Level 4 Musculoskeletal Procedures in Ohio
What 116 hospitals in Ohio charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$40,609
Hospital list price billed
Average allowed
$6,094
Medicare's payment + patient's share
Medicare paid
$4,829
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $40,609 for level 4 musculoskeletal procedures, about 6.7 times the average medicare-allowed amount of $6,094. That payment is 9% 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 $6,094Billed $40,609
About 15¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 4 musculoskeletal procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Christ HospitalCincinnati | 284 | $31,335 | $6,126 | $4,861 |
| Toledo Hospital theToledo | 272 | $49,335 | $6,182 | $4,883 |
| Mercy St Vincent Medical CenterToledo | 270 | $63,706 | $6,314 | $5,011 |
| Crystal Clinic Orthopaedic CenterAkron | 258 | $31,733 | $6,072 | $4,823 |
| Cleveland Clinic - Main CampusCleveland | 257 | $31,193 | $6,013 | $4,769 |
| Ohio State University HospitalsColumbus | 202 | $48,293 | $6,320 | $5,013 |
| Institute for Orthopedic SurgeryLima | 199 | $34,096 | $5,992 | $4,757 |
| Miami Valley HospitalDayton | 195 | $47,340 | $6,134 | $4,860 |
| Grant Medical CenterColumbus | 165 | $58,291 | $6,235 | $4,940 |
| Hillcrest HospitalCleveland | 149 | $32,657 | $6,075 | $4,831 |
| Kettering Health DaytonDayton | 144 | $46,181 | $6,124 | $4,848 |
| Kettering Medical CenterKettering | 135 | $51,337 | $6,269 | $4,963 |
| Bethesda North HospitalCincinnati | 118 | $25,128 | $6,138 | $4,873 |
| Jewish Hospital, LLCCincinnati | 105 | $65,400 | $6,222 | $4,956 |
| Dublin Methodist HospitalDublin | 102 | $56,737 | $6,185 | $4,897 |
| Genesis Healthcare SystemZanesville | 99 | $32,843 | $6,310 | $4,970 |
| Lutheran HospitalCleveland | 94 | $32,376 | $6,004 | $4,762 |
| Kettering Medical Center - SycamoreMiamisburg | 92 | $39,624 | $6,365 | $5,060 |
| Ohio Valley Medical Center, LLCSpringfield | 89 | $28,111 | $6,373 | $5,066 |
| Mount Carmel New Albany Surgical HospitalNew Albany | 87 | $47,982 | $6,339 | $5,037 |
| Riverside Methodist HospitalColumbus | 82 | $47,707 | $6,335 | $5,033 |
| Southwest General Health CenterMiddleburg Heights | 80 | $22,469 | $4,236 | $3,357 |
| University Hospital, INCCincinnati | 78 | $55,845 | $6,094 | $4,827 |
| Fairview HospitalCleveland | 76 | $32,395 | $6,043 | $4,802 |
| Lake Hospital SystemPainesville | 75 | $33,397 | $5,831 | $4,606 |
| Marymount HospitalGarfield Heights | 75 | $34,072 | $6,107 | $4,863 |
| University Hospitals Ahuja Medical CenterBeachwood | 75 | $37,062 | $6,107 | $4,863 |
| Surgical Hospital at SouthwoodsYoungstown | 74 | $31,238 | $6,022 | $4,785 |
| West Chester Medical CenterWest Chester | 73 | $44,861 | $6,154 | $4,889 |
| Metrohealth SystemCleveland | 71 | $29,323 | $4,188 | $2,947 |
| St John Medical CenterWestlake | 71 | $35,687 | $6,107 | $4,864 |
| Atrium Medical CenterMiddletown | 66 | $44,943 | $6,130 | $4,869 |
| Good Samaritan HospitalCincinnati | 64 | $24,142 | $6,144 | $4,880 |
| University of Toledo Medical CenterToledo | 63 | $45,182 | $6,255 | $4,979 |
