facebook tracking Level 4 Musculoskeletal Procedures cost in Nevada: 19 hospitals compared (APC 5114)

Level 4 Musculoskeletal Procedures in Nevada

What 19 hospitals in Nevada charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.

APC 5114 Outpatient 2024 Medicare data
Average charge $67,810 Hospital list price billed
Average allowed $7,592 Medicare's payment + patient's share
Medicare paid $6,035 Average per service
State rank #41 of 49 1 = lowest average payment

Hospitals in Nevada billed an average of $67,810 for level 4 musculoskeletal procedures, about 8.9 times the average medicare-allowed amount of $7,592. That payment is 13% 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 $7,592Billed $67,810

About 11¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 4 musculoskeletal procedures

Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Renown Regional Medical CenterReno 253 $40,720 $7,419 $5,892
Renown South Meadows Medical CenterReno 133 $42,959 $7,662 $6,104
Saint Rose Dominican Hospital - Siena CampusHenderson 112 $80,552 $7,392 $5,835
Carson Tahoe HospitalCarson City 105 $32,429 $7,623 $6,062
Spring Valley Hospital Medical CenterLas Vegas 78 $103,328 $7,445 $5,888
Northern Nevada Medical CenterSparks 75 $85,859 $8,683 $7,048
Southern Hills Hospital and Medical CenterLas Vegas 74 $88,057 $7,513 $5,956
Saint Mary's Regional Medical CenterReno 46 $57,630 $7,662 $6,105
Valley Hospital Medical CenterLas Vegas 39 $117,913 $7,662 $6,105
Sunrise Hospital and Medical CenterLas Vegas 35 $90,085 $7,494 $5,937
Northern Nevada Sierra Medical CenterReno 32 $84,654 $7,504 $5,947
University Medical CenterLas Vegas 26 $89,079 $7,444 $5,887
Mountainview HospitalLas Vegas 26 $109,311 $7,662 $6,105
Saint Rose Dominican Hospital - San Martin CampusLas Vegas 26 $82,663 $7,427 $5,870
Henderson HospitalHenderson 26 $100,092 $7,209 $5,648
Centennial Hills Hospital Medical CenterLas Vegas 19 $117,746 $7,662 $6,099
Northeastern Nevada Regional HospitalElko 15 $41,720 $8,205 $6,573
Summerlin Hospital Medical CenterLas Vegas 15 $108,165 $7,255 $5,698
North Vista HospitalNorth las Vegas – – – –
Level 4 Musculoskeletal Procedures: all states All Nevada hospitals Nevada hospital finances
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Lowest and highest allowed amounts in Nevada

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 4 Musculoskeletal Procedures in other states

Alaska · $7,642 Connecticut · $7,916 Delaware · $7,128 Massachusetts · $7,605 New Jersey · $7,592 New York · $7,713 Oregon · $7,605 Washington · $7,247

Questions

How much does level 4 musculoskeletal procedures cost in Nevada?

In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 19 hospitals in Nevada was billed at $67,810 on average, while the average medicare-allowed amount was $7,592, of which Medicare paid $6,035. 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 Nevada, average charges were 8.9 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.