Level 5 Musculoskeletal Procedures in Alabama
What 49 hospitals in Alabama charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$79,159
Hospital list price billed
Average allowed
$10,733
Medicare's payment + patient's share
Medicare paid
$9,101
Average per service
State rank
#2 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $79,159 for level 5 musculoskeletal procedures, about 7.4 times the average medicare-allowed amount of $10,733. That payment is 13% below the U.S. average of $12,402.
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 $10,733Billed $79,159
About 14¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 5 musculoskeletal procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 806 | $74,965 | $10,683 | $9,050 |
| St Vincent's BirminghamBirmingham | 802 | $53,368 | $10,828 | $9,195 |
| Jack Hughston Memorial HospitalPhenix City | 531 | $33,094 | $10,756 | $9,124 |
| Crestwood Medical CenterHuntsville | 410 | $155,643 | $10,838 | $9,205 |
| Grandview Medical CenterBirmingham | 336 | $213,693 | $10,518 | $8,888 |
| Baptist Medical Center SouthMontgomery | 260 | $36,012 | $10,259 | $8,626 |
| D C H Regional Medical CenterTuscaloosa | 240 | $53,953 | $11,727 | $10,094 |
| Mobile InfirmaryMobile | 177 | $37,216 | $10,534 | $8,902 |
| South Baldwin Regional Medical CenterFoley | 173 | $132,322 | $10,550 | $8,916 |
| University of Alabama HospitalBirmingham | 167 | $67,902 | $10,975 | $9,343 |
| Thomas HospitalFairhope | 144 | $43,786 | $10,711 | $9,079 |
| North Alabama Medical CenterFlorence | 140 | $56,626 | $10,657 | $9,031 |
| Decatur General HospitalDecatur | 130 | $55,253 | $11,104 | $9,471 |
| Flowers HospitalDothan | 104 | $126,792 | $10,916 | $9,284 |
| Springhill Medical CenterMobile | 102 | $30,492 | $10,628 | $8,996 |
| Helen Keller Memorial HospitalSheffield | 91 | $25,913 | $10,568 | $8,936 |
| Marshall Medical Center SouthBoaz | 86 | $26,804 | $10,900 | $9,267 |
| Jackson Hospital & Clinic INCMontgomery | 83 | $48,438 | $10,379 | $8,747 |
| Providence HospitalMobile | 77 | $26,635 | $10,540 | $8,908 |
| Riverview Regional Medical CenterGadsden | 72 | $131,592 | $10,524 | $8,892 |
| Cullman Regional Medical CenterCullman | 70 | $61,926 | $11,579 | $9,947 |
| Gadsden Regional Medical CenterGadsden | 68 | $189,943 | $10,627 | $8,995 |
| Athens-Limestone HospitalAthens | 66 | $34,937 | $9,898 | $8,340 |
| Walker Baptist Medical CenterJasper | 64 | $162,849 | $10,735 | $9,101 |
| East Alabama Medical Center and SnfOpelika | 45 | $24,862 | $10,963 | $9,331 |
| Southeast Alabama Medical CenterDothan | 42 | $74,805 | $10,806 | $9,174 |
| Brookwood Medical CenterBirmingham | 36 | $191,041 | $9,229 | $7,597 |
| Shelby Baptist Medical CenterAlabaster | 34 | $146,951 | $8,267 | $6,663 |
| St Vincent's EastBirmingham | 32 | $48,783 | $10,684 | $9,052 |
| Princeton Baptist Medical CenterBirmingham | 28 | $150,337 | $9,974 | $8,342 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 26 | $47,765 | $10,975 | $9,343 |
| Northeast Alabama Regional Med CenterAnniston | 25 | $103,839 | $11,983 | $10,351 |
| Dekalb Regional Medical CenterFort Payne | 14 | $158,440 | $11,531 | $9,899 |
| Troy Regional Medical CenterTroy | 13 | $46,945 | $11,038 | $9,406 |
| North Baldwin InfirmaryBay Minette | 12 | $19,606 | $10,913 | $9,281 |
| USA Health University HospitalMobile | 11 | $43,006 | $10,901 | $9,269 |
| Dale Medical CenterOzark | – | – | – | – |
| Andalusia Regional HospitalAndalusia | – | – | – | – |
| Medical Center EnterpriseEnterprise | – | – | – | – |
| Highlands Medical CenterScottsboro | – | – | – | – |
| Russell HospitalAlexander City | – | – | – | – |
| Elmore Community HospitalWetumpka | – | – | – | – |
| Bryan W Whitfield Mem Hosp INCDemopolis | – | – | – | – |
| Vaughan Reg Med Center Parkway CampusSelma | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| Baptist Medical Center EastMontgomery | – | – | – | – |
| L V Stabler Memorial HospitalGreenville | – | – | – | – |
| Russellville HospitalRussellville | – | – | – | – |
| Coosa Valley Medical CenterSylacauga | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Shelby Baptist Medical CenterAlabaster, AL | $8,267 |
|---|---|
| Brookwood Medical CenterBirmingham, AL | $9,229 |
| Athens-Limestone HospitalAthens, AL | $9,898 |
| Princeton Baptist Medical CenterBirmingham, AL | $9,974 |
| Baptist Medical Center SouthMontgomery, AL | $10,259 |
Highest
| Northeast Alabama Regional Med CenterAnniston, AL | $11,983 |
|---|---|
| D C H Regional Medical CenterTuscaloosa, AL | $11,727 |
| Cullman Regional Medical CenterCullman, AL | $11,579 |
| Dekalb Regional Medical CenterFort Payne, AL | $11,531 |
| Decatur General HospitalDecatur, AL | $11,104 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Alabama?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 49 hospitals in Alabama was billed at $79,159 on average, while the average medicare-allowed amount was $10,733, of which Medicare paid $9,101. 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 Alabama, average charges were 7.4 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.