Level 5 Musculoskeletal Procedures in Illinois
What 99 hospitals in Illinois charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$67,081
Hospital list price billed
Average allowed
$12,334
Medicare's payment + patient's share
Medicare paid
$10,701
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $67,081 for level 5 musculoskeletal procedures, about 5.4 times the average medicare-allowed amount of $12,334. That payment is about the same as 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 $12,334Billed $67,081
About 18¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 5 musculoskeletal procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 1,343 | $57,916 | $12,119 | $10,486 |
| Adventist la Grange Memorial HospitalLa Grange | 1,081 | $57,158 | $12,387 | $10,754 |
| Proctor HospitalPeoria | 662 | $66,182 | $12,022 | $10,391 |
| Rush University Medical CenterChicago | 538 | $54,013 | $12,678 | $11,045 |
| Northwestern Memorial HospitalChicago | 534 | $99,559 | $12,656 | $11,024 |
| Advocate Lutheran General HospitalPark Ridge | 407 | $43,128 | $12,354 | $10,721 |
| Sarah Bush Lincoln Health CenterMattoon | 406 | $62,887 | $12,874 | $11,242 |
| St Alexius Medical CenterSchaumburg | 393 | $53,852 | $12,671 | $11,038 |
| Central Dupage HospitalWinfield | 386 | $109,141 | $12,421 | $10,789 |
| Northwestern Medicine McHenryMcHenry | 383 | $72,483 | $12,392 | $10,760 |
| Elmhurst Memorial HospitalElmhurst | 339 | $67,272 | $12,158 | $10,522 |
| Advocate Good Shepherd HospitalBarrington | 319 | $43,112 | $12,301 | $10,669 |
| Northwest Community HospitalArlington Heights | 304 | $52,261 | $12,370 | $10,734 |
| Silver Cross HospitalJoliet | 299 | $33,006 | $12,338 | $10,707 |
| St Johns HospitalSpringfield | 292 | $60,985 | $11,966 | $10,334 |
| Blessing HospitalQuincy | 289 | $91,836 | $13,006 | $11,374 |
| Carle Foundation HospitalUrbana | 279 | $50,085 | $11,979 | $10,349 |
| Advocate Condell Medical CenterLibertyville | 269 | $70,592 | $12,160 | $10,527 |
| Memorial Medical CenterSpringfield | 250 | $67,540 | $12,122 | $10,492 |
| Edward HospitalNaperville | 249 | $61,897 | $12,188 | $10,556 |
| Saint Francis Medical CenterPeoria | 244 | $73,302 | $12,061 | $10,428 |
| Decatur Memorial HospitalDecatur | 236 | $74,214 | $12,057 | $10,417 |
| Memorial HospitalBelleville | 217 | $43,879 | $12,098 | $10,466 |
| The University of Chicago Medical CenterChicago | 213 | $95,269 | $12,467 | $10,835 |
| Bromenn Healthcare SystemNormal | 213 | $38,839 | $11,858 | $10,225 |
| Saint Anthony Medical CenterRockford | 206 | $51,518 | $12,619 | $10,984 |
| Alton Memorial HospitalAlton | 202 | $48,141 | $12,002 | $10,370 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 197 | $57,104 | $12,141 | $10,509 |
| Provena - Saint Joseph HospitalElgin | 190 | $118,589 | $12,778 | $11,146 |
| Lake Forest HospitalLake Forest | 176 | $112,837 | $12,402 | $10,770 |
| Copley Memorial HospitalAurora | 175 | $68,528 | $12,823 | $11,191 |
| Provena St Marys HospitalKankakee | 173 | $92,581 | $12,236 | $10,604 |
| Morris Hospital & Healthcare CentersMorris | 171 | $75,758 | $12,414 | $10,781 |
| Delnor Community HospitalGeneva | 169 | $94,879 | $12,771 | $11,139 |
| Rush Oak Park HospitalOak Park | 149 | $44,088 | $12,404 | $10,772 |
| Swedish American HospitalRockford | 149 | $188,863 | $12,706 | $11,074 |
| St Joseph Medical CenterBloomington | 146 | $65,201 | $12,146 | $10,514 |
| Advocate Good Samaritan HospitalDowners Grove | 146 | $54,049 | $12,329 | $10,697 |
| Anderson HospitalMaryville | 138 | $41,855 | $11,918 | $10,286 |
| St Elizabeth HospitalBelleville | 125 | $53,522 | $12,062 | $10,430 |
| Resurrection Medical CenterChicago | 123 | $83,926 | $12,315 | $10,683 |
| Herrin HospitalHerrin | 121 | $85,003 | $11,972 | $10,339 |
| Trinity Rock IslandRock Island | 117 | $40,913 | $12,146 | $10,513 |
| Sherman HospitalElgin | 111 | $61,278 | $12,837 | $11,204 |
| Kishwaukee Community HospitalDekalb | 108 | $99,858 | $12,678 | $11,046 |
| St Marys HospitalDecatur | 106 | $64,805 | $11,849 | $10,217 |
| Loyola University Medical CenterMaywood | 104 | $38,595 | $12,459 | $10,825 |
