Level 4 Musculoskeletal Procedures in Pennsylvania
What 125 hospitals in Pennsylvania charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$47,692
Hospital list price billed
Average allowed
$6,566
Medicare's payment + patient's share
Medicare paid
$5,216
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $47,692 for level 4 musculoskeletal procedures, about 7.3 times the average medicare-allowed amount of $6,566. That payment is 2% 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 $6,566Billed $47,692
About 14¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 4 musculoskeletal procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 622 | $50,993 | $6,860 | $5,444 |
| Penn Presbyterian Medical CenterPhiladelphia | 212 | $64,298 | $7,132 | $5,667 |
| Thomas Jefferson University HospitalPhiladelphia | 207 | $44,466 | $6,720 | $5,331 |
| Lancaster General HospitalLancaster | 205 | $30,101 | $6,536 | $5,190 |
| Oss Orthopaedic HospitalYork | 193 | $29,240 | $6,565 | $5,224 |
| St Luke's Hospital BethlehemBethlehem | 190 | $71,747 | $6,900 | $5,481 |
| UPMC Pinnacle HospitalsHarrisburg | 162 | $28,120 | $6,411 | $5,107 |
| Allegheny General HospitalPittsburgh | 143 | $34,178 | $6,283 | $4,983 |
| UPMC Presbyterian ShadysidePittsburgh | 142 | $80,288 | $6,251 | $4,949 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 139 | $42,828 | $7,208 | $5,740 |
| Geisinger Medical CenterDanville | 130 | $100,387 | $6,250 | $4,954 |
| Evangelical Community HospitalLewisburg | 129 | $45,542 | $6,390 | $5,091 |
| Milton S Hershey Medical CenterHershey | 128 | $80,268 | $6,692 | $5,322 |
| Lehigh Valley Hospital - Dickson CityDickson City | 127 | $47,386 | $6,310 | $5,011 |
| Chester County HospitalWest Chester | 122 | $32,668 | $6,902 | $5,499 |
| UPMC PassavantPittsburgh | 119 | $55,826 | $6,390 | $5,086 |
| Main Line Hospital PaoliPaoli | 114 | $28,971 | $6,811 | $5,407 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 113 | $89,358 | $5,110 | $4,043 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 107 | $25,681 | $6,902 | $5,497 |
| Chambersburg HospitalChambersburg | 104 | $34,738 | $7,069 | $5,627 |
| Doylestown HospitalDoylestown | 104 | $37,014 | $6,851 | $5,441 |
| Williamsport Hospital & Medical CenterWilliamsport | 103 | $46,117 | $6,340 | $5,039 |
| Surgical Institute of ReadingWyomissing | 100 | $29,918 | $6,337 | $5,026 |
| UPMC EastMonroeville | 97 | $80,417 | $6,239 | $4,935 |
| Robert Packer HospitalSayre | 95 | $31,238 | $6,408 | $5,070 |
| Crozer Chester Medical CenterChester | 94 | $39,122 | $6,152 | $4,896 |
| Bucks County Specialty HospitalBensalem | 94 | $61,180 | $6,902 | $5,498 |
| UPMC St MargaretPittsburgh | 92 | $61,344 | $6,334 | $5,034 |
| Riddle Memorial HospitalMedia | 92 | $29,211 | $6,950 | $5,538 |
| St Luke's Hospital - Anderson CampusEaston | 88 | $65,067 | $6,461 | $5,136 |
| Jefferson Health- NortheastPhiladelphia | 86 | $32,149 | $6,864 | $5,458 |
| Abington Memorial HospitalAbington | 85 | $29,245 | $6,711 | $5,347 |
| Physicians Care Surgical HospitalRoyersford | 82 | $41,433 | $6,711 | $5,342 |
| Wilkes-Barre General HospitalWilkes-Barre | 75 | $67,565 | $6,254 | $4,952 |
| St Mary Medical CenterLanghorne | 71 | $41,888 | $6,930 | $5,505 |
