Level 5 Musculoskeletal Procedures in Nevada
What 19 hospitals in Nevada charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$113,238
Hospital list price billed
Average allowed
$13,956
Medicare's payment + patient's share
Medicare paid
$12,324
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Nevada billed an average of $113,238 for level 5 musculoskeletal procedures, about 8.1 times the average medicare-allowed amount of $13,956. That payment is 13% 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 $13,956Billed $113,238
About 12¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 5 musculoskeletal procedures
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Renown South Meadows Medical CenterReno | 508 | $53,375 | $13,981 | $12,348 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 494 | $116,429 | $13,872 | $12,240 |
| Spring Valley Hospital Medical CenterLas Vegas | 208 | $186,778 | $13,614 | $11,982 |
| Northern Nevada Medical CenterSparks | 168 | $136,638 | $15,862 | $14,230 |
| Henderson HospitalHenderson | 144 | $139,684 | $13,511 | $11,879 |
| Carson Tahoe HospitalCarson City | 115 | $45,720 | $13,781 | $12,149 |
| Southern Hills Hospital and Medical CenterLas Vegas | 109 | $164,502 | $13,844 | $12,212 |
| Renown Regional Medical CenterReno | 73 | $68,319 | $13,733 | $12,098 |
| Valley Hospital Medical CenterLas Vegas | 70 | $178,465 | $13,748 | $12,113 |
| Northern Nevada Sierra Medical CenterReno | 67 | $144,653 | $13,699 | $12,067 |
| Centennial Hills Hospital Medical CenterLas Vegas | 53 | $176,771 | $13,422 | $11,788 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | 46 | $102,119 | $13,309 | $11,675 |
| University Medical CenterLas Vegas | 28 | $129,925 | $14,071 | $12,439 |
| Mountainview HospitalLas Vegas | 23 | $157,642 | $12,456 | $10,818 |
| Northeastern Nevada Regional HospitalElko | 22 | $86,051 | $15,067 | $13,435 |
| Sunrise Hospital and Medical CenterLas Vegas | 19 | $157,316 | $13,416 | $11,784 |
| North Vista HospitalNorth las Vegas | – | – | – | – |
| Saint Mary's Regional Medical CenterReno | – | – | – | – |
| Summerlin Hospital Medical CenterLas Vegas | – | – | – | – |
Lowest and highest allowed amounts in Nevada
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
| Mountainview HospitalLas Vegas, NV | $12,456 |
|---|---|
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas, NV | $13,309 |
| Sunrise Hospital and Medical CenterLas Vegas, NV | $13,416 |
| Centennial Hills Hospital Medical CenterLas Vegas, NV | $13,422 |
| Henderson HospitalHenderson, NV | $13,511 |
Highest
| Northern Nevada Medical CenterSparks, NV | $15,862 |
|---|---|
| Northeastern Nevada Regional HospitalElko, NV | $15,067 |
| University Medical CenterLas Vegas, NV | $14,071 |
| Renown South Meadows Medical CenterReno, NV | $13,981 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $13,872 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Nevada?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 19 hospitals in Nevada was billed at $113,238 on average, while the average medicare-allowed amount was $13,956, of which Medicare paid $12,324. 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 Nevada, average charges were 8.1 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.