Level 5 Musculoskeletal Procedures in Florida
What 159 hospitals in Florida charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$106,916
Hospital list price billed
Average allowed
$11,799
Medicare's payment + patient's share
Medicare paid
$10,167
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $106,916 for level 5 musculoskeletal procedures, about 9.1 times the average medicare-allowed amount of $11,799. That payment is 5% 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 $11,799Billed $106,916
About 11¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 5 musculoskeletal procedures
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Morton Plant HospitalClearwater | 876 | $73,812 | $11,824 | $10,191 |
| Mayo ClinicJacksonville | 862 | $47,154 | $11,822 | $10,190 |
| Ocala Regional Medical CenterOcala | 849 | $133,641 | $11,870 | $10,237 |
| Baptist Medical CenterJacksonville | 766 | $78,221 | $11,705 | $10,072 |
| Sarasota Memorial HospitalSarasota | 719 | $91,234 | $11,741 | $10,109 |
| Lee Memorial HospitalFort Myers | 678 | $97,453 | $11,798 | $10,171 |
| Naples Community HospitalNaples | 634 | $59,053 | $11,875 | $10,241 |
| Holy Cross Hospital INCFort Lauderdale | 624 | $72,081 | $11,823 | $10,190 |
| Physicians Regional Medical Center - Pine RidgeNaples | 611 | $149,446 | $11,839 | $10,206 |
| Doctors Hospital of SarasotaSarasota | 581 | $159,015 | $11,906 | $10,272 |
| Doctors Hospital INCCoral Gables | 540 | $77,317 | $11,754 | $10,120 |
| Good Samaritan Medical CenterWest Palm Beach | 501 | $175,801 | $10,942 | $9,309 |
| Adventhealth OrlandoOrlando | 483 | $130,036 | $11,802 | $10,168 |
| Orlando Regional HealthcareOrlando | 474 | $147,473 | $11,820 | $10,187 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 378 | $99,903 | $11,906 | $10,274 |
| Tampa General HospitalTampa | 376 | $116,145 | $11,906 | $10,273 |
| Bethesda Memorial HospitalBoynton Beach | 370 | $85,007 | $11,906 | $10,270 |
| Flagler HospitalSt Augustine | 360 | $49,099 | $12,603 | $10,968 |
| St Lucie Medical CenterPort St Lucie | 360 | $215,126 | $11,849 | $10,216 |
| Baptist HospitalPensacola | 359 | $97,521 | $11,653 | $10,019 |
| Halifax Health Medical CenterDaytona Beach | 336 | $83,614 | $11,814 | $10,182 |
| Jupiter Medical CenterJupiter | 325 | $69,723 | $11,872 | $10,240 |
| Gulf Breeze HospitalGulf Breeze | 306 | $99,940 | $11,805 | $10,169 |
| Jfk Medical CenterAtlantis | 284 | $151,825 | $11,870 | $10,238 |
| Indian River Medical CenterVero Beach | 280 | $57,857 | $11,838 | $10,205 |
| North Broward Medical CenterPompano Beach | 276 | $43,100 | $11,639 | $10,003 |
| Boca Raton Regional HospitalBoca Raton | 272 | $81,297 | $11,839 | $10,207 |
| St Vincent's Medical CenterJacksonville | 241 | $113,505 | $11,821 | $10,189 |
| Sacred Heart HospitalPensacola | 236 | $72,704 | $11,786 | $10,154 |
| Martin Memorial Health SystemsStuart | 234 | $60,353 | $11,906 | $10,274 |
| Adventhealth TampaTampa | 230 | $126,663 | $11,816 | $10,183 |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | 228 | $60,150 | $11,861 | $10,228 |
| Adventhealth Wesley ChapelWesley Chapel | 223 | $120,937 | $11,768 | $10,133 |
| Fawcett Memorial HospitalPort Charlotte | 221 | $206,659 | $11,859 | $10,226 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 209 | $174,405 | $11,513 | $9,879 |
