Level 5 Musculoskeletal Procedures in Louisiana
What 59 hospitals in Louisiana charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$63,307
Hospital list price billed
Average allowed
$10,909
Medicare's payment + patient's share
Medicare paid
$9,276
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Louisiana billed an average of $63,307 for level 5 musculoskeletal procedures, about 5.8 times the average medicare-allowed amount of $10,909. That payment is 12% 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 $10,909Billed $63,307
About 17¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 5 musculoskeletal procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Specialists Hospital ShreveportShreveport | 725 | $45,304 | $10,917 | $9,283 |
| Willis Knighton Medical CenterShreveport | 406 | $70,473 | $11,297 | $9,664 |
| Surgical Specialty Center of Baton RougeBaton Rouge | 355 | $30,719 | $10,955 | $9,323 |
| Ochsner Foundation HospitalNew Orleans | 313 | $84,377 | $10,787 | $9,154 |
| Thibodaux Regional Medical CenterThibodaux | 280 | $38,645 | $10,738 | $9,106 |
| CHRISTUS Central Louisiana Surgical HospitalAlexandria | 249 | $138,736 | $10,441 | $8,808 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge | 223 | $45,300 | $10,903 | $9,268 |
| CHRISTUS Schumpert Health SystemShreveport | 217 | $112,275 | $11,348 | $9,715 |
| Lafayette Surgical Specialty HospitalLafayette | 206 | $45,680 | $10,930 | $9,296 |
| AvalaCovington | 201 | $71,150 | $11,135 | $9,502 |
| Lafayette General Medical CenterLafayette | 178 | $76,124 | $10,826 | $9,193 |
| Park Place Surgical HospitalLafayette | 169 | $44,773 | $10,831 | $9,195 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette | 149 | $46,310 | $10,681 | $9,045 |
| Lake Charles Memorial HospitalLake Charles | 129 | $57,957 | $11,201 | $9,569 |
| Touro InfirmaryNew Orleans | 127 | $66,892 | $10,836 | $9,204 |
| Tulane Medical CenterNew Orleans | 114 | $119,067 | $10,719 | $9,084 |
| Monroe Surgical HospitalMonroe | 113 | $42,732 | $10,467 | $8,841 |
| Slidell Memorial HospitalSlidell | 107 | $57,573 | $10,872 | $9,238 |
| Opelousas General Health SystemOpelousas | 102 | $39,686 | $10,940 | $9,306 |
| CHRISTUS St Patrick HospitalLake Charles | 99 | $130,756 | $11,081 | $9,447 |
| St Tammany Parish HospitalCovington | 98 | $91,235 | $10,941 | $9,308 |
| Sterling Surgical HospitalSlidell | 92 | $52,972 | $11,032 | $9,394 |
| St Francis Medical CenterMonroe | 81 | $36,750 | $10,816 | $9,184 |
| Ochsner Medical Center-Baton RougeBaton Rouge | 58 | $46,925 | $10,625 | $8,987 |
| Physicians Medical CenterHouma | 58 | $45,901 | $10,930 | $9,298 |
| The Spine Hospital of LouisianaBaton Rouge | 56 | $49,177 | $11,115 | $9,483 |
| West Calcasieu Cameron HospitalSulphur | 53 | $19,260 | $11,044 | $9,412 |
| Acadia General HospitalCrowley | 44 | $51,168 | $10,930 | $9,298 |
| Iberia General Hospital and Medical CenterNew Iberia | 43 | $35,160 | $10,930 | $9,298 |
| Southern Surgical HospitalSlidell | 42 | $97,161 | $11,135 | $9,503 |
| Cypress Pointe Surgical HospitalHammond | 35 | $69,111 | $10,948 | $9,299 |
| Terrebonne General Medical CenterHouma | 32 | $29,907 | $11,030 | $9,397 |
| West Jefferson Medical CenterMarrero | 32 | $72,061 | $10,052 | $8,420 |
| Baton Rouge General Medical CenterBaton Rouge | 32 | $55,067 | $10,159 | $8,527 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport | 31 | $55,557 | $10,462 | $8,830 |
| Lane Regional Medical CenterZachary | 26 | $61,553 | $11,115 | $9,483 |
| Ochsner Medical Center-Kenner LLCKenner | 21 | $48,814 | $10,683 | $9,051 |
| North Oaks Medical CenterHammond | 19 | $108,748 | $10,947 | $9,315 |
| LSU Medical Center-Univ HospShreveport | 19 | $54,221 | $10,523 | $8,883 |
| Natchitoches Regional Medical CenterNatchitoches | 18 | $53,606 | $11,704 | $10,072 |
| Northern Louisiana Medical CenterRuston | 18 | $52,964 | $10,930 | $9,298 |
| Healthsouth Rehab HospBaton Rouge | 18 | $63,982 | $11,115 | $9,483 |
| Minden Medical CenterMinden | 15 | $110,428 | $10,410 | $8,778 |
| CHRISTUS Ochsner Lake Area HospitalLake Charles | 14 | $119,010 | $11,044 | $9,412 |
| University Medical Center New OrleansNew Orleans | – | – | – | – |
| University Medical CenterLafayette | – | – | – | – |
| Ochsner LSU Health MonroeMonroe | – | – | – | – |
| Ochsner St MaryMorgan City | – | – | – | – |
| CHRISTUS St Frances Cabrini HospitalAlexandria | – | – | – | – |
| Rapides Regional Medical CenterAlexandria | – | – | – | – |
| Abbeville General HospitalAbbeville | – | – | – | – |
| Beauregard Memorial HospitalDeridder | – | – | – | – |
| Franklin Medical CenterWinnsboro | – | – | – | – |
| Glenwood Regional Medical CenterWest Monroe | – | – | – | – |
| Byrd Regional HospitalLeesville | – | – | – | – |
| Leonard J Chabert Medical CenterHouma | – | – | – | – |
| Omega Hospital, LLCMetairie | – | – | – | – |
| St Bernard Parish HospitalChalmette | – | – | – | – |
| Acadian Medical CenterEunice | – | – | – | – |
Lowest and highest allowed amounts in Louisiana
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
| West Jefferson Medical CenterMarrero, LA | $10,052 |
|---|---|
| Baton Rouge General Medical CenterBaton Rouge, LA | $10,159 |
| Minden Medical CenterMinden, LA | $10,410 |
| CHRISTUS Central Louisiana Surgical HospitalAlexandria, LA | $10,441 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA | $10,462 |
Highest
| Natchitoches Regional Medical CenterNatchitoches, LA | $11,704 |
|---|---|
| CHRISTUS Schumpert Health SystemShreveport, LA | $11,348 |
| Willis Knighton Medical CenterShreveport, LA | $11,297 |
| Lake Charles Memorial HospitalLake Charles, LA | $11,201 |
| AvalaCovington, LA | $11,135 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Louisiana?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 59 hospitals in Louisiana was billed at $63,307 on average, while the average medicare-allowed amount was $10,909, of which Medicare paid $9,276. 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 Louisiana, average charges were 5.8 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.