| Blanchard Valley Health AssnFindlay | 62 | $22,980 | $6,105 | $4,864 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 62 | $42,746 | $6,222 | $4,957 |
| Lake Health Beachwood Medical CenterBeachwood | 62 | $29,425 | $5,950 | $4,709 |
| Holzer Medical CenterGallipolis | 59 | $28,023 | $6,005 | $4,768 |
| Wood County HospitalBowling Green | 58 | $24,861 | $6,021 | $4,780 |
| Summa Western Reserve HospitalCuyahoga Falls | 58 | $53,988 | $6,088 | $4,850 |
| St Rita's Medical CenterLima | 55 | $74,797 | $5,941 | $4,697 |
| Mercy Hospital AndersonCincinnati | 52 | $49,508 | $5,971 | $4,717 |
| Mercy Hospital FairfieldFairfield | 52 | $50,094 | $6,222 | $4,953 |
| University Hospitals of ClevelandCleveland | 50 | $41,458 | $6,107 | $4,865 |
| Wilson Memorial HospitalSidney | 49 | $31,116 | $6,421 | $5,114 |
| Summa Health System - Akron CampusAkron | 47 | $40,104 | $5,576 | $4,334 |
| Firelands Community HospitalSandusky | 47 | $25,946 | $5,984 | $4,747 |
| Soin Medical CenterBeaver Creek | 47 | $64,270 | $6,421 | $5,116 |
| Southern Ohio Medical CenterPortsmouth | 44 | $35,759 | $6,404 | $5,073 |
| Parma Community General HospitalParma | 44 | $36,457 | $5,997 | $4,755 |
| Medina HospitalMedina | 44 | $26,622 | $5,997 | $4,755 |
| St Joseph Health CenterWarren | 44 | $44,923 | $5,977 | $4,740 |
| Ohiohealth Mansfield HospitalMansfield | 43 | $39,417 | $6,262 | $4,988 |
| Adena Regional Medical CenterChillicothe | 43 | $51,824 | $6,146 | $4,873 |
| Mercy Regional Medical CenterLorain | 41 | $35,717 | $5,989 | $4,740 |
| Grady Memorial HospitalDelaware | 39 | $61,231 | $6,136 | $4,831 |
| Mount Carmel HealthColumbus | 37 | $42,864 | $6,260 | $4,957 |
| Upper Valley Medical CenterTroy | 37 | $47,532 | $5,987 | $4,732 |
| Cleveland Clinic - Akron GeneralAkron | 36 | $30,875 | $6,088 | $4,850 |
| St Elizabeth Boardman Health CenterYoungstown | 36 | $47,613 | $6,088 | $4,850 |
| Mercy Medical CenterCanton | 35 | $29,273 | $5,949 | $4,712 |
| UH Regional HospitalsRichmond Heights | 35 | $34,765 | $6,107 | $4,866 |
| Licking Memorial HospitalNewark | 34 | $34,131 | $6,397 | $5,097 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 33 | $43,804 | $5,921 | $4,652 |
| Bay Park Community HospitalOregon | 33 | $31,412 | $5,818 | $4,565 |
| Marion General HospitalMarion | 32 | $43,748 | $6,262 | $4,987 |
| Mount Carmel St Ann's HospitalWesterville | 32 | $49,562 | $6,238 | $4,938 |
| Aultman HospitalCanton | 32 | $25,144 | $6,088 | $4,850 |
| University Hospitals - Elyria Medical CenterElyria | 31 | $30,476 | $5,793 | $4,552 |
| Knox Community HospitalMt Vernon | 30 | $27,110 | $6,455 | $5,107 |
| Cleveland Clinic Avon HospitalAvon | 30 | $39,477 | $6,107 | $4,866 |
| Alliance Community HospitalAlliance | 27 | $22,213 | $5,908 | $4,671 |
| O'bleness Memorial HospitalAthens | 25 | $51,273 | $6,289 | $4,926 |
| Southeastern Ohio Regional Medical CenterCambridge | 25 | $32,551 | $6,520 | $5,195 |
| Mercy Hospital ClermontBatavia | 25 | $61,278 | $6,023 | $4,757 |
| Lima Memorial Health SystemLima | 24 | $46,773 | $6,262 | $4,989 |
| St Elizabeth Health CenterYoungstown | 24 | $32,382 | $5,885 | $4,648 |
| Memorial HospitalFremont | 24 | $26,896 | $5,699 | $4,459 |
| University Hospitals Portage Medical CenterRavenna | 23 | $37,393 | $5,901 | $4,664 |