| Winter Haven HospitalWinter Haven | 205 | $76,365 | $11,856 | $10,224 |
| North Florida Regional Medical CenterGainesville | 202 | $188,019 | $11,753 | $10,121 |
| Tampa General Hospital Crystal RiverCrystal River | 202 | $124,895 | $11,863 | $10,236 |
| St Luke's HospitalJacksonville | 199 | $115,312 | $11,854 | $10,217 |
| Cleveland Clinic HospitalWeston | 197 | $48,489 | $11,660 | $10,028 |
| Holmes Regional Medical CenterMelbourne | 196 | $104,592 | $11,906 | $10,274 |
| Gulf Coast Medical CenterPanama City | 196 | $171,172 | $11,696 | $10,061 |
| Viera HospitalMelbourne | 193 | $89,398 | $11,906 | $10,273 |
| St Anthony's HospitalSt Petersburg | 189 | $73,122 | $11,688 | $10,056 |
| Tallahassee Memorial HealthcareTallahassee | 185 | $71,013 | $11,795 | $10,161 |
| Lakeland Regional Medical CenterLakeland | 181 | $72,191 | $11,622 | $9,988 |
| Blake Medical CenterBradenton | 171 | $123,364 | $11,906 | $10,272 |
| Shands Hospital at the University of FloridaGainesville | 169 | $66,882 | $11,156 | $9,571 |
| University Community Hospital at CarrollwoodTampa | 166 | $132,520 | $11,844 | $10,212 |
| Wuesthoff Medical Center - MelbourneMelbourne | 164 | $172,538 | $11,833 | $10,211 |
| Mease Hospital DunedinDunedin | 160 | $85,061 | $11,843 | $10,210 |
| Florida Hospital WatermanEustis | 154 | $74,455 | $11,706 | $10,073 |
| St Joseph's HospitalTampa | 154 | $92,298 | $11,772 | $10,140 |
| West Florida HospitalPensacola | 154 | $162,733 | $11,777 | $10,141 |
| Univ of Miami Hosp & ClinicsMiami | 146 | $120,927 | $11,765 | $10,133 |
| Oak Hill HospitalBrooksville | 141 | $190,480 | $11,762 | $10,124 |
| Ascension St Vincent's St Johns CountySt. Johns | 140 | $109,195 | $11,906 | $10,273 |
| Adventhealth Daytona BeachDaytona Beach | 137 | $72,457 | $11,906 | $10,274 |
| Florida Hospital Fish MemorialOrange City | 133 | $60,442 | $11,906 | $10,274 |
| Leesburg Regional Medical CenterLeesburg | 131 | $62,566 | $11,906 | $10,274 |
| Palm Bay HospitalPalm Bay | 131 | $101,164 | $11,831 | $10,197 |
| Baptist Medical Center BeachesJacksonville Beach | 130 | $99,812 | $11,906 | $10,272 |
| Adventhealth Port CharlottePort Charlotte | 124 | $174,580 | $11,740 | $10,107 |
| Cape Coral HospitalCape Coral | 123 | $93,507 | $11,822 | $10,188 |
| Capital Regional Medical CenterTallahassee | 116 | $133,081 | $11,817 | $10,185 |
| Mount Sinai Medical CenterMiami Beach | 108 | $48,640 | $11,730 | $10,096 |
| Heart of Florida Reg Med CtrDavenport | 107 | $218,761 | $11,906 | $10,273 |
| Bayfront Medical Center INCSt Petersburg | 104 | $145,845 | $11,708 | $10,074 |
| Ascension St Vincent's Clay CountyMiddleburg | 102 | $113,495 | $11,906 | $10,274 |
| Jackson Health SystemMiami | 99 | $38,902 | $11,730 | $10,095 |
| Adventhealth Palm CoastPalm Coast | 96 | $79,076 | $11,906 | $10,274 |
| Cape Canaveral HospitalCocoa Beach | 90 | $88,579 | $11,906 | $10,274 |
| Villages Regional Hospital theLady Lake | 87 | $61,954 | $11,670 | $10,038 |
| Twin Cities HospitalNiceville | 85 | $133,375 | $11,785 | $10,153 |
| Central Florida Regional HospitalSanford | 76 | $175,077 | $11,906 | $10,274 |
| Englewood Community HospitalEnglewood | 76 | $196,115 | $11,906 | $10,274 |
| Highlands Regional Medical CenterSebring | 74 | $130,993 | $11,767 | $10,135 |
| St Mary's Medical CenterWest Palm Beach | 71 | $182,963 | $11,472 | $9,840 |
