Level 6 Musculoskeletal Procedures in Arizona
What 47 hospitals in Arizona charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$113,009
Hospital list price billed
Average allowed
$18,231
Medicare's payment + patient's share
Medicare paid
$16,599
Average per service
State rank
#37 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $113,009 for level 6 musculoskeletal procedures, about 6.2 times the average medicare-allowed amount of $18,231. That payment is 5% 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 $18,231Billed $113,009
About 16¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 6 musculoskeletal procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 232 | $61,505 | $18,131 | $16,499 |
| Surgical Specialty Hospital of ArizonaPhoenix | 195 | $85,418 | $17,962 | $16,330 |
| Arizona Orthopedic Surgical HospitalChandler | 129 | $179,461 | $18,131 | $16,499 |
| Banner - University Medical Center PhoenixPhoenix | 123 | $77,675 | $17,869 | $16,231 |
| Arizona Spine and Joint HospitalMesa | 122 | $127,228 | $17,996 | $16,364 |
| Northwest Medical CenterTucson | 119 | $143,050 | $18,131 | $16,499 |
| Flagstaff Medical CenterFlagstaff | 113 | $51,479 | $19,173 | $17,547 |
| Tucson Medical CenterTucson | 98 | $50,420 | $18,131 | $16,499 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 98 | $162,503 | $17,963 | $16,328 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 80 | $137,218 | $17,971 | $16,338 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 76 | $171,574 | $17,917 | $16,282 |
| Abrazo Scottsdale CampusPhoenix | 69 | $205,285 | $17,917 | $16,285 |
| Havasu Regional Medical CenterLake Havasu City | 65 | $149,278 | $19,838 | $18,205 |
| Banner Estrella Medical CenterPhoenix | 64 | $77,555 | $17,874 | $16,238 |
| Summit Healthcare Regional Medical CenterShow Low | 60 | $88,192 | $19,416 | $17,783 |
| Yavapai Regional Medical CenterPrescott | 57 | $84,466 | $19,104 | $17,472 |
| Mercy Gilbert Medical CenterGilbert | 55 | $145,916 | $18,131 | $16,495 |
| O.A.S.I.S. HospitalPhoenix | 55 | $167,309 | $18,131 | $16,499 |
| Banner del E Webb Medical CenterSun City West | 54 | $89,304 | $18,131 | $16,499 |
| Oro Valley HospitalOro Valley | 53 | $136,946 | $18,131 | $16,499 |
| Banner Boswell Medical CenterSun City | 50 | $81,968 | $18,131 | $16,499 |
| Yuma Regional Medical CenterYuma | 46 | $104,046 | $19,416 | $17,784 |
| John C Lincoln North Mountain HospitalPhoenix | 41 | $158,663 | $18,131 | $16,499 |
| Banner Baywood Medical CenterMesa | 38 | $71,294 | $18,131 | $16,499 |
| Banner Desert Medical CenterMesa | 35 | $90,919 | $16,717 | $15,078 |
| University Medical CenterTucson | 33 | $99,976 | $18,131 | $16,499 |
| John C Lincoln Deer Valley HospitalPhoenix | 32 | $191,510 | $18,131 | $16,499 |
| Northwest Medical Center SahuaritaSahuarita | 29 | $136,587 | $18,131 | $16,499 |
| Arrowhead HospitalGlendale | 21 | $193,858 | $18,131 | $16,499 |
| Valley View Medical CenterFort Mohave | 19 | $144,710 | $18,397 | $16,765 |
| Banner Thunderbird Medical CenterGlendale | 18 | $111,600 | $18,131 | $16,499 |
| Dignity Health Arizona General HospitalMesa | 18 | $67,288 | $18,131 | $16,499 |
| Banner Ocotillo Medical CenterChandler | 18 | $84,375 | $18,131 | $16,499 |
| Verde Valley Medical CenterCottonwood | 15 | $51,418 | $19,416 | $17,784 |
| Banner-University Medical Center South CampusTucson | 14 | $91,228 | $18,131 | $16,499 |
| Sierra Vista Regional Health Center INCSierra Vista | 13 | $130,738 | $19,416 | $17,784 |
| Western Arizona Regional Medical CtrBullhead City | 12 | $218,355 | $16,756 | $15,124 |
| Carondelet St Marys HospitalTucson | – | – | – | – |
| Carondelet St Josephs HospitalTucson | – | – | – | – |
| Casa Grande Regional Medical CenterCasa Grande | – | – | – | – |
| St Joseph's Hospital and Medical CenterPhoenix | – | – | – | – |
| Chandler Regional Medical CenterChandler | – | – | – | – |
| Kingman Regional Medical CenterKingman | – | – | – | – |
| Honorhealth Four Peaks Medical CenterMesa | – | – | – | – |
| Banner Gateway Medical CenterGilbert | – | – | – | – |
| Banner Ironwood Medical CenterQueen Creek | – | – | – | – |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | – | – | – | – |
Lowest and highest allowed amounts in Arizona
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
| Banner Desert Medical CenterMesa, AZ | $16,717 |
|---|---|
| Western Arizona Regional Medical CtrBullhead City, AZ | $16,756 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $17,869 |
| Banner Estrella Medical CenterPhoenix, AZ | $17,874 |
| Abrazo Scottsdale CampusPhoenix, AZ | $17,917 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $19,838 |
|---|---|
| Summit Healthcare Regional Medical CenterShow Low, AZ | $19,416 |
| Verde Valley Medical CenterCottonwood, AZ | $19,416 |
| Yuma Regional Medical CenterYuma, AZ | $19,416 |
| Sierra Vista Regional Health Center INCSierra Vista, AZ | $19,416 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Arizona?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 47 hospitals in Arizona was billed at $113,009 on average, while the average medicare-allowed amount was $18,231, of which Medicare paid $16,599. 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 Arizona, average charges were 6.2 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.