| Community Hospitals and Wellness CentersBryan | 23 | $46,492 | $6,172 | $4,856 |
| Mary Rutan HospitalBellefontaine | 23 | $52,299 | $6,638 | $5,241 |
| McCullough-Hyde Memorial HospitalOxford | 22 | $40,358 | $6,222 | $4,957 |
| Fairfield Medical CenterLancaster | 21 | $30,266 | $6,398 | $5,088 |
| South Pointe HospitalWarrensville Heights | 21 | $34,957 | $6,107 | $4,866 |
| Fisher Titus Memorial HospitalNorwalk | 20 | $21,889 | $5,876 | $4,632 |
| Marietta Memorial HospitalMarietta | 20 | $32,290 | $5,360 | $4,123 |
| Berger HospitalCircleville | 20 | $34,906 | $6,143 | $4,827 |
| Wooster Community HospitalWooster | 19 | $21,363 | $6,120 | $4,876 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 19 | $19,597 | $6,088 | $4,850 |
| Avita OntarioOntario | 19 | $33,243 | $6,222 | $4,957 |
| Union HospitalDover | 18 | $42,459 | $6,088 | $4,850 |
| Doctors HospitalColumbus | 18 | $57,802 | $6,303 | $5,022 |
| Springfield Regional Medical CenterSpringfield | 17 | $38,116 | $6,071 | $4,769 |
| Mercy Hospital of DefianceDefiance | 17 | $34,225 | $6,393 | $5,094 |
| Grand Lake Health SystemSt Marys | 15 | $25,368 | $6,118 | $4,875 |
| Kings Daughters Medical Center OhioPortsmouth | 15 | $24,962 | $6,088 | $4,850 |
| Van Wert County HospitalVan Wert | 12 | $20,773 | $6,393 | $5,094 |
| Samaritan Hospital - Peoples HospitalAshland | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| Trumbull Memorial HospitalWarren | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| East Ohio Regional HospitalMartins Ferry | – | – | – | – |
| Euclid HospitalEuclid | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| East Liverpool City HospitalEast Liverpool | – | – | – | – |
| Bellevue HospitalBellevue | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Ashtabula County Medical CenterAshtabula | – | – | – | – |
| Joel Pomerene Memorial HospitalMillersburg | – | – | – | – |
| Trihealth Clinton Regional HospitalWilmington | – | – | – | – |
| Salem Community HospitalSalem | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Arthur G James Cancer HospitalColumbus | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
| Mercy Health Kings Mills Hospital LLCMason | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $4,188 |
|---|---|
| Southwest General Health CenterMiddleburg Heights, OH | $4,236 |
| Marietta Memorial HospitalMarietta, OH | $5,360 |
| Summa Health System - Akron CampusAkron, OH | $5,576 |
| Memorial HospitalFremont, OH | $5,699 |
Highest
| Mary Rutan HospitalBellefontaine, OH | $6,638 |
|---|---|
| Southeastern Ohio Regional Medical CenterCambridge, OH | $6,520 |
| Knox Community HospitalMt Vernon, OH | $6,455 |
| Wilson Memorial HospitalSidney, OH | $6,421 |
| Soin Medical CenterBeaver Creek, OH | $6,421 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Ohio?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 116 hospitals in Ohio was billed at $40,609 on average, while the average medicare-allowed amount was $6,094, of which Medicare paid $4,829. 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 Ohio, average charges were 6.7 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.