Level 5 Musculoskeletal Procedures in Indiana
What 72 hospitals in Indiana charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$77,014
Hospital list price billed
Average allowed
$11,754
Medicare's payment + patient's share
Medicare paid
$10,123
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $77,014 for level 5 musculoskeletal procedures, about 6.6 times the average medicare-allowed amount of $11,754. 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 $11,754Billed $77,014
About 15¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 5 musculoskeletal procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Orthoindy HospitalIndianapolis | 815 | $42,060 | $11,674 | $10,036 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 638 | $70,728 | $11,886 | $10,251 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 524 | $142,194 | $11,201 | $9,621 |
| Deaconess Hospital INCEvansville | 517 | $32,093 | $11,619 | $9,986 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 451 | $82,933 | $11,804 | $10,171 |
| Unity Medical and Surgical HospitalMishawaka | 420 | $77,558 | $11,789 | $10,155 |
| Franciscan Health LafayetteLafayette | 390 | $120,550 | $11,639 | $10,005 |
| Union Hospital INCTerre Haute | 380 | $69,859 | $11,710 | $10,076 |
| Henry County Memorial HospitalNew Castle | 322 | $54,577 | $11,840 | $10,207 |
| St Francis Hospital MooresvilleMooresville | 284 | $77,888 | $11,800 | $10,168 |
| St Mary's Medical Center of Evansville INCEvansville | 270 | $90,870 | $11,679 | $10,046 |
| Saint Joseph Reg Medical CtrSouth Bend | 267 | $62,894 | $11,901 | $10,263 |
| Clarian Health PartnersIndianapolis | 210 | $111,474 | $11,779 | $10,146 |
| Community HospitalMunster | 209 | $49,984 | $12,022 | $10,389 |
| Hendricks Regional HealthDanville | 198 | $50,168 | $11,872 | $10,238 |
| St Mary Medical Center INCHobart | 179 | $48,493 | $12,240 | $10,608 |
| Franciscan Physicians Hospital LLCMunster | 157 | $65,209 | $12,223 | $10,589 |
| Good Samaritan HospitalVincennes | 156 | $44,702 | $11,622 | $9,990 |
| Indiana University Health West HospitalAvon | 147 | $111,273 | $11,663 | $10,030 |
| Bloomington HospitalBloomington | 145 | $116,964 | $11,803 | $10,169 |
| Reid Hosp & Hlth Care ServicesRichmond | 143 | $48,569 | $12,317 | $10,685 |
| Community Hospital NorthIndianapolis | 141 | $84,245 | $11,658 | $10,026 |
| Porter, Valparaiso HospitalValparaiso | 136 | $149,670 | $11,576 | $9,944 |
| Clark Memorial HospitalJeffersonville | 133 | $66,522 | $11,640 | $10,008 |
| Riverview HospitalNoblesville | 133 | $66,954 | $11,719 | $10,084 |
| Memorial Hospital and Health Care CenterJasper | 133 | $44,355 | $11,565 | $9,933 |
| Dearborn County HospitalLawrenceburg | 128 | $50,032 | $11,559 | $9,920 |
| Indiana University Health Arnett HospitalLafayette | 122 | $123,007 | $11,554 | $9,920 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 108 | $78,600 | $11,623 | $9,991 |
| Saint John's Health SystemAnderson | 105 | $95,556 | $11,872 | $10,240 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 99 | $111,437 | $11,619 | $9,987 |
| Ball Memorial Hospital INCMuncie | 98 | $117,366 | $11,778 | $10,143 |
| Physicians' Medical Center LLCNew Albany | 95 | $39,417 | $11,610 | $9,978 |
| Community Hospital EastIndianapolis | 93 | $84,650 | $11,642 | $10,010 |
| Franciscan St Anthony Health - Crown PointCrown Point | 83 | $75,874 | $12,024 | $10,398 |
| St Vincent Hospital & Health ServicesIndianapolis | 80 | $107,433 | $11,404 | $9,772 |
