Level 4 Musculoskeletal Procedures in North Carolina
What 79 hospitals in North Carolina charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$38,813
Hospital list price billed
Average allowed
$6,354
Medicare's payment + patient's share
Medicare paid
$5,045
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $38,813 for level 4 musculoskeletal procedures, about 6.1 times the average medicare-allowed amount of $6,354. That payment is 5% 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 $6,354Billed $38,813
About 16¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 4 musculoskeletal procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 442 | $34,717 | $6,627 | $5,271 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 307 | $60,799 | $6,210 | $4,941 |
| Carolina East Medical CenterNew Bern | 287 | $28,378 | $6,601 | $5,247 |
| Presbyterian HospitalCharlotte | 283 | $33,514 | $6,356 | $5,048 |
| Duke University Medical CenterDurham | 261 | $35,343 | $6,320 | $5,022 |
| Carolinas Medical Center/Behav HealthCharlotte | 212 | $62,768 | $6,339 | $5,032 |
| Rex HospitalRaleigh | 210 | $22,896 | $6,295 | $4,985 |
| Forsyth Memorial HospitalWinston-Salem | 184 | $27,522 | $6,464 | $5,138 |
| Caromont Regional Medical CenterGastonia | 181 | $36,167 | $6,264 | $4,956 |
| Margaret R Pardee Mem HospitalHendersonville | 172 | $29,021 | $6,139 | $4,871 |
| North Carolina Baptist HospitalWinston-Salem | 166 | $62,131 | $6,370 | $5,044 |
| Firsthealth Moore Regional HospitalPinehurst | 151 | $27,808 | $6,277 | $4,988 |
| ECU Health Medical CenterGreenville | 144 | $27,346 | $6,053 | $4,787 |
| Moses H Cone Memorial Hospital, theGreensboro | 136 | $26,523 | $6,342 | $5,038 |
| North Carolina Eye & Ear HospDurham | 122 | $26,436 | $6,453 | $5,141 |
| UNC HospitalsChapel Hill | 113 | $26,696 | $6,182 | $4,886 |
| Wakemed, Raleigh CampusRaleigh | 109 | $47,448 | $6,394 | $5,078 |
| Carteret General HospitalMorehead City | 97 | $23,700 | $6,608 | $5,265 |
| Grace Hospital INCMorganton | 93 | $58,775 | $5,959 | $4,694 |
| Frye Regional Medical CenterHickory | 86 | $57,879 | $6,302 | $5,009 |
| Watauga Medical CenterBoone | 83 | $32,920 | $6,668 | $5,312 |
| Rowan Regional Medical CenterSalisbury | 80 | $38,775 | $6,428 | $5,122 |
| Brunswick Community HospitalSupply | 79 | $46,185 | $6,226 | $4,960 |
| Atrium Health PinevilleCharlotte | 75 | $61,055 | $6,293 | $4,985 |
| Duke Health Raleigh HospitalRaleigh | 74 | $26,008 | $6,372 | $5,059 |
| Nash General HospitalRocky Mount | 72 | $32,820 | $6,052 | $4,779 |
| Roanoke Chowan HospitalAhoskie | 67 | $17,401 | $6,668 | $5,308 |
| Lake Norman Regional Medical CenterMooresville | 67 | $66,026 | $6,276 | $4,967 |
| Duke Regional HospitalDurham | 66 | $41,438 | $6,222 | $4,908 |
| Cape Fear Valley Medical CenterFayetteville | 65 | $27,524 | $6,326 | $5,040 |
| Caldwell Memorial HospitalLenoir | 60 | $31,397 | $6,143 | $4,878 |
| Alamance Regional Medical CenterBurlington | 56 | $34,352 | $6,440 | $5,112 |
| Catawba Valley Medical CenterHickory | 54 | $37,274 | $6,312 | $5,029 |
| Presbyterian Hospital HuntersvilleHuntersville | 53 | $60,157 | $6,428 | $5,122 |
| Iredell Memorial Hospital INCStatesville | 52 | $65,859 | $6,231 | $4,925 |
| Johnston Memorial HospitalSmithfield | 52 | $36,678 | $6,337 | $5,027 |
| Carolinas Medical Center-NortheastConcord | 50 | $47,682 | $6,428 | $5,122 |
| Adventhealth HendersonvilleFletcher | 43 | $55,520 | $6,110 | $4,840 |