| Riverside Medical CenterKankakee | 100 | $65,048 | $12,145 | $10,513 |
| Advocate Trinity HospitalChicago | 98 | $62,559 | $12,035 | $10,399 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 94 | $39,542 | $12,546 | $10,909 |
| Alexian Brothers Medical CenterElk Grove Village | 81 | $53,040 | $12,643 | $11,011 |
| Palos Community HospitalPalos Heights | 75 | $87,318 | $12,333 | $10,701 |
| Advocate Illinois Masonic Medical CenterChicago | 73 | $77,209 | $12,477 | $10,845 |
| OSF Saint Elizabeth Mdl CtrOttawa | 70 | $79,760 | $12,781 | $11,149 |
| Cgh Medical CenterSterling | 68 | $80,118 | $12,146 | $10,514 |
| Illini HospitalSilvis | 61 | $31,776 | $12,146 | $10,513 |
| Macneal HospitalBerwyn | 60 | $79,974 | $12,781 | $11,145 |
| St Anthonys Memorial HospitalEffingham | 52 | $49,083 | $13,006 | $11,374 |
| Ingalls Memorial HospitalHarvey | 52 | $66,183 | $11,852 | $10,220 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 47 | $79,272 | $12,477 | $10,845 |
| Saint Joseph HospitalChicago | 44 | $86,682 | $12,528 | $10,890 |
| Adventist Bolingbrook HospitalBolingbrook | 43 | $79,134 | $12,225 | $10,593 |
| Javon Bea HospitalRockford | 42 | $91,624 | $11,646 | $10,014 |
| Provena St Joseph Medical CenterJoliet | 37 | $84,947 | $12,477 | $10,845 |
| Heartland Regional Medical CenterMarion | 37 | $113,328 | $12,146 | $10,512 |
| University of Illinois Hospital and ClinicsChicago | 36 | $72,355 | $12,471 | $10,839 |
| Crossroads Community HospitalMt Vernon | 36 | $121,646 | $12,146 | $10,514 |
| Provena Mercy Medical CenterAurora | 32 | $112,588 | $12,487 | $10,848 |
| Graham Hospital AssociationCanton | 30 | $61,250 | $12,248 | $10,608 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 29 | $77,563 | $12,103 | $10,471 |
| OSF Saint Katharine Medical CenterDixon | 28 | $71,784 | $12,146 | $10,514 |
| Adventist GlenoaksGlendale Heights | 26 | $61,391 | $12,118 | $10,468 |
| Fhn Memorial HospitalFreeport | 21 | $81,631 | $11,236 | $9,604 |
| Jersey Community HospitalJerseyville | 17 | $64,086 | $12,146 | $10,514 |
| St Josephs HospitalBreese | 17 | $53,475 | $11,528 | $9,896 |
| Rhc St Francis HospitalEvanston | 15 | $97,315 | $12,781 | $11,149 |
| St Mary Medical CenterGalesburg | 14 | $84,777 | $13,006 | $11,374 |
| Methodist Medical Center of IllinoisPeoria | 14 | $72,387 | $11,395 | $9,763 |
| Swedish Covenant HospitalChicago | 12 | $69,549 | $12,477 | $10,845 |
| Hinsdale HospitalHinsdale | 12 | $75,402 | $12,477 | $10,845 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | 12 | $71,371 | $12,477 | $10,845 |
| Little Company of Mary HospitalEvergreen Park | 11 | $75,801 | $12,781 | $11,149 |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| St Marys HospitalCentralia | – | – | – | – |
| Good Samaritan Regional Hlth CenterMt Vernon | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| Midwestern Region Med CenterZion | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Pekin Memorial HospitalPekin | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| Memorial Hospital of CarbondaleCarbondale | – | – | – | – |
| Community First Medical CenterChicago | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Fhn Memorial HospitalFreeport, IL | $11,236 |
|---|---|
| Methodist Medical Center of IllinoisPeoria, IL | $11,395 |
| St Josephs HospitalBreese, IL | $11,528 |
| Javon Bea HospitalRockford, IL | $11,646 |
| St Marys HospitalDecatur, IL | $11,849 |
Highest
| Blessing HospitalQuincy, IL | $13,006 |
|---|---|
| St Anthonys Memorial HospitalEffingham, IL | $13,006 |
| St Mary Medical CenterGalesburg, IL | $13,006 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $12,874 |
| Sherman HospitalElgin, IL | $12,837 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Illinois?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 99 hospitals in Illinois was billed at $67,081 on average, while the average medicare-allowed amount was $12,334, of which Medicare paid $10,701. 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 Illinois, average charges were 5.4 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.