Level 5 Musculoskeletal Procedures in Washington
What 46 hospitals in Washington charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$69,882
Hospital list price billed
Average allowed
$13,453
Medicare's payment + patient's share
Medicare paid
$11,820
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $69,882 for level 5 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $13,453. That payment is 8% 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 $13,453Billed $69,882
About 19¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 5 musculoskeletal procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Swedish Medical CenterSeattle | 790 | $83,676 | $13,890 | $12,257 |
| Overlake Hospital Medical CenterBellevue | 459 | $89,240 | $13,290 | $11,658 |
| Confluence Health HospitalWenatchee | 427 | $53,136 | $13,931 | $12,299 |
| St Michael Medical CenterBremerton | 326 | $96,684 | $13,969 | $12,336 |
| Kadlec Regional Medical CenterRichland | 317 | $58,222 | $13,115 | $11,482 |
| University of Washington Medical CtrSeattle | 315 | $46,862 | $13,188 | $11,555 |
| Peacehealth St Joseph Medical CenterBellingham | 313 | $71,068 | $13,913 | $12,280 |
| Providence Sacred Heart Medical CenterSpokane | 307 | $54,828 | $13,150 | $11,517 |
| Providence St Peter HospitalOlympia | 292 | $73,960 | $13,285 | $11,652 |
| Valley Medical CenterRenton | 273 | $70,512 | $13,246 | $11,614 |
| Yakima Valley Memorial HospitalYakima | 254 | $36,077 | $14,028 | $12,395 |
| Evergreenhealth Medical CenterKirkland | 252 | $49,643 | $13,232 | $11,598 |
| Skagit Valley HospitalMt Vernon | 251 | $56,018 | $13,249 | $11,616 |
| Providence Regional Medical Center EverettEverett | 217 | $68,470 | $13,311 | $11,679 |
| Legacy Salmon Creek Medical CenterVancouver | 207 | $39,368 | $13,551 | $11,919 |
| Tacoma General HospitalTacoma | 203 | $84,575 | $13,010 | $11,377 |
| St Anthony HospitalGig Harbor | 202 | $105,403 | $13,361 | $11,727 |
| Virginia Mason Medical CenterSeattle | 201 | $50,790 | $12,872 | $11,240 |
| St Clare HospitalLakewood | 193 | $94,369 | $13,291 | $11,658 |
| Providence St Mary Medical CenterWalla Walla | 182 | $50,432 | $14,053 | $12,421 |
| Providence Holy Family HospitalSpokane | 172 | $63,456 | $13,188 | $11,554 |
| Deaconess Medical CenterSpokane | 168 | $83,279 | $12,707 | $11,075 |
| Olympic Medical CenterPort Angeles | 167 | $31,644 | $13,898 | $12,266 |
| Valley Hospital & Medical CenterSpokane | 167 | $90,165 | $12,705 | $11,070 |
| S W Washington Medical CenterVancouver | 153 | $72,369 | $13,548 | $11,915 |
| Island HospitalAnacortes | 135 | $43,713 | $13,285 | $11,653 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 126 | $77,691 | $13,443 | $11,811 |
| Capital Medical CenterOlympia | 101 | $91,166 | $12,951 | $11,319 |
| St Joseph Medical CenterTacoma | 82 | $93,783 | $13,105 | $11,470 |
| Swedish IssaquahIssaquah | 79 | $83,148 | $13,270 | $11,637 |
| Providence Centralia HospitalCentralia | 74 | $74,270 | $14,496 | $12,864 |
| Samaritan HospitalMoses Lake | 73 | $77,941 | $13,951 | $12,318 |
| Swedish Edmonds HospitalEdmonds | 60 | $86,619 | $13,419 | $11,787 |
| St Francis Community HospitalFederal Way | 53 | $117,374 | $13,419 | $11,785 |
| Auburn Regional Medical CenterAuburn | 52 | $83,657 | $12,512 | $10,880 |
| Peachealth St John Medical CenterLongview | 48 | $94,926 | $14,337 | $12,705 |
| Trios HealthKennewick | 38 | $81,556 | $13,188 | $11,556 |
| Highline Medical CenterBurien | 35 | $112,850 | $13,082 | $11,449 |
| Evergreenhealth MonroeMonroe | 34 | $56,507 | $13,419 | $11,787 |
| Cascade Valley HospitalArlington | 30 | $48,360 | $12,633 | $11,001 |
| Harborview Medical CenterSeattle | 24 | $75,665 | $13,188 | $11,556 |
| Multicare Covington Medical CenterCovington | 12 | $78,249 | $12,437 | $10,805 |
| Swedish Medical Center/Cherry HillSeattle | 11 | $85,979 | $14,078 | $12,446 |
| Grays Harbor Community HospitalAberdeen | – | – | – | – |
| Toppenish Community HospitalToppenish | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Multicare Covington Medical CenterCovington, WA | $12,437 |
|---|---|
| Auburn Regional Medical CenterAuburn, WA | $12,512 |
| Cascade Valley HospitalArlington, WA | $12,633 |
| Valley Hospital & Medical CenterSpokane, WA | $12,705 |
| Deaconess Medical CenterSpokane, WA | $12,707 |
Highest
| Providence Centralia HospitalCentralia, WA | $14,496 |
|---|---|
| Peachealth St John Medical CenterLongview, WA | $14,337 |
| Swedish Medical Center/Cherry HillSeattle, WA | $14,078 |
| Providence St Mary Medical CenterWalla Walla, WA | $14,053 |
| Yakima Valley Memorial HospitalYakima, WA | $14,028 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Washington?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 46 hospitals in Washington was billed at $69,882 on average, while the average medicare-allowed amount was $13,453, of which Medicare paid $11,820. 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 Washington, average charges were 5.2 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.