Level 5 Musculoskeletal Procedures in New Hampshire
What 14 hospitals in New Hampshire charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$68,606
Hospital list price billed
Average allowed
$12,713
Medicare's payment + patient's share
Medicare paid
$11,080
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in New Hampshire billed an average of $68,606 for level 5 musculoskeletal procedures, about 5.4 times the average medicare-allowed amount of $12,713. 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 $12,713Billed $68,606
About 19¢ was paid for every $1 hospitals in New Hampshire billed for this service.
New Hampshire hospitals: level 5 musculoskeletal procedures
Every New Hampshire hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Concord HospitalConcord | 398 | $51,450 | $12,453 | $10,820 |
| Portsmouth Regional HospitalPortsmouth | 345 | $137,954 | $13,046 | $11,412 |
| Mary Hitchcock Mem HospitalLebanon | 331 | $49,215 | $13,281 | $11,648 |
| Elliot HospitalManchester | 328 | $50,789 | $12,682 | $11,048 |
| Wentworth-Douglass HospitalDover | 162 | $65,874 | $12,464 | $10,830 |
| Exeter HospitalExeter | 141 | $55,516 | $12,366 | $10,734 |
| St Joseph HospitalNashua | 131 | $62,826 | $12,662 | $11,029 |
| Southern Nh Medical CenterNashua | 125 | $71,908 | $12,564 | $10,932 |
| Cheshire Medical CenterKeene | 121 | $34,477 | $12,328 | $10,696 |
| Catholic Medical CenterManchester | 104 | $70,413 | $12,510 | $10,876 |
| Parkland Medical CenterDerry | 13 | $202,404 | $12,198 | $10,566 |
| Concord Hospital- LaconiaLaconia | – | – | – | – |
| Frisbie Memorial HospitalRochester | – | – | – | – |
| Northeast Rehab HospitalSalem | – | – | – | – |
Lowest and highest allowed amounts in New Hampshire
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
| Parkland Medical CenterDerry, NH | $12,198 |
|---|---|
| Cheshire Medical CenterKeene, NH | $12,328 |
| Exeter HospitalExeter, NH | $12,366 |
| Concord HospitalConcord, NH | $12,453 |
| Wentworth-Douglass HospitalDover, NH | $12,464 |
Highest
| Mary Hitchcock Mem HospitalLebanon, NH | $13,281 |
|---|---|
| Portsmouth Regional HospitalPortsmouth, NH | $13,046 |
| Elliot HospitalManchester, NH | $12,682 |
| St Joseph HospitalNashua, NH | $12,662 |
| Southern Nh Medical CenterNashua, NH | $12,564 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in New Hampshire?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 14 hospitals in New Hampshire was billed at $68,606 on average, while the average medicare-allowed amount was $12,713, of which Medicare paid $11,080. 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 New Hampshire, average charges were 5.4 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.