Level 4 Musculoskeletal Procedures in Missouri
What 61 hospitals in Missouri charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$34,851
Hospital list price billed
Average allowed
$6,179
Medicare's payment + patient's share
Medicare paid
$4,904
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $34,851 for level 4 musculoskeletal procedures, about 5.6 times the average medicare-allowed amount of $6,179. 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 $6,179Billed $34,851
About 18¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 4 musculoskeletal procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Hospital SpringfieldSpringfield | 315 | $27,795 | $5,933 | $4,709 |
| Barnes Jewish HospitalSt Louis | 293 | $35,807 | $6,189 | $4,911 |
| Nkc HealthNorth Kansas City | 273 | $34,382 | $6,163 | $4,891 |
| Lester E Cox Medical CentersSpringfield | 232 | $33,935 | $5,928 | $4,709 |
| University Hospitals & ClinicsColumbia | 203 | $45,410 | $5,995 | $4,762 |
| Boone Hospital CenterColumbia | 200 | $24,503 | $6,015 | $4,775 |
| St Francis Medical CenterCape Girardeau | 180 | $50,435 | $6,516 | $5,186 |
| St John's Mercy Medical CenterSt Louis | 176 | $22,512 | $6,198 | $4,901 |
| St Lukes Hospital of Kansas CityKansas City | 138 | $42,485 | $6,176 | $4,906 |
| Mercy Hospital SouthSt Louis | 135 | $17,978 | $6,329 | $5,033 |
| Mosaic Life Care at St JosephSt Joseph | 120 | $27,090 | $6,685 | $5,317 |
| St Lukes HospitalChesterfield | 119 | $25,413 | $6,227 | $4,933 |
| Liberty HospitalLiberty | 111 | $32,765 | $6,203 | $4,933 |
| Southeast Missouri HospitalCape Girardeau | 108 | $45,770 | $6,400 | $5,070 |
| Barnes-Jewish West County HospitalSt Louis | 99 | $31,889 | $6,174 | $4,904 |
| Missouri Baptist Medical CenterTown and Country | 89 | $36,083 | $6,087 | $4,813 |
| Freeman Health System - Freeman WestJoplin | 83 | $38,723 | $5,872 | $4,647 |
| Phelps County Regional Medical CenterRolla | 77 | $43,967 | $6,748 | $5,359 |
| St Luke's Des Peres HospitalSaint Louis | 76 | $31,337 | $6,300 | $5,006 |
| SSM Depaul Health CenterBridgeton | 75 | $30,885 | $6,120 | $4,849 |
| SSM St Joseph Hospital WestLake St Louis | 70 | $24,430 | $6,248 | $4,951 |
| Barnes-Jewish St Peters HospitalSt Peters | 67 | $32,662 | $6,196 | $4,920 |
| Western Missouri Medical CenterWarrensburg | 62 | $21,127 | $6,360 | $5,050 |
| Ozarks Medical CenterWest Plains | 58 | $23,208 | $6,443 | $5,133 |
| Christian Hospital NortheastSt Louis | 58 | $31,213 | $6,168 | $4,892 |
| St Johns Mercy HospitalWashington | 57 | $23,521 | $6,204 | $4,910 |
| St Marys Health CenterJefferson City | 56 | $35,621 | $6,001 | $4,767 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 55 | $27,697 | $6,163 | $4,892 |
| Lake Regional Health SystemOsage Beach | 55 | $24,671 | $6,349 | $5,038 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 55 | $47,315 | $6,168 | $4,894 |
| SSM St Joseph Health CenterSt Charles | 53 | $26,540 | $3,858 | $3,046 |
| Mercy Hospital JoplinJoplin | 51 | $24,655 | $6,007 | $4,776 |
| Hannibal Regional HospitalHannibal | 50 | $55,648 | $6,819 | $5,433 |
| Bothwell Regional Health CenterSedalia | 48 | $18,660 | $6,691 | $5,331 |
| Citizens Memorial HospitalBolivar | 44 | $22,378 | $6,443 | $5,128 |
| Cox Medical Center BransonBranson | 40 | $47,238 | $6,153 | $4,876 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 39 | $132,449 | $6,443 | $5,129 |
| Lee's Summit HospitalLee's Summit | 38 | $56,978 | $6,248 | $4,977 |
| Golden Valley Memorial HospitalClinton | 37 | $25,072 | $6,691 | $5,331 |
| Parkland Health CenterFarmington | 34 | $33,352 | $6,499 | $5,113 |
| Saint Luke's Northland HospSmithville | 33 | $37,294 | $6,248 | $4,978 |
| Progress West Healthcare CenterO'fallon | 30 | $30,567 | $6,217 | $4,923 |
| Jefferson Memorial HospitalCrystal City | 26 | $26,038 | $5,977 | $4,683 |
| Northeast Regional Medical CenterKirksville | 25 | $64,532 | $6,343 | $5,004 |
| Missouri Delta Medical CenterSikeston | 25 | $34,348 | $6,786 | $5,362 |
| Research Medical CenterKansas City | 24 | $101,006 | $5,833 | $4,563 |
| Centerpoint Medical CenterIndependence | 22 | $81,030 | $6,248 | $4,978 |
| St Louis University HospitalSt Louis | 22 | $34,553 | $6,253 | $4,974 |
| St Joseph Medical CenterKansas City | 19 | $54,683 | $6,248 | $4,978 |
| SSM St Mary's Health CenterSt Louis | 19 | $31,302 | $6,001 | $4,720 |
| Cameron Community HospitalCameron | 15 | $33,166 | $6,248 | $4,971 |
| Truman Medical Center LakewoodKansas City | 15 | $18,128 | $5,644 | $4,374 |
| Research Belton HospitalBelton | 13 | $81,354 | $6,248 | $4,976 |
| Mosaic Medical Center - MaryvilleMaryville | 12 | $30,210 | $6,521 | $5,180 |
| Bates County Memorial HospitalButler | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| SSM St Joseph Health CenterSt Charles, MO | $3,858 |
|---|---|
| Truman Medical Center LakewoodKansas City, MO | $5,644 |
| Research Medical CenterKansas City, MO | $5,833 |
| Freeman Health System - Freeman WestJoplin, MO | $5,872 |
| Lester E Cox Medical CentersSpringfield, MO | $5,928 |
Highest
| Hannibal Regional HospitalHannibal, MO | $6,819 |
|---|---|
| Missouri Delta Medical CenterSikeston, MO | $6,786 |
| Phelps County Regional Medical CenterRolla, MO | $6,748 |
| Bothwell Regional Health CenterSedalia, MO | $6,691 |
| Golden Valley Memorial HospitalClinton, MO | $6,691 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Missouri?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 61 hospitals in Missouri was billed at $34,851 on average, while the average medicare-allowed amount was $6,179, of which Medicare paid $4,904. 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 Missouri, average charges were 5.6 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.