Level 5 Musculoskeletal Procedures in Michigan
What 85 hospitals in Michigan charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$48,377
Hospital list price billed
Average allowed
$11,535
Medicare's payment + patient's share
Medicare paid
$9,910
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $48,377 for level 5 musculoskeletal procedures, about 4.2 times the average medicare-allowed amount of $11,535. That payment is 7% 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 $11,535Billed $48,377
About 24¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 5 musculoskeletal procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| William Beaumont HospitalRoyal Oak | 563 | $56,868 | $11,643 | $10,011 |
| Spectrum Health - Butterworth CampusGrand Rapids | 355 | $39,526 | $11,189 | $9,559 |
| Providence Hospital and Medical CentersSouthfield | 351 | $46,137 | $11,651 | $10,019 |
| Henry Ford Macomb HospitalClinton Twp | 319 | $42,883 | $11,273 | $9,641 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 318 | $41,814 | $11,515 | $9,883 |
| William Beaumont Hospital-TroyTroy | 300 | $53,752 | $11,648 | $10,015 |
| McLaren Greater LansingLansing | 279 | $52,552 | $11,520 | $9,887 |
| Univ of Michigan HospitalsAnn Arbor | 253 | $55,592 | $12,040 | $10,411 |
| St Joseph Mercy OaklandPontiac | 249 | $49,924 | $11,674 | $10,042 |
| Munson Medical CenterTraverse City | 230 | $31,790 | $12,216 | $10,584 |
| Bronson Methodist HospitalKalamazoo | 218 | $30,704 | $11,362 | $9,730 |
| Henry Ford HospitalDetroit | 203 | $36,055 | $8,398 | $7,045 |
| Chelsea Community HospitalChelsea | 198 | $44,051 | $12,200 | $10,567 |
| Holland Community HospitalHolland | 195 | $39,148 | $11,351 | $9,716 |
| Ascension Providence Rochester HospitalRochester | 190 | $50,278 | $11,556 | $9,923 |
| University of Michigan Health - WestWyoming | 183 | $38,824 | $11,192 | $9,560 |
| Midmichigan Medical Center-MidlandMidland | 179 | $29,888 | $12,041 | $10,409 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 170 | $52,814 | $11,866 | $10,228 |
| Covenant Medical Center, INCSaginaw | 167 | $43,101 | $11,301 | $9,675 |
| Saint Joseph Mercy Livingston HospitalHowell | 161 | $44,837 | $11,811 | $10,178 |
| Beaumont Hospital - TaylorTaylor | 151 | $67,519 | $11,356 | $9,734 |
| Trinity Health Muskegon HospitalMuskegon | 137 | $48,741 | $12,079 | $10,446 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 130 | $47,735 | $12,263 | $10,630 |
| Edward W Sparrow HospitalLansing | 124 | $42,791 | $11,372 | $9,740 |
| Oaklawn HospitalMarshall | 121 | $50,812 | $11,387 | $9,755 |
| Borgess Medical CenterKalamazoo | 120 | $55,410 | $11,206 | $9,574 |
| Port Huron HospitalPort Huron | 118 | $38,187 | $11,255 | $9,623 |
| Battle Creek Health SystemBattle Creek | 116 | $33,666 | $11,339 | $9,705 |
| Bay Regional Medical CenterBay City | 114 | $53,068 | $11,626 | $9,994 |
| Beaumont Hospital - DearbornDearborn | 113 | $64,417 | $11,648 | $10,016 |
| Huron Valley-Sinai HospitalCommerce Twp | 113 | $112,640 | $11,626 | $9,994 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 109 | $60,717 | $11,290 | $9,656 |
| McLaren MacombMt Clemens | 107 | $62,205 | $11,391 | $9,756 |
| Lakeland Hospital, St JosephSt Joseph | 102 | $50,561 | $11,167 | $9,533 |
| Mercy Hospital - CadillacCadillac | 97 | $31,834 | $12,153 | $10,518 |
| Alpena Regional Medical CenterAlpena | 95 | $32,934 | $12,341 | $10,709 |
| Northern Michigan Regional HospitalPetoskey | 95 | $32,221 | $12,229 | $10,591 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 90 | $72,441 | $11,923 | $10,290 |
| McLaren Regional Medical CenterFlint | 89 | $71,033 | $11,984 | $10,352 |
| Henry Ford Wyandotte HospitalWyandotte | 83 | $44,513 | $11,634 | $10,014 |
| St John Hospital and Medical CenterDetroit | 78 | $52,871 | $11,737 | $10,105 |
| Allegiance HealthJackson | 77 | $44,721 | $11,606 | $9,973 |
| Central Michigan Community HospitalMt Pleasant | 72 | $50,410 | $11,387 | $9,754 |
