Level 5 Musculoskeletal Procedures in Arkansas
What 32 hospitals in Arkansas charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$42,353
Hospital list price billed
Average allowed
$11,206
Medicare's payment + patient's share
Medicare paid
$9,573
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in Arkansas billed an average of $42,353 for level 5 musculoskeletal procedures, about 3.8 times the average medicare-allowed amount of $11,206. That payment is 10% 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 $11,206Billed $42,353
About 26¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: level 5 musculoskeletal procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Arkansas Surgical HospitalNorth Little Rock | 1,013 | $38,038 | $11,044 | $9,413 |
| Washington Regional Med CenterFayetteville | 454 | $45,669 | $10,932 | $9,299 |
| Mercy Hospital Fort SmithFort Smith | 416 | $25,758 | $11,093 | $9,462 |
| Baptist Health Medical Center North Little RockNorth Little Rock | 311 | $53,414 | $11,082 | $9,450 |
| University of Arkansas Medical SciencesLittle Rock | 298 | $26,233 | $11,139 | $9,504 |
| Baptist Health Medical Center-Little RockLittle Rock | 280 | $57,572 | $11,105 | $9,473 |
| St Bernards Medical CenterJonesboro | 278 | $19,488 | $11,021 | $9,387 |
| Baxter Regional Medical CenterMountain Home | 271 | $31,907 | $11,691 | $10,059 |
| Nea Baptist Memorial HospitalJonesboro | 255 | $34,260 | $10,800 | $9,167 |
| Mercy Hospital Northwest ArkansasRogers | 195 | $34,081 | $10,907 | $9,275 |
| CHI St. Vincent Hospital Hot SpringsHot Springs | 187 | $27,400 | $12,018 | $10,380 |
| Conway Regional Medical CenterConway | 170 | $47,207 | $11,176 | $9,542 |
| National Park Medical CenterHot Springs | 142 | $107,641 | $12,072 | $10,439 |
| Siloam Springs Memorial HospitalSiloam Springs | 130 | $79,661 | $11,016 | $9,382 |
| St Vincent Infirmary Medical CenterLittle Rock | 103 | $59,752 | $11,912 | $10,288 |
| White River Medical CenterBatesville | 102 | $44,097 | $11,673 | $10,038 |
| North Arkansas Reg Med CtrHarrison | 98 | $35,238 | $11,770 | $10,136 |
| Baptist Health Medical Center- ConwayConway | 93 | $46,333 | $11,164 | $9,530 |
| White County Medical CenterSearcy | 89 | $40,638 | $11,967 | $10,335 |
| Baptist Health - Fort SmithFort Smith | 66 | $50,933 | $11,040 | $9,404 |
| Jefferson Regional Medical CtrPine Bluff | 61 | $52,454 | $11,675 | $10,043 |
| Saline Memorial HospitalBenton | 47 | $73,199 | $10,520 | $8,883 |
| Medical Center South ArkansasEl Dorado | 36 | $65,488 | $11,592 | $9,957 |
| Magnolia Regional Medical CenterMagnolia | 31 | $25,578 | $11,543 | $9,911 |
| Northwest Medical Center-SpringdaleSpringdale | 29 | $109,473 | $11,089 | $9,457 |
| Forrest City Medical CenterForrest City | 14 | $91,346 | $11,874 | $10,242 |
| St Marys Regional Medical CenterRussellville | 13 | $82,152 | $11,181 | $9,549 |
| Stuttgart Regional Medical CtrStuttgart | 13 | $42,574 | $11,602 | $9,970 |
| Johnson Regional Medical CenterClarksville | – | – | – | – |
| Ouachita County Medical CenterCamden | – | – | – | – |
| Drew Memorial HospitalMonticello | – | – | – | – |
| St Vincent Medical Center/NorthSherwood | – | – | – | – |
Lowest and highest allowed amounts in Arkansas
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
| Saline Memorial HospitalBenton, AR | $10,520 |
|---|---|
| Nea Baptist Memorial HospitalJonesboro, AR | $10,800 |
| Mercy Hospital Northwest ArkansasRogers, AR | $10,907 |
| Washington Regional Med CenterFayetteville, AR | $10,932 |
| Siloam Springs Memorial HospitalSiloam Springs, AR | $11,016 |
Highest
| National Park Medical CenterHot Springs, AR | $12,072 |
|---|---|
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $12,018 |
| White County Medical CenterSearcy, AR | $11,967 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | $11,912 |
| Forrest City Medical CenterForrest City, AR | $11,874 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Arkansas?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 32 hospitals in Arkansas was billed at $42,353 on average, while the average medicare-allowed amount was $11,206, of which Medicare paid $9,573. 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 Arkansas, average charges were 3.8 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.