Level 6 Musculoskeletal Procedures in Alabama
What 43 hospitals in Alabama charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$103,552
Hospital list price billed
Average allowed
$15,164
Medicare's payment + patient's share
Medicare paid
$13,532
Average per service
State rank
#2 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $103,552 for level 6 musculoskeletal procedures, about 6.8 times the average medicare-allowed amount of $15,164. That payment is 13% below the U.S. average of $17,392.
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 $15,164Billed $103,552
About 15¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 6 musculoskeletal procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Vincent's BirminghamBirmingham | 219 | $61,137 | $15,464 | $13,830 |
| Huntsville HospitalHuntsville | 140 | $92,552 | $15,308 | $13,675 |
| Grandview Medical CenterBirmingham | 135 | $250,790 | $14,820 | $13,184 |
| Jack Hughston Memorial HospitalPhenix City | 128 | $47,977 | $15,345 | $13,713 |
| University of Alabama HospitalBirmingham | 50 | $94,641 | $14,971 | $13,339 |
| Crestwood Medical CenterHuntsville | 48 | $221,287 | $14,876 | $13,244 |
| Thomas HospitalFairhope | 47 | $54,684 | $14,843 | $13,208 |
| D C H Regional Medical CenterTuscaloosa | 40 | $61,378 | $16,557 | $14,925 |
| Decatur General HospitalDecatur | 39 | $72,213 | $15,349 | $13,717 |
| Baptist Medical Center SouthMontgomery | 35 | $45,780 | $14,816 | $13,184 |
| Flowers HospitalDothan | 34 | $158,486 | $15,969 | $14,337 |
| Springhill Medical CenterMobile | 34 | $52,848 | $14,611 | $12,979 |
| Providence HospitalMobile | 30 | $36,560 | $15,292 | $13,660 |
| Brookwood Medical CenterBirmingham | 24 | $221,268 | $14,368 | $12,736 |
| Marshall Medical Center SouthBoaz | 23 | $42,382 | $14,225 | $12,583 |
| Baptist Medical Center EastMontgomery | 23 | $41,711 | $15,616 | $13,984 |
| East Alabama Medical Center and SnfOpelika | 22 | $22,212 | $15,185 | $13,596 |
| South Baldwin Regional Medical CenterFoley | 22 | $214,447 | $15,439 | $13,807 |
| North Alabama Medical CenterFlorence | 21 | $63,533 | $14,587 | $12,955 |
| Mobile InfirmaryMobile | 20 | $47,782 | $14,732 | $13,100 |
| Walker Baptist Medical CenterJasper | 19 | $162,447 | $14,990 | $13,358 |
| Gadsden Regional Medical CenterGadsden | 18 | $215,264 | $15,421 | $13,789 |
| Athens-Limestone HospitalAthens | 14 | $46,372 | $15,014 | $13,407 |
| Princeton Baptist Medical CenterBirmingham | 13 | $160,100 | $12,320 | $10,684 |
| Southeast Alabama Medical CenterDothan | 12 | $120,095 | $14,755 | $13,123 |
| St Vincent's EastBirmingham | – | – | – | – |
| Dekalb Regional Medical CenterFort Payne | – | – | – | – |
| Shelby Baptist Medical CenterAlabaster | – | – | – | – |
| Helen Keller Memorial HospitalSheffield | – | – | – | – |
| Jackson Hospital & Clinic INCMontgomery | – | – | – | – |
| Cullman Regional Medical CenterCullman | – | – | – | – |
| Riverview Regional Medical CenterGadsden | – | – | – | – |
| Medical Center EnterpriseEnterprise | – | – | – | – |
| Highlands Medical CenterScottsboro | – | – | – | – |
| Northeast Alabama Regional Med CenterAnniston | – | – | – | – |
| USA Health University HospitalMobile | – | – | – | – |
| Bryan W Whitfield Mem Hosp INCDemopolis | – | – | – | – |
| Medical West, an Affiliate of UAB Health SystemBessemer | – | – | – | – |
| Vaughan Reg Med Center Parkway CampusSelma | – | – | – | – |
| Troy Regional Medical CenterTroy | – | – | – | – |
| L V Stabler Memorial HospitalGreenville | – | – | – | – |
| Russellville HospitalRussellville | – | – | – | – |
| Coosa Valley Medical CenterSylacauga | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Princeton Baptist Medical CenterBirmingham, AL | $12,320 |
|---|---|
| Marshall Medical Center SouthBoaz, AL | $14,225 |
| Brookwood Medical CenterBirmingham, AL | $14,368 |
| North Alabama Medical CenterFlorence, AL | $14,587 |
| Springhill Medical CenterMobile, AL | $14,611 |
Highest
| D C H Regional Medical CenterTuscaloosa, AL | $16,557 |
|---|---|
| Flowers HospitalDothan, AL | $15,969 |
| Baptist Medical Center EastMontgomery, AL | $15,616 |
| St Vincent's BirminghamBirmingham, AL | $15,464 |
| South Baldwin Regional Medical CenterFoley, AL | $15,439 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Alabama?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 43 hospitals in Alabama was billed at $103,552 on average, while the average medicare-allowed amount was $15,164, of which Medicare paid $13,532. 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 Alabama, average charges were 6.8 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.