Level 4 Musculoskeletal Procedures in Minnesota
What 46 hospitals in Minnesota charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$27,225
Hospital list price billed
Average allowed
$6,909
Medicare's payment + patient's share
Medicare paid
$5,489
Average per service
State rank
#35 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $27,225 for level 4 musculoskeletal procedures, about 3.9 times the average medicare-allowed amount of $6,909. That payment is 3% above 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 $6,909Billed $27,225
About 25¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 4 musculoskeletal procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 558 | $31,967 | $7,178 | $5,703 |
| Abbott Northwestern Hospital INCMinneapolis | 139 | $24,223 | $6,632 | $5,252 |
| St Cloud HospitalSt Cloud | 130 | $26,048 | $7,135 | $5,657 |
| Essentia Health St Mary's Medical CenterDuluth | 101 | $26,873 | $6,733 | $5,354 |
| St Lukes HospitalDuluth | 101 | $27,240 | $6,780 | $5,400 |
| Park Nicollet Methodist HospitalSaint Louis Park | 99 | $26,023 | $6,728 | $5,338 |
| Mayo Clinic Health System - MankatoMankato | 95 | $22,846 | $7,256 | $5,780 |
| Essentia Health DuluthDuluth | 92 | $26,188 | $6,602 | $5,246 |
| United HospitalSt Paul | 78 | $26,056 | $6,769 | $5,379 |
| Alomere HealthAlexandria | 73 | $23,457 | $6,908 | $5,498 |
| Lakeview Memorial HospitalStillwater | 69 | $17,030 | $6,681 | $5,291 |
| Fairview Southdale HospitalEdina | 57 | $31,215 | $6,838 | $5,449 |
| Maple Grove HospitalMaple Grove | 56 | $18,816 | $6,838 | $5,449 |
| Healtheast Woodwinds HospitalWoodbury | 54 | $32,167 | $6,693 | $5,303 |
| Sanford Bemidji Medical CenterBemidji | 50 | $20,750 | $7,132 | $5,682 |
| Northfield HospitalNorthfield | 46 | $27,021 | $6,838 | $5,449 |
| North Memorial Medical CenterRobbinsdale | 45 | $17,908 | $6,717 | $5,327 |
| Ridgeview Medical CenterWaconia | 45 | $26,209 | $6,838 | $5,449 |
| Itasca Medical CenterGrand Rapids | 44 | $25,665 | $7,132 | $5,681 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 42 | $23,138 | $6,910 | $5,475 |
| Lake Region Healthcare CorporationFergus Falls | 39 | $25,765 | $7,132 | $5,683 |
| Olmsted Medical CenterRochester | 35 | $26,782 | $6,881 | $5,483 |
| Fairview Red Wing HospitalRed Wing | 33 | $20,209 | $6,787 | $5,406 |
| Regions HospitalSt Paul | 32 | $24,542 | $6,838 | $5,449 |
| Hennepin County Medical CenterMinneapolis | 31 | $33,091 | $6,681 | $5,291 |
| University of Minnesota Medical Center, FairviewMinneapolis | 28 | $54,209 | $6,727 | $5,360 |
| Mercy HospitalCoon Rapids | 28 | $29,425 | $6,644 | $5,254 |
| St Marys Regional Health CenterDetroit Lakes | 24 | $21,153 | $6,747 | $5,327 |
| Fairview Ridges HospitalBurnsville | 24 | $32,544 | $6,839 | $5,441 |
| Owatonna HospitalOwatonna | 22 | $21,159 | $6,787 | $5,407 |
| Winona Health ServicesWinona | 21 | $21,330 | $7,132 | $5,683 |
| Allina Health Faribault Medical CenterFaribault | 20 | $34,342 | $6,517 | $5,133 |
| St Francis Regional Medical CenterShakopee | 20 | $22,348 | $6,511 | $5,121 |
| Essentia Health St Joseph's Medical CenterBrainerd | 19 | $26,949 | $7,132 | $5,683 |
| St John's HospitalSt Paul | 18 | $39,530 | $6,536 | $5,146 |
| Fairview Lakes Health ServicesWyoming | 17 | $28,482 | $6,839 | $5,445 |
| Buffalo HospitalBuffalo | 15 | $27,911 | $6,475 | $5,085 |
| Fairview Northland Regional HospitalPrinceton | 15 | $25,385 | $6,475 | $5,081 |
| Range Regional Health ServicesHibbing | 14 | $29,654 | $6,659 | $5,301 |
| Hutchinson Area Health CareHutchinson | 14 | $32,891 | $7,211 | $5,745 |
| Virginia Regional Medical CenterVirginia | 12 | $23,890 | $6,659 | $5,306 |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Rice Memorial HospitalWillmar | – | – | – | – |
| Fairmont Medical CenterFairmont | – | – | – | – |
| Gillette Children's HealthcareSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Buffalo HospitalBuffalo, MN | $6,475 |
|---|---|
| Fairview Northland Regional HospitalPrinceton, MN | $6,475 |
| St Francis Regional Medical CenterShakopee, MN | $6,511 |
| Allina Health Faribault Medical CenterFaribault, MN | $6,517 |
| St John's HospitalSt Paul, MN | $6,536 |
Highest
| Mayo Clinic Health System - MankatoMankato, MN | $7,256 |
|---|---|
| Hutchinson Area Health CareHutchinson, MN | $7,211 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $7,178 |
| St Cloud HospitalSt Cloud, MN | $7,135 |
| Itasca Medical CenterGrand Rapids, MN | $7,132 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Minnesota?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 46 hospitals in Minnesota was billed at $27,225 on average, while the average medicare-allowed amount was $6,909, of which Medicare paid $5,489. 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 Minnesota, average charges were 3.9 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.