $6,400 | $5,038 |
| Sinai-Grace HospitalDetroit | 18 | $62,776 | $6,388 | $5,079 |
| Harper University HospitalDetroit | 18 | $90,512 | $6,388 | $5,090 |
| Corewell Health Big Rapids HospitalBig Rapids | 17 | $23,288 | $6,432 | $5,060 |
| Memorial HealthcareOwosso | 16 | $46,414 | $6,264 | $4,981 |
| Hurley Medical CenterFlint | 16 | $46,814 | $6,667 | $5,312 |
| Munson Healthcare Manistee HospitalManistee | 15 | $22,403 | $6,029 | $4,658 |
| Insight Hospital and Medical Center ColdwaterColdwater | 14 | $30,956 | $6,257 | $4,986 |
| Mercy Hospital - GraylingGrayling | 13 | $25,952 | $6,016 | $4,659 |
| Corewell Health Watervliet HospitalWatervliet | 13 | $27,189 | $6,232 | $4,966 |
| Forest Health Medical CenterYpsilanti | 13 | $18,182 | $6,596 | $5,255 |
| Spectrum Health United Memorial - United CampusGreenville | 11 | $27,014 | $6,232 | $4,966 |
| Zeeland Community HospitalZeeland | – | – | – | – |
| Mymichigan Medical Center AlmaAlma | – | – | – | – |
| St Joseph Mercy Port HuronPort Huron | – | – | – | – |
| Straith Hospital for Special SurgerySouthfield | – | – | – | – |
| West Branch Regional Medical CenterWest Branch | – | – | – | – |
| St Joseph Health SystemTawas City | – | – | – | – |
| Portage Health HospitalHancock | – | – | – | – |
| Trinity Health Grand Haven HospitalGrand Haven | – | – | – | – |
| Midmichigan Medical Center-ClareClare | – | – | – | – |
| Carson City HospitalCarson City | – | – | – | – |
| St John River District HospitalEast China | – | – | – | – |
| Garden City HospitalGarden City | – | – | – | – |
| Detroit Receiving Hospital & Univ Health CenterDetroit | – | – | – | – |
| Sturgis HospitalSturgis | – | – | – | – |
| Rehabilitation Inst of MichDetroit | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| St Mary Mercy HospitalLivonia, MI | $3,560 |
|---|---|
| University of Michigan Health - WestWyoming, MI | $5,514 |
| Henry Ford HospitalDetroit, MI | $5,788 |
| Promedica Monroe Regional HospitalMonroe, MI | $5,858 |
| Battle Creek Health SystemBattle Creek, MI | $5,869 |
Highest
| Marquette General Hlth SystemMarquette, MI | $6,842 |
|---|---|
| Chelsea Community HospitalChelsea, MI | $6,727 |
| Mercy Hospital - CadillacCadillac, MI | $6,675 |
| Dickinson County Memorial HospitalIron Mountain, MI | $6,675 |
| Otsego Memorial HospitalGaylord, MI | $6,675 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Michigan?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 88 hospitals in Michigan was billed at $32,188 on average, while the average medicare-allowed amount was $6,197, 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 Michigan, average charges were 5.2 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.