| Holy Spirit HospitalCamp Hill | 66 | $83,247 | $6,347 | $5,030 |
| St Clair Memorial HospitalPittsburgh | 65 | $36,622 | $6,390 | $5,090 |
| Wellspan Surgery and Rehabilitation HospitalYork | 63 | $50,032 | $6,609 | $5,263 |
| Carlisle Regional Medical CtrCarlisle | 61 | $34,276 | $6,477 | $5,161 |
| Altoona Regional Health SystemAltoona | 61 | $34,868 | $6,843 | $5,449 |
| Ephrata Community HospitalEphrata | 60 | $73,245 | $6,437 | $5,110 |
| Mount Nittany Medical CenterState College | 60 | $45,975 | $7,219 | $5,749 |
| Gettysburg HospitalGettysburg | 57 | $29,314 | $4,463 | $3,519 |
| Hospital of the Univ of PaPhiladelphia | 57 | $59,389 | $6,221 | $4,955 |
| Reading Hospital and Med CtrWest Reading | 56 | $39,060 | $6,536 | $5,208 |
| Jefferson Regional Medical CenterClairton | 56 | $38,496 | $6,299 | $5,000 |
| Grand View HospitalSellersville | 55 | $25,818 | $6,802 | $5,399 |
| Meadville Medical CenterMeadville | 53 | $25,113 | $6,843 | $5,452 |
| Main Line Hospital LankenauWynnewood | 52 | $30,400 | $6,902 | $5,499 |
| Geisinger-Community Medical CenterScranton | 50 | $92,026 | $6,288 | $4,986 |
| Hamot Medical CenterErie | 50 | $63,322 | $7,540 | $6,006 |
| York HospitalYork | 48 | $52,304 | $6,664 | $5,309 |
| Temple University HospitalPhiladelphia | 47 | $101,451 | $7,208 | $5,739 |
| Dubois Regional Medical CenterDubois | 47 | $20,116 | $6,727 | $5,336 |
| Saint Vincent Health CenterErie | 45 | $55,678 | $7,140 | $5,607 |
| Butler Health SystemButler | 45 | $22,333 | $6,206 | $4,921 |
| St Luke's Quakertown HospitalQuakertown | 44 | $81,908 | $6,902 | $5,495 |
| UPMC MemorialYork | 41 | $30,307 | $4,771 | $3,796 |
| AHN Wexford HospitalWexford | 40 | $38,766 | $6,390 | $5,086 |
| Phoenixville HospitalPhoenixville | 39 | $37,635 | $6,761 | $5,353 |
| Latrobe Area HospitalLatrobe | 36 | $22,493 | $6,390 | $5,091 |
| Lewistown HospitalLewistown | 34 | $30,154 | $5,078 | $4,038 |
| UPMC LititzLititz | 34 | $31,898 | $6,430 | $5,123 |
| Excela Health Westmoreland Regional HospitalGreensburg | 34 | $23,566 | $6,390 | $5,083 |
| Advanced Surgical HospitalWashington | 34 | $33,162 | $6,390 | $5,089 |
| Grove City Medical CenterGrove City | 33 | $17,479 | $6,390 | $5,078 |
| Lansdale HospitalLansdale | 31 | $18,408 | $6,539 | $5,174 |
| St Joseph Medical CenterReading | 30 | $78,531 | $6,523 | $5,197 |
| Conemaugh Valley Memorial HospitalJohnstown | 30 | $38,727 | $6,660 | $5,268 |
| Warren General HospitalWarren | 30 | $17,750 | $7,540 | $5,990 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 30 | $32,914 | $6,390 | $5,079 |
| Indiana Regional Medical CenterIndiana | 28 | $25,653 | $6,855 | $5,462 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 28 | $29,601 | $6,711 | $5,347 |
| Penn State Health Hampden Medical CenterEnola | 28 | $75,319 | $6,235 | $4,912 |
| Jameson Memorial HospitalNew Castle | 26 | $27,537 | $6,390 | $5,091 |
| Heritage Valley BeaverBeaver | 26 | $25,207 | $6,390 | $5,091 |
| Good Samaritan HospitalLebanon | 26 | $37,076 | $6,784 | $5,405 |
| Pottstown Memorial Med CenterPottstown | 26 | $46,474 | $6,506 | $5,142 |
| Albert Einstein Medical CenterPhiladelphia | 26 | $45,815 | $6,950 | $5,538 |
| Heritage Valley SewickleySewickley | 25 | $17,740 | $6,219 | $4,921 |
| Hanover HospitalHanover | 24 | $33,228 | $6,734 | $5,365 |
| Penn State Health Lancaster Medical CenterLancaster | 23 | $74,696 | $6,087 | $4,805 |
| Washington Hospital, theWashington | 22 | $24,029 | $6,390 | $5,091 |
| Nason HospitalRoaring Spring | 21 | $31,415 | $6,390 | $5,082 |
| Easton HospitalEaston | 21 | $82,168 | $6,610 | $5,205 |
| UPMC HorizonGreenville | 21 | $52,277 | $6,390 | $5,091 |
| UPMC MercyPittsburgh | 19 | $43,369 | $6,390 | $5,081 |
| St Luke's Hospital - Monroe CampusStroudsburg | 19 | $88,755 | $5,934 | $4,547 |
| St Luke's Hospital - Carbon CampusLehighton | 19 | $69,945 | $5,512 | $4,326 |
| Chestnut Hill HospitalPhiladelphia | 18 | $81,876 | $6,951 | $5,527 |
| Hazleton General HospitalHazleton | 18 | $69,977 | $5,824 | $4,523 |
| Allegheny Valley HospitalNatrona Heights | 17 | $29,274 | $6,390 | $5,091 |
| Uniontown HospitalUniontown | 17 | $20,639 | $6,390 | $5,091 |
| Holy Redeemer Hosp and Med CtrJenkintown | 17 | $22,225 | $6,711 | $5,347 |
| West Penn HospitalPittsburgh | 16 | $40,904 | $6,073 | $4,773 |
| Wayne Memorial HospitalHonesdale | 16 | $30,723 | $6,864 | $5,469 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 15 | $56,068 | $3,187 | $2,512 |
| Mercy Hospital ScrantonScranton | 15 | $61,540 | $6,390 | $5,091 |
| ACMH HospitalKittanning | 14 | $22,300 | $6,026 | $4,727 |
| Edgewood Surgical HospitalTransfer | 14 | $30,760 | $6,390 | $5,091 |
| Somerset HospitalSomerset | 13 | $30,800 | $6,843 | $5,452 |
| Pocono Medical CenterEast Stroudsburg | 13 | $53,095 | $6,729 | $5,310 |
| Sharon Regional Health SystemSharon | 12 | $52,323 | $6,390 | $5,091 |
| Bloomsburg HospitalBloomsburg | 11 | $52,406 | $6,390 | $5,091 |
| Geisinger Medical Center MuncyMuncy | 11 | $24,924 | $6,390 | $5,091 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Lower Bucks HospitalBristol | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| UPMC KaneKane | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| St Luke's Miners Memorial HospitalCoaldale | – | – | – | – |
| Highlands HospitalConnellsville | – | – | – | – |
| Fox Chase Cancer CenterPhiladelphia | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Magee Womens Hospital of UPMC Health SystemPittsburgh, PA | $3,187 |
|---|---|
| Gettysburg HospitalGettysburg, PA | $4,463 |
| UPMC MemorialYork, PA | $4,771 |
| Lewistown HospitalLewistown, PA | $5,078 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $5,110 |
Highest
| Warren General HospitalWarren, PA | $7,540 |
|---|---|
| Hamot Medical CenterErie, PA | $7,540 |
| Mount Nittany Medical CenterState College, PA | $7,219 |
| Temple University HospitalPhiladelphia, PA | $7,208 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $7,208 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Pennsylvania?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 125 hospitals in Pennsylvania was billed at $47,692 on average, while the average medicare-allowed amount was $6,566, of which Medicare paid $5,216. 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 Pennsylvania, average charges were 7.3 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.