Level 5 Musculoskeletal Procedures in Minnesota
What 45 hospitals in Minnesota charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$39,240
Hospital list price billed
Average allowed
$12,735
Medicare's payment + patient's share
Medicare paid
$11,102
Average per service
State rank
#35 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $39,240 for level 5 musculoskeletal procedures, about 3.1 times the average medicare-allowed amount of $12,735. That payment is 3% above 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 $12,735Billed $39,240
About 32¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 5 musculoskeletal procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 1,327 | $43,902 | $13,419 | $11,786 |
| Ridgeview Medical CenterWaconia | 734 | $32,709 | $12,443 | $10,811 |
| Healtheast Woodwinds HospitalWoodbury | 351 | $36,468 | $12,501 | $10,869 |
| Lakeview Memorial HospitalStillwater | 236 | $28,692 | $12,423 | $10,791 |
| St Lukes HospitalDuluth | 234 | $45,894 | $12,375 | $10,742 |
| Park Nicollet Methodist HospitalSaint Louis Park | 208 | $38,746 | $12,457 | $10,824 |
| Fairview Southdale HospitalEdina | 203 | $41,837 | $12,350 | $10,718 |
| Essentia Health DuluthDuluth | 198 | $38,592 | $12,022 | $10,385 |
| St Cloud HospitalSt Cloud | 189 | $43,883 | $13,289 | $11,657 |
| United HospitalSt Paul | 185 | $38,260 | $12,327 | $10,693 |
| Alomere HealthAlexandria | 183 | $38,359 | $12,975 | $11,343 |
| Maple Grove HospitalMaple Grove | 182 | $32,109 | $12,442 | $10,810 |
| Fairview Red Wing HospitalRed Wing | 177 | $33,314 | $12,406 | $10,774 |
| Sanford Bemidji Medical CenterBemidji | 160 | $39,684 | $13,100 | $11,468 |
| Mayo Clinic Health System - MankatoMankato | 154 | $37,912 | $13,249 | $11,622 |
| Mercy HospitalCoon Rapids | 144 | $40,122 | $12,348 | $10,716 |
| St Francis Regional Medical CenterShakopee | 138 | $38,403 | $12,404 | $10,772 |
| Northfield HospitalNorthfield | 134 | $46,249 | $12,480 | $10,848 |
| Olmsted Medical CenterRochester | 130 | $40,990 | $12,640 | $11,008 |
| Fairview Ridges HospitalBurnsville | 108 | $38,747 | $12,481 | $10,848 |
| Fairview Lakes Health ServicesWyoming | 107 | $33,776 | $12,369 | $10,734 |
| Essentia Health St Joseph's Medical CenterBrainerd | 106 | $37,907 | $13,100 | $11,468 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 90 | $36,638 | $13,258 | $11,626 |
| Virginia Regional Medical CenterVirginia | 82 | $35,057 | $12,234 | $10,601 |
| University of Minnesota Medical Center, FairviewMinneapolis | 72 | $54,941 | $12,358 | $10,718 |
| Lake Region Healthcare CorporationFergus Falls | 69 | $39,600 | $12,934 | $11,302 |
| Itasca Medical CenterGrand Rapids | 67 | $37,474 | $13,100 | $11,467 |
| St Marys Regional Health CenterDetroit Lakes | 56 | $33,700 | $13,100 | $11,467 |
| Abbott Northwestern Hospital INCMinneapolis | 53 | $46,979 | $12,356 | $10,724 |
| Essentia Health St Mary's Medical CenterDuluth | 51 | $44,433 | $11,876 | $10,244 |
| Rice Memorial HospitalWillmar | 49 | $39,034 | $13,100 | $11,468 |
| Buffalo HospitalBuffalo | 47 | $43,268 | $12,562 | $10,930 |
| Owatonna HospitalOwatonna | 46 | $43,297 | $12,468 | $10,834 |
| Hutchinson Area Health CareHutchinson | 44 | $43,170 | $13,245 | $11,613 |
| Regions HospitalSt Paul | 43 | $39,848 | $12,562 | $10,930 |
| North Memorial Medical CenterRobbinsdale | 34 | $36,497 | $12,562 | $10,924 |
| Range Regional Health ServicesHibbing | 33 | $34,712 | $11,913 | $10,278 |
| Cambridge Medical CenterCambridge | 31 | $47,342 | $11,857 | $10,222 |
| Fairview Northland Regional HospitalPrinceton | 31 | $51,132 | $12,562 | $10,930 |
| Winona Health ServicesWinona | 19 | $26,924 | $11,893 | $10,261 |
| Hennepin County Medical CenterMinneapolis | 16 | $49,152 | $12,562 | $10,930 |
| Allina Health Faribault Medical CenterFaribault | 11 | $45,648 | $12,468 | $10,836 |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Fairmont Medical CenterFairmont | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Cambridge Medical CenterCambridge, MN | $11,857 |
|---|---|
| Essentia Health St Mary's Medical CenterDuluth, MN | $11,876 |
| Winona Health ServicesWinona, MN | $11,893 |
| Range Regional Health ServicesHibbing, MN | $11,913 |
| Essentia Health DuluthDuluth, MN | $12,022 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $13,419 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $13,289 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea, MN | $13,258 |
| Mayo Clinic Health System - MankatoMankato, MN | $13,249 |
| Hutchinson Area Health CareHutchinson, MN | $13,245 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Minnesota?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 45 hospitals in Minnesota was billed at $39,240 on average, while the average medicare-allowed amount was $12,735, of which Medicare paid $11,102. 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 Minnesota, average charges were 3.1 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.