| Florida Hospital DelandDeland | 70 | $58,249 | $11,906 | $10,274 |
| Lake City Medical CenterLake City | 68 | $125,077 | $12,749 | $11,117 |
| Lakewood Ranch Medical CenterBradenton | 66 | $176,905 | $11,906 | $10,274 |
| Bartow Regional Medical CenterBartow | 63 | $68,057 | $11,823 | $10,191 |
| Palms of Pasadena HospitalSt Petersburg | 63 | $227,511 | $11,906 | $10,274 |
| Oviedo Medical CenterOviedo | 63 | $166,758 | $11,417 | $9,783 |
| Shands Jacksonville Medical CenterJacksonville | 61 | $94,372 | $11,569 | $9,931 |
| Brooksville Regional HospitalBrooksville | 59 | $168,499 | $11,906 | $10,274 |
| South Lake HospitalClermont | 58 | $137,835 | $11,906 | $10,274 |
| Bay Medical CenterPanama City | 57 | $87,348 | $11,621 | $10,003 |
| HCA Florida Trinity HospitalNew Port Richey | 55 | $200,504 | $11,906 | $10,272 |
| Regional Medical Center Bayonet PointHudson | 55 | $165,934 | $11,347 | $9,710 |
| South Bay HospitalGreater Sun Center | 55 | $129,260 | $11,906 | $10,274 |
| Fort Walton Beach Medical CenterFort Walton Beach | 54 | $169,849 | $11,716 | $10,084 |
| Memorial Regional HospitalHollywood | 53 | $59,367 | $11,716 | $10,080 |
| Delray Medical CenterDelray Beach | 52 | $173,397 | $11,708 | $10,076 |
| Parrish Medical CenterTitusville | 50 | $72,517 | $10,469 | $8,835 |
| Sebastian River Medical CenterSebastian | 50 | $176,292 | $11,906 | $10,269 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 47 | $55,972 | $11,906 | $10,272 |
| Plantation General HospitalPlantation | 47 | $117,135 | $11,906 | $10,274 |
| HCA Florida University HospitalDavie | 45 | $120,611 | $11,677 | $10,045 |
| Memorial Hospital WestHollywood | 44 | $69,929 | $11,672 | $10,040 |
| Adventhealth North PinellasTarpon Springs | 43 | $95,483 | $11,906 | $10,274 |
| HCA Florida Memorial HospitalJacksonville | 43 | $202,196 | $11,906 | $10,263 |
| Brandon Regional HospitalBrandon | 42 | $173,016 | $11,906 | $10,271 |
| Gulf Coast Medical Center Lee HealthFort Myers | 41 | $89,048 | $11,906 | $10,274 |
| Mease Countryside HospitalSafety Harbor | 40 | $80,359 | $11,906 | $10,268 |
| West Boca Medical CenterBoca Raton | 36 | $140,496 | $11,335 | $9,696 |
| H Lee Moffitt Cancer CenterTampa | 35 | $36,209 | $11,612 | $9,980 |
| Adventhealth OcalaOcala | 34 | $201,601 | $11,765 | $10,129 |
| University Hospital & Medical CenterTamarac | 31 | $109,338 | $11,574 | $9,942 |
| Health CentralOcoee | 30 | $130,106 | $11,563 | $9,931 |
| Manatee Memorial HospitalBradenton | 30 | $166,740 | $11,906 | $10,274 |
| Citrus Memorial HospitalInverness | 28 | $164,890 | $11,906 | $10,274 |
| Memorial Hospital of TampaTampa | 28 | $165,949 | $11,906 | $10,274 |
| Aventura Hospital & Med CenterMiami | 27 | $142,900 | $11,532 | $9,893 |
| Halifax Health /UF Health Medical Center of DeltonDeltona | 27 | $75,078 | $11,591 | $9,993 |
| Broward General Medical CenterFort Lauderdale | 25 | $47,720 | $11,906 | $10,274 |
| Largo Medical CenterLargo | 25 | $179,250 | $11,906 | $10,274 |
| Lower Keys Medical CenterKey West | 24 | $140,044 | $12,749 | $11,117 |
| HCA Florida Lawnwood HospitalFort Pierce | 23 | $155,324 | $11,906 | $10,274 |
| Orange Park Medical CenterOrange Park | 22 | $191,192 | $11,439 | $9,807 |
| Adventhealth SebringSebring | 20 | $78,722 | $11,906 | $10,274 |
| South Florida Baptist HospitalPlant City | 20 | $80,848 | $11,906 | $10,260 |