| Elkhart General HospitalElkhart | 79 | $74,355 | $12,137 | $10,505 |
| Schneck Medical CenterSeymour | 79 | $62,463 | $11,845 | $10,213 |
| Memorial Hospital of South BendSouth Bend | 77 | $76,723 | $11,862 | $10,229 |
| King's Daughters' Hospital and Health Services,TheMadison | 77 | $66,978 | $12,404 | $10,770 |
| Franciscan Health IndianapolisIndianapolis | 73 | $71,405 | $11,976 | $10,344 |
| IU Health Goshen HospitalGoshen | 67 | $55,806 | $11,899 | $10,267 |
| Ascension St Vincent FishersFishers | 60 | $110,327 | $11,872 | $10,240 |
| St Joseph Hospital & Health Center INCKokomo | 50 | $103,022 | $12,016 | $10,384 |
| Columbus Regional HospitalColumbus | 49 | $47,457 | $11,879 | $10,247 |
| Major HospitalShelbyville | 46 | $74,921 | $11,427 | $9,790 |
| Howard Regional Health SystemKokomo | 45 | $83,867 | $11,324 | $9,692 |
| Community Hospital SouthIndianapolis | 45 | $77,432 | $11,976 | $10,344 |
| Hancock Regional HospitalGreenfield | 37 | $46,933 | $11,595 | $9,949 |
| Community Hospital of Anderson and Madison CountyAnderson | 35 | $88,859 | $11,872 | $10,240 |
| Dupont Hospital LLCFort Wayne | 31 | $130,246 | $11,935 | $10,303 |
| Parkview HospitalFort Wayne | 28 | $107,501 | $12,137 | $10,505 |
| La Porte Regional Health SystLa Porte | 27 | $123,822 | $11,716 | $10,084 |
| St Vincent Carmel Hospital INCCarmel | 26 | $118,843 | $11,872 | $10,240 |
| Lutheran Hospital of IndianaFort Wayne | 25 | $129,455 | $11,935 | $10,303 |
| Memorial HospitalLogansport | 23 | $63,559 | $12,071 | $10,438 |
| Methodist Hospitals, INCGary | 22 | $89,777 | $12,360 | $10,728 |
| St Catherine Hospital INCEast Chicago | 21 | $48,829 | $12,085 | $10,453 |
| Pinnacle HospitalCrown Point | 19 | $183,799 | $11,795 | $10,163 |
| Parkview Huntington HospitalHuntington | 18 | $76,169 | $11,747 | $10,115 |
| Eskenazi HealthIndianapolis | 17 | $74,248 | $11,872 | $10,240 |
| Johnson Memorial HospitalFranklin | 16 | $76,839 | $11,872 | $10,240 |
| Kosciusko Community HospitalWarsaw | 15 | $126,241 | $11,747 | $10,115 |
| Witham Health ServicesLebanon | 14 | $62,794 | $11,872 | $10,240 |
| Marion General HospitalMarion | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| Terre Haute Regional HospitalTerre Haute | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Franciscan St Margaret Health - DyerDyer | – | – | – | – |
| Parkview Whitley HospitalColumbia City | – | – | – | – |
| Parkview Noble HospitalKendallville | – | – | – | – |
| Indiana University Health North HospitalCarmel | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $11,201 |
|---|---|
| Howard Regional Health SystemKokomo, IN | $11,324 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $11,404 |
| Major HospitalShelbyville, IN | $11,427 |
| Indiana University Health Arnett HospitalLafayette, IN | $11,554 |
Highest
| King's Daughters' Hospital and Health Services,TheMadison, IN | $12,404 |
|---|---|
| Methodist Hospitals, INCGary, IN | $12,360 |
| Reid Hosp & Hlth Care ServicesRichmond, IN | $12,317 |
| St Mary Medical Center INCHobart, IN | $12,240 |
| Franciscan Physicians Hospital LLCMunster, IN | $12,223 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Indiana?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 72 hospitals in Indiana was billed at $77,014 on average, while the average medicare-allowed amount was $11,754, of which Medicare paid $10,123. 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 Indiana, average charges were 6.6 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.