Level 6 Musculoskeletal Procedures in Alaska
What 5 hospitals in Alaska charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$297,033
Hospital list price billed
Average allowed
$19,345
Medicare's payment + patient's share
Medicare paid
$17,712
Average per service
State rank
#41 of 49
1 = lowest average payment
Hospitals in Alaska billed an average of $297,033 for level 6 musculoskeletal procedures, about 15.4 times the average medicare-allowed amount of $19,345. That payment is 11% above 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 $19,345Billed $297,033
About 7¢ was paid for every $1 hospitals in Alaska billed for this service.
Alaska hospitals: level 6 musculoskeletal procedures
Every Alaska hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mat-Su Regional Medical CenterPalmer | 87 | $362,365 | $20,115 | $18,483 |
| Alaska Regional HospitalAnchorage | 71 | $280,820 | $18,448 | $16,816 |
| Providence Alaska Medical CtrAnchorage | 22 | $90,998 | $19,190 | $17,558 |
| Bartlett Regional HospitalJuneau | – | – | – | – |
| Fairbanks Memorial HospitalFairbanks | – | – | – | – |
Lowest and highest allowed amounts in Alaska
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
| Alaska Regional HospitalAnchorage, AK | $18,448 |
|---|---|
| Providence Alaska Medical CtrAnchorage, AK | $19,190 |
| Mat-Su Regional Medical CenterPalmer, AK | $20,115 |
Highest
| Mat-Su Regional Medical CenterPalmer, AK | $20,115 |
|---|---|
| Providence Alaska Medical CtrAnchorage, AK | $19,190 |
| Alaska Regional HospitalAnchorage, AK | $18,448 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Alaska?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 5 hospitals in Alaska was billed at $297,033 on average, while the average medicare-allowed amount was $19,345, of which Medicare paid $17,712. 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 Alaska, average charges were 15.4 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.