| Haywood Regional Medical CenterClyde | 42 | $39,855 | $6,151 | $4,901 |
| Wayne Memorial HospitalGoldsboro | 40 | $23,860 | $6,999 | $5,518 |
| Onslow Memorial HospitalJacksonville | 39 | $32,945 | $6,668 | $5,312 |
| Carolinas Medical Center-UnionMonroe | 37 | $59,449 | $6,428 | $5,122 |
| Medical Park HospitalWinston-Salem | 36 | $24,445 | $6,521 | $5,196 |
| C J Harris Community HospitalSylva | 35 | $47,853 | $6,226 | $4,955 |
| Albemarle Hospital AuthorityElizabeth City | 34 | $33,077 | $6,668 | $5,312 |
| ECU Health North HospitalRoanoke Rapids | 30 | $19,069 | $6,490 | $5,135 |
| Davie Medical CenterBermuda Run | 29 | $64,935 | $6,521 | $5,195 |
| Novant Health Mint Hill Medical CenterCharlotte | 28 | $50,828 | $6,466 | $5,152 |
| Cape Fear Valley Hoke HospitalRaeford | 27 | $21,639 | $5,923 | $4,650 |
| Cleveland Regional Medical CenterShelby | 26 | $53,385 | $6,166 | $4,873 |
| High Point Regional Hlth SystHigh Point | 25 | $53,270 | $6,357 | $5,065 |
| Lexington Memorial Hospital INCLexington | 25 | $48,418 | $6,313 | $4,988 |
| Vidant Edgecombe HospitalTarboro | 25 | $31,702 | $6,027 | $4,762 |
| Rutherford Hospital INCRutherfordton | 23 | $48,417 | $6,437 | $5,081 |
| Hugh Chatham Memorial HospitalElkin | 23 | $34,805 | $5,739 | $4,527 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 22 | $54,425 | $6,226 | $4,960 |
| Wakemed, Cary HospitalCary | 22 | $40,165 | $6,441 | $5,130 |
| Northern Hospital of Surry CountyMt Airy | 18 | $13,341 | $6,226 | $4,960 |
| Scotland Memorial HospitalLaurinburg | 16 | $39,572 | $6,361 | $5,068 |
| Carolinas Medical Center-LincolnLincolnton | 16 | $64,633 | $6,428 | $5,122 |
| Betsy Johnson Regional HospitalDunn | 15 | $27,831 | $6,226 | $4,960 |
| Randolph HospitalAsheboro | 15 | $38,246 | $5,889 | $4,585 |
| Novant Health Ballantyne Medical CenterCharlotte | 12 | $59,673 | $6,397 | $5,097 |
| Southeastern Regional Medical CenterLumberton | 11 | $30,558 | $5,702 | $4,346 |
| Presbyterian Hospital-MatthewsMatthews | 11 | $46,887 | $6,428 | $5,122 |
| Central Carolina HospitalSanford | – | – | – | – |
| Sampson Regional Medical CenterClinton | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| Columbus Regional Healthcare SystemWhiteville | – | – | – | – |
| Thomasville Medical CenterThomasville | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Maria Parham HospitalHenderson | – | – | – | – |
| Carolinas Med Ctr-UniversityCharlotte | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Southeastern Regional Medical CenterLumberton, NC | $5,702 |
|---|---|
| Hugh Chatham Memorial HospitalElkin, NC | $5,739 |
| Randolph HospitalAsheboro, NC | $5,889 |
| Cape Fear Valley Hoke HospitalRaeford, NC | $5,923 |
| Grace Hospital INCMorganton, NC | $5,959 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $6,999 |
|---|---|
| Roanoke Chowan HospitalAhoskie, NC | $6,668 |
| Onslow Memorial HospitalJacksonville, NC | $6,668 |
| Watauga Medical CenterBoone, NC | $6,668 |
| Albemarle Hospital AuthorityElizabeth City, NC | $6,668 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in North Carolina?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 79 hospitals in North Carolina was billed at $38,813 on average, while the average medicare-allowed amount was $6,354, of which Medicare paid $5,045. 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 North Carolina, average charges were 6.1 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.