Level 5 Musculoskeletal Procedures in Missouri
What 60 hospitals in Missouri charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$52,156
Hospital list price billed
Average allowed
$11,419
Medicare's payment + patient's share
Medicare paid
$9,787
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $52,156 for level 5 musculoskeletal procedures, about 4.6 times the average medicare-allowed amount of $11,419. That payment is 8% 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 $11,419Billed $52,156
About 22¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 5 musculoskeletal procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Hospital SpringfieldSpringfield | 753 | $37,335 | $10,936 | $9,303 |
| Barnes-Jewish West County HospitalSt Louis | 714 | $43,693 | $11,435 | $9,811 |
| Nkc HealthNorth Kansas City | 556 | $52,360 | $11,391 | $9,758 |
| Missouri Baptist Medical CenterTown and Country | 397 | $45,029 | $11,341 | $9,707 |
| Lester E Cox Medical CentersSpringfield | 391 | $48,954 | $10,956 | $9,322 |
| University Hospitals & ClinicsColumbia | 353 | $69,478 | $10,934 | $9,302 |
| SSM Depaul Health CenterBridgeton | 350 | $38,035 | $11,309 | $9,675 |
| St John's Mercy Medical CenterSt Louis | 340 | $31,586 | $11,435 | $9,800 |
| Boone Hospital CenterColumbia | 333 | $42,687 | $11,100 | $9,468 |
| St Lukes HospitalChesterfield | 326 | $37,239 | $11,611 | $9,978 |
| Freeman Health System - Freeman WestJoplin | 281 | $68,604 | $10,819 | $9,187 |
| St Francis Medical CenterCape Girardeau | 257 | $70,879 | $11,984 | $10,352 |
| Mosaic Life Care at St JosephSt Joseph | 222 | $34,791 | $12,363 | $10,731 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 193 | $63,220 | $11,480 | $9,848 |
| Phelps County Regional Medical CenterRolla | 185 | $71,130 | $12,232 | $10,595 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 177 | $46,175 | $11,066 | $9,431 |
| St Joseph Medical CenterKansas City | 173 | $102,519 | $11,423 | $9,791 |
| Mercy Hospital SouthSt Louis | 165 | $28,867 | $11,332 | $9,700 |
| Liberty HospitalLiberty | 156 | $59,560 | $11,380 | $9,753 |
| St Luke's Des Peres HospitalSaint Louis | 143 | $46,982 | $11,648 | $10,016 |
| Progress West Healthcare CenterO'fallon | 140 | $40,348 | $11,554 | $9,922 |
| Barnes Jewish HospitalSt Louis | 138 | $58,774 | $11,333 | $9,699 |
| Southeast Missouri HospitalCape Girardeau | 138 | $77,036 | $11,725 | $10,090 |
| Hannibal Regional HospitalHannibal | 134 | $84,168 | $12,526 | $10,892 |
| Barnes-Jewish St Peters HospitalSt Peters | 129 | $42,601 | $11,542 | $9,908 |
| Saint Luke's Northland HospSmithville | 123 | $60,260 | $11,239 | $9,607 |
| St Lukes Hospital of Kansas CityKansas City | 110 | $77,293 | $11,390 | $9,758 |
| Citizens Memorial HospitalBolivar | 104 | $36,721 | $11,739 | $10,107 |
| Centerpoint Medical CenterIndependence | 102 | $115,151 | $11,480 | $9,848 |
| Bothwell Regional Health CenterSedalia | 98 | $37,146 | $11,966 | $10,334 |
| Lake Regional Health SystemOsage Beach | 95 | $50,981 | $11,837 | $10,205 |
| St Johns Mercy HospitalWashington | 92 | $35,872 | $11,588 | $9,956 |
| Cox Medical Center BransonBranson | 79 | $61,388 | $11,837 | $10,205 |
| Missouri Delta Medical CenterSikeston | 55 | $63,263 | $12,876 | $11,244 |
| Truman Medical Center LakewoodKansas City | 54 | $42,321 | $11,334 | $9,702 |
| Jefferson Memorial HospitalCrystal City | 51 | $37,398 | $11,500 | $9,868 |
| Western Missouri Medical CenterWarrensburg | 50 | $37,409 | $11,837 | $10,205 |
| Ozarks Medical CenterWest Plains | 49 | $51,650 | $11,837 | $10,205 |
| SSM St Mary's Health CenterSt Louis | 48 | $45,483 | $11,490 | $9,858 |
| St Marys Health CenterJefferson City | 44 | $55,026 | $11,124 | $9,492 |
| Lee's Summit HospitalLee's Summit | 41 | $74,473 | $11,239 | $9,607 |
| Research Belton HospitalBelton | 40 | $103,601 | $11,480 | $9,848 |
| Parkland Health CenterFarmington | 36 | $44,360 | $12,031 | $10,399 |
| SSM St Joseph Hospital WestLake St Louis | 34 | $36,688 | $11,406 | $9,766 |
| Mercy Hospital JoplinJoplin | 23 | $38,027 | $10,738 | $9,106 |
| Cameron Community HospitalCameron | 23 | $59,540 | $11,051 | $9,419 |
| Golden Valley Memorial HospitalClinton | 23 | $37,040 | $12,292 | $10,660 |
| Northeast Regional Medical CenterKirksville | 22 | $123,654 | $12,037 | $10,405 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 20 | $246,396 | $11,837 | $10,205 |
| St Mary's Medical CenterBlue Springs | 19 | $116,360 | $11,480 | $9,848 |
| Research Medical CenterKansas City | 17 | $120,705 | $11,480 | $9,848 |
| Christian Hospital NortheastSt Louis | 17 | $47,504 | $11,490 | $9,858 |
| Mosaic Medical Center - MaryvilleMaryville | 16 | $38,109 | $11,980 | $10,348 |
| SSM St Joseph Health CenterSt Charles | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Mercy Hospital JoplinJoplin, MO | $10,738 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $10,819 |
| University Hospitals & ClinicsColumbia, MO | $10,934 |
| Mercy Hospital SpringfieldSpringfield, MO | $10,936 |
| Lester E Cox Medical CentersSpringfield, MO | $10,956 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $12,876 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $12,526 |
| Mosaic Life Care at St JosephSt Joseph, MO | $12,363 |
| Golden Valley Memorial HospitalClinton, MO | $12,292 |
| Phelps County Regional Medical CenterRolla, MO | $12,232 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Missouri?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 60 hospitals in Missouri was billed at $52,156 on average, while the average medicare-allowed amount was $11,419, of which Medicare paid $9,787. 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 Missouri, average charges were 4.6 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.