| Wellington Regional Medical CenterWellington | 20 | $124,513 | $11,906 | $10,274 |
| Jackson HospitalMarianna | 19 | $29,518 | $12,164 | $10,532 |
| South Miami HospitalMiami | 17 | $88,023 | $11,906 | $10,274 |
| Raulerson HospitalOkeechobee | 17 | $98,902 | $12,095 | $10,463 |
| Baptist Hospital of Miami INCMiami | 16 | $107,888 | $11,906 | $10,271 |
| Imperial Point Medical CenterFort Lauderdale | 15 | $52,614 | $11,906 | $10,274 |
| Florida Hospital ZephyrhillsZephyrhills | 13 | $142,477 | $11,116 | $9,484 |
| St Petersburg General HospitalSt Petersburg | 13 | $224,654 | $11,906 | $10,274 |
| Orlando Health Rockledge HospitalRockledge | 11 | $136,986 | $11,906 | $10,274 |
| Northwest Medical CenterPompano Beach | 11 | $168,315 | $11,906 | $10,274 |
| Northside HospitalSt Petersburg | 11 | $138,340 | $11,906 | $10,256 |
| Shorepoint Health Punta GordaPunta Gorda | – | – | – | – |
| Palm Springs General HospitalHialeah | – | – | – | – |
| Hialeah HospitalHialeah | – | – | – | – |
| Morton Plant North Bay HospitalNew Port Richey | – | – | – | – |
| Lehigh Regional Medical CenterLehigh Acres | – | – | – | – |
| Osceola Regional Medical CenterKissimmee | – | – | – | – |
| North Okaloosa Medical CenterCrestview | – | – | – | – |
| Santa Rosa Medical CenterMilton | – | – | – | – |
| Homestead HospitalHomestead | – | – | – | – |
| Baptist Medical Center - NassauFernandina Beach | – | – | – | – |
| Desoto Memorial HospitalArcadia | – | – | – | – |
| Larkin Community HospitalSouth Miami | – | – | – | – |
| Coral Gables HospitalCoral Gables | – | – | – | – |
| Kendall Regional Medical CenterMiami | – | – | – | – |
| Westside Regional Medical CenterPlantation | – | – | – | – |
| Memorial Hospital PembrokeHollywood | – | – | – | – |
| Putnam Community Medical CtrPalatka | – | – | – | – |
| Palms West HospitalLoxahatchee | – | – | – | – |
| Coral Springs Medical CenterPompano Beach | – | – | – | – |
| Memorial Hospital MiramarMiramar | – | – | – | – |
| St Cloud Regional Medical CenterSt Cloud | – | – | – | – |
| West Kendall Baptist HospitalMiami | – | – | – | – |
| Ucf Lake Nona HospitalOrlando | – | – | – | – |
| Baycare Hospital Wesley ChapelWesley Chapel | – | – | – | – |
| Adventhealth Palm Coast ParkwayPalm Coast | – | – | – | – |
| Adventhealth RiverviewRiverview | – | – | – | – |
Lowest and highest allowed amounts in Florida
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
| Parrish Medical CenterTitusville, FL | $10,469 |
|---|---|
| Good Samaritan Medical CenterWest Palm Beach, FL | $10,942 |
| Florida Hospital ZephyrhillsZephyrhills, FL | $11,116 |
| Shands Hospital at the University of FloridaGainesville, FL | $11,156 |
| West Boca Medical CenterBoca Raton, FL | $11,335 |
Highest
| Lower Keys Medical CenterKey West, FL | $12,749 |
|---|---|
| Lake City Medical CenterLake City, FL | $12,749 |
| Flagler HospitalSt Augustine, FL | $12,603 |
| Jackson HospitalMarianna, FL | $12,164 |
| Raulerson HospitalOkeechobee, FL | $12,095 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Florida?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 159 hospitals in Florida was billed at $106,916 on average, while the average medicare-allowed amount was $11,799, of which Medicare paid $10,167. 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 Florida, average charges were 9.1 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.