| Harper University HospitalDetroit | 72 | $100,248 | $11,458 | $9,824 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 55 | $62,475 | $11,553 | $9,921 |
| Trinity Health Grand Haven HospitalGrand Haven | 53 | $37,200 | $11,081 | $9,445 |
| Saint Mary's Health CareGrand Rapids | 52 | $44,455 | $11,155 | $9,523 |
| Memorial HealthcareOwosso | 52 | $66,459 | $11,319 | $9,687 |
| St Mary Mercy HospitalLivonia | 49 | $58,720 | $10,727 | $9,176 |
| Promedica Monroe Regional HospitalMonroe | 49 | $33,182 | $10,706 | $9,074 |
| Mercy Hospital - GraylingGrayling | 47 | $36,775 | $12,036 | $10,399 |
| Mymichigan Medical Center SaginawSaginaw | 45 | $35,112 | $11,715 | $10,082 |
| Marquette General Hlth SystemMarquette | 44 | $104,513 | $12,425 | $10,809 |
| Otsego Memorial HospitalGaylord | 44 | $27,653 | $12,021 | $10,380 |
| Henry Ford Health Warren HospitalWarren | 42 | $55,546 | $10,984 | $9,351 |
| Mymichigan Medical Center AlmaAlma | 38 | $26,916 | $11,509 | $9,877 |
| West Branch Regional Medical CenterWest Branch | 37 | $28,215 | $11,975 | $10,343 |
| Hurley Medical CenterFlint | 37 | $67,626 | $12,005 | $10,366 |
| Lapeer Regional Medical CenterLapeer | 37 | $52,190 | $11,715 | $10,083 |
| Dickinson County Memorial HospitalIron Mountain | 32 | $32,000 | $12,262 | $10,630 |
| McLaren OaklandPontiac | 28 | $50,123 | $11,222 | $9,589 |
| Munson Healthcare Manistee HospitalManistee | 25 | $32,875 | $12,392 | $10,760 |
| Corewell Health Watervliet HospitalWatervliet | 24 | $45,400 | $10,633 | $9,001 |
| Corewell Health Ludington HospitalLudington | 24 | $42,596 | $11,944 | $10,312 |
| St Joseph Mercy Port HuronPort Huron | 21 | $120,010 | $11,577 | $9,945 |
| Spectrum Health United Memorial - United CampusGreenville | 17 | $34,858 | $11,452 | $9,820 |
| Straith Hospital for Special SurgerySouthfield | 17 | $26,605 | $11,577 | $9,945 |
| Three Rivers Area HospitalThree Rivers | 16 | $41,058 | $11,774 | $10,142 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 16 | $32,779 | $10,934 | $9,302 |
| Hillsdale Community Health CenterHillsdale | 14 | $33,102 | $11,452 | $9,811 |
| St Joseph Health SystemTawas City | 13 | $16,813 | $12,341 | $10,703 |
| Corewell Health Wayne HospitalWayne | 13 | $86,814 | $11,564 | $9,932 |
| Zeeland Community HospitalZeeland | 12 | $43,064 | $10,633 | $9,001 |
| Insight Hospital and Medical Center ColdwaterColdwater | – | – | – | – |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| Portage Health HospitalHancock | – | – | – | – |
| Forest Health Medical CenterYpsilanti | – | – | – | – |
| Corewell Health Trenton HospitalTrenton | – | – | – | – |
| Midmichigan Medical Center-ClareClare | – | – | – | – |
| Carson City HospitalCarson City | – | – | – | – |
| St John River District HospitalEast China | – | – | – | – |
| Garden City HospitalGarden City | – | – | – | – |
| Southeast Michigan Surgical HospitalWarren | – | – | – | – |
| Detroit Receiving Hospital & Univ Health CenterDetroit | – | – | – | – |
| Surgeons Choice Medical CenterSouthfield | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| Henry Ford HospitalDetroit, MI | $8,398 |
|---|---|
| Zeeland Community HospitalZeeland, MI | $10,633 |
| Corewell Health Watervliet HospitalWatervliet, MI | $10,633 |
| Promedica Monroe Regional HospitalMonroe, MI | $10,706 |
| St Mary Mercy HospitalLivonia, MI | $10,727 |
Highest
| Marquette General Hlth SystemMarquette, MI | $12,425 |
|---|---|
| Munson Healthcare Manistee HospitalManistee, MI | $12,392 |
| St Joseph Health SystemTawas City, MI | $12,341 |
| Alpena Regional Medical CenterAlpena, MI | $12,341 |
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $12,263 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Michigan?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 85 hospitals in Michigan was billed at $48,377 on average, while the average medicare-allowed amount was $11,535, of which Medicare paid $9,910. 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 Michigan, average charges were 4.2 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.