facebook tracking Level 6 Musculoskeletal Procedures cost in Arkansas: 31 hospitals compared (APC 5116)

Level 6 Musculoskeletal Procedures in Arkansas

What 31 hospitals in Arkansas charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.

APC 5116 Outpatient 2024 Medicare data
Average charge $62,835 Hospital list price billed
Average allowed $15,872 Medicare's payment + patient's share
Medicare paid $14,242 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Arkansas billed an average of $62,835 for level 6 musculoskeletal procedures, about 4.0 times the average medicare-allowed amount of $15,872. That payment is 9% 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 $15,872Billed $62,835

About 25¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 6 musculoskeletal procedures

Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Arkansas Surgical HospitalNorth Little Rock 148 $52,413 $15,327 $13,713
St Vincent Infirmary Medical CenterLittle Rock 129 $81,650 $16,961 $15,329
Baptist Health Medical Center-Little RockLittle Rock 107 $66,874 $15,414 $13,780
University of Arkansas Medical SciencesLittle Rock 97 $53,119 $15,942 $14,310
Washington Regional Med CenterFayetteville 90 $85,204 $14,811 $13,176
Baptist Health Medical Center North Little RockNorth Little Rock 87 $67,285 $15,777 $14,145
Siloam Springs Memorial HospitalSiloam Springs 76 $118,639 $15,166 $13,531
CHI St. Vincent Hospital Hot SpringsHot Springs 72 $39,053 $17,081 $15,446
Mercy Hospital Fort SmithFort Smith 48 $31,561 $15,523 $13,891
Baxter Regional Medical CenterMountain Home 47 $37,633 $16,800 $15,168
Nea Baptist Memorial HospitalJonesboro 43 $37,634 $15,361 $13,729
Mercy Hospital Northwest ArkansasRogers 39 $44,785 $15,688 $14,056
Baptist Health Medical Center- ConwayConway 39 $56,799 $15,942 $14,310
St Bernards Medical CenterJonesboro 35 $25,533 $15,688 $14,056
Conway Regional Medical CenterConway 26 $59,221 $15,942 $14,310
North Arkansas Reg Med CtrHarrison 24 $41,813 $16,168 $14,536
National Park Medical CenterHot Springs 21 $121,080 $16,345 $14,713
Saline Memorial HospitalBenton 21 $82,111 $15,942 $14,310
White County Medical CenterSearcy 20 $58,032 $16,932 $15,300
White River Medical CenterBatesville 20 $41,389 $16,800 $15,168
Baptist Health - Fort SmithFort Smith 13 $78,663 $15,819 $14,187
Johnson Regional Medical CenterClarksville – – – –
Forrest City Medical CenterForrest City – – – –
Northwest Medical Center-SpringdaleSpringdale – – – –
Arkansas Methodist Medical CenterParagould – – – –
St Marys Regional Medical CenterRussellville – – – –
Magnolia Regional Medical CenterMagnolia – – – –
Jefferson Regional Medical CtrPine Bