Level 4 Musculoskeletal Procedures in Washington
What 46 hospitals in Washington charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$45,301
Hospital list price billed
Average allowed
$7,247
Medicare's payment + patient's share
Medicare paid
$5,750
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $45,301 for level 4 musculoskeletal procedures, about 6.3 times the average medicare-allowed amount of $7,247. That payment is 8% 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 $7,247Billed $45,301
About 16¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 4 musculoskeletal procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Washington Medical CtrSeattle | 224 | $34,620 | $7,148 | $5,693 |
| Virginia Mason Medical CenterSeattle | 200 | $32,805 | $7,107 | $5,648 |
| Confluence Health HospitalWenatchee | 170 | $33,968 | $7,674 | $6,100 |
| St Michael Medical CenterBremerton | 170 | $71,218 | $7,632 | $6,061 |
| Peacehealth St Joseph Medical CenterBellingham | 160 | $37,128 | $7,652 | $6,086 |
| Kadlec Regional Medical CenterRichland | 152 | $41,854 | $7,180 | $5,720 |
| Skagit Valley HospitalMt Vernon | 133 | $38,697 | $7,030 | $5,558 |
| Tacoma General HospitalTacoma | 130 | $54,107 | $6,964 | $5,466 |
| Swedish Medical CenterSeattle | 126 | $53,777 | $7,472 | $5,912 |
| Evergreenhealth Medical CenterKirkland | 121 | $32,769 | $7,126 | $5,641 |
| S W Washington Medical CenterVancouver | 118 | $36,830 | $7,405 | $5,874 |
| Yakima Valley Memorial HospitalYakima | 112 | $25,532 | $7,472 | $5,908 |
| Providence Sacred Heart Medical CenterSpokane | 107 | $39,708 | $7,180 | $5,721 |
| Providence St Peter HospitalOlympia | 99 | $47,286 | $7,225 | $5,754 |
| Harborview Medical CenterSeattle | 98 | $48,084 | $7,180 | $5,719 |
| Swedish IssaquahIssaquah | 98 | $46,011 | $7,306 | $5,821 |
| Valley Hospital & Medical CenterSpokane | 89 | $44,121 | $6,987 | $5,527 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 88 | $46,907 | $7,104 | $5,604 |
| St Joseph Medical CenterTacoma | 85 | $67,484 | $7,164 | $5,663 |
| Providence Holy Family HospitalSpokane | 83 | $37,664 | $7,174 | $5,712 |
| Overlake Hospital Medical CenterBellevue | 80 | $63,463 | $7,233 | $5,748 |
| Deaconess Medical CenterSpokane | 76 | $39,085 | $7,030 | $5,570 |
| Valley Medical CenterRenton | 73 | $51,327 | $7,250 | $5,763 |
| Providence St Mary Medical CenterWalla Walla | 71 | $54,363 | $7,604 | $6,041 |
| Legacy Salmon Creek Medical CenterVancouver | 68 | $32,001 | $7,419 | $5,893 |
| Providence Regional Medical Center EverettEverett | 63 | $49,597 | $7,214 | $5,722 |
| St Francis Community HospitalFederal Way | 53 | $84,239 | $7,306 | $5,821 |
| Swedish Medical Center/Cherry HillSeattle | 50 | $52,241 | $7,544 | $5,986 |
| Cascade Valley HospitalArlington | 49 | $34,551 | $7,187 | $5,702 |
| St Anthony HospitalGig Harbor | 49 | $75,030 | $7,251 | $5,750 |
| Island HospitalAnacortes | 46 | $25,652 | $7,108 | $5,638 |
| Samaritan HospitalMoses Lake | 44 | $56,785 | $7,411 | $5,848 |
| Trios HealthKennewick | 40 | $49,667 | $7,180 | $5,720 |
| Olympic Medical CenterPort Angeles | 40 | $21,548 | $7,537 | $5,974 |
| Grays Harbor Community HospitalAberdeen | 30 | $80,712 | $7,509 | $5,940 |
| Toppenish Community HospitalToppenish | 30 | $41,672 | $3,088 | $2,439 |
| Peachealth St John Medical CenterLongview | 24 | $40,665 | $7,955 | $6,338 |
| Highline Medical CenterBurien | 21 | $98,497 | $7,029 | $5,544 |
| Auburn Regional Medical CenterAuburn | 18 | $59,520 | $6,013 | $4,517 |
| St Clare HospitalLakewood | 18 | $64,418 | $7,371 | $5,873 |
| Providence Centralia HospitalCentralia | 16 | $48,218 | $7,894 | $6,290 |
| Swedish Edmonds HospitalEdmonds | 16 | $47,660 | $7,306 | $5,821 |
| Capital Medical CenterOlympia | 14 | $57,451 | $6,952 | $5,440 |
| Group Health Central HospitalSeattle | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
| Multicare Covington Medical CenterCovington | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Toppenish Community HospitalToppenish, WA | $3,088 |
|---|---|
| Auburn Regional Medical CenterAuburn, WA | $6,013 |
| Capital Medical CenterOlympia, WA | $6,952 |
| Tacoma General HospitalTacoma, WA | $6,964 |
| Valley Hospital & Medical CenterSpokane, WA | $6,987 |
Highest
| Peachealth St John Medical CenterLongview, WA | $7,955 |
|---|---|
| Providence Centralia HospitalCentralia, WA | $7,894 |
| Confluence Health HospitalWenatchee, WA | $7,674 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $7,652 |
| St Michael Medical CenterBremerton, WA | $7,632 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Washington?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 46 hospitals in Washington was billed at $45,301 on average, while the average medicare-allowed amount was $7,247, of which Medicare paid $5,750. 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 Washington, average charges were 6.3 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.