Level 5 Musculoskeletal Procedures in Kansas
What 42 hospitals in Kansas charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$53,203
Hospital list price billed
Average allowed
$11,345
Medicare's payment + patient's share
Medicare paid
$9,713
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Kansas billed an average of $53,203 for level 5 musculoskeletal procedures, about 4.7 times the average medicare-allowed amount of $11,345. That payment is 9% 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 $11,345Billed $53,203
About 21¢ was paid for every $1 hospitals in Kansas billed for this service.
Kansas hospitals: level 5 musculoskeletal procedures
Every Kansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Kansas Surgery & Recovery CenterWichita | 981 | $29,366 | $11,064 | $9,432 |
| Stormont-Vail HealthcareTopeka | 632 | $48,350 | $11,340 | $9,705 |
| Kansas Spine Hospital LLCWichita | 404 | $53,407 | $11,104 | $9,472 |
| Manhattan Surgical Hospital LLCManhattan | 402 | $52,309 | $11,166 | $9,535 |
| Mercy Specialty Hospital Southeast KansasGalena | 343 | $48,421 | $11,167 | $9,535 |
| Menorah Medical CenterShawnee Mission | 304 | $76,773 | $11,415 | $9,781 |
| University of Kansas HospitalKansas City | 287 | $82,637 | $11,435 | $9,803 |
| Labette County Medical CenterParsons | 242 | $37,608 | $11,932 | $10,299 |
| Olathe Medical CenterOlathe | 237 | $37,525 | $11,023 | $9,391 |
| Lawrence Memorial HospitalLawrence | 229 | $54,686 | $12,246 | $10,611 |
| NMC HealthNewton | 203 | $22,916 | $11,081 | $9,449 |
| St Francis Health CenterTopeka | 200 | $61,113 | $11,155 | $9,522 |
| Shawnee Mission Medical CenterOverland Park | 182 | $100,361 | $11,324 | $9,692 |
| Great Bend Regional HospitalGreat Bend | 182 | $41,729 | $11,903 | $10,271 |
| Hays Medical CenterHays | 165 | $40,492 | $11,828 | $10,196 |
| Saint Luke's South HospitalOverland Park | 157 | $55,575 | $11,354 | $9,722 |
| Wesley Medical CenterWichita | 128 | $165,121 | $11,148 | $9,516 |
| Kansas City Orthopaedic InstituteLeawood | 112 | $57,443 | $11,216 | $9,584 |
| Salina Regional Health CenterSalina | 101 | $55,056 | $12,018 | $10,386 |
| Overland Park Regional CenterShawnee Mission | 99 | $90,116 | $11,281 | $9,649 |
| Via Christi Hospitals Wichita INCWichita | 89 | $41,897 | $11,223 | $9,591 |
| Ascentist HospitalLeawood | 67 | $83,218 | $11,333 | $9,701 |
| Ascension Via Christi Hospital ManhattanManhattan | 56 | $44,670 | $11,223 | $9,591 |
| St Catherine HospitalGarden City | 45 | $66,226 | $12,756 | $11,124 |
| Rock Regional Hospital, LLCDerby | 40 | $49,209 | $10,983 | $9,351 |
| Centura St. Catherine-Dodge CityDodge City | 35 | $65,271 | $12,018 | $10,386 |
| Sck HealthArkansas City | 22 | $45,619 | $11,783 | $10,151 |
| Via Christi Hospital Wichita St Teresa INCWichita | 19 | $35,302 | $11,223 | $9,591 |
| Kansas Medical Center LLCAndover | 18 | $21,259 | $11,223 | $9,591 |
| Providence Medical CenterKansas City | 16 | $96,339 | $11,480 | $9,848 |
| Promise Regional Medical Center Hutchinson INCHutchinson | 14 | $51,737 | $12,018 | $10,386 |
| Miami County Medical CenterPaola | 14 | $35,398 | $10,776 | $9,144 |
| Mercy Hospital PittsburgPittsburg | 13 | $42,294 | $12,018 | $10,386 |
| Adventhealth OttawaOttawa | 11 | $97,532 | $12,292 | $10,660 |
| Susan B Allen Memorial HospitalEl Dorado | – | – | – | – |
| Pratt Regional Medical CenterPratt | – | – | – | – |
| Southwest Medical CenterLiberal | – | – | – | – |
| Stormont Vail Health Flint HillsJunction City | – | – | – | – |
| Coffeyville Regional Medical Center, INCCoffeyville | – | – | – | – |
| Salina Surgical HospitalSalina | – | – | – | – |
| Summit Surgical LLCHutchinson | – | – | – | – |
| Minimally Invasive Surgery HospitalLenexa | – | – | – | – |
Lowest and highest allowed amounts in Kansas
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
| Miami County Medical CenterPaola, KS | $10,776 |
|---|---|
| Rock Regional Hospital, LLCDerby, KS | $10,983 |
| Olathe Medical CenterOlathe, KS | $11,023 |
| Kansas Surgery & Recovery CenterWichita, KS | $11,064 |
| NMC HealthNewton, KS | $11,081 |
Highest
| St Catherine HospitalGarden City, KS | $12,756 |
|---|---|
| Adventhealth OttawaOttawa, KS | $12,292 |
| Lawrence Memorial HospitalLawrence, KS | $12,246 |
| Mercy Hospital PittsburgPittsburg, KS | $12,018 |
| Salina Regional Health CenterSalina, KS | $12,018 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Kansas?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 42 hospitals in Kansas was billed at $53,203 on average, while the average medicare-allowed amount was $11,345, of which Medicare paid $9,713. 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 Kansas, average charges were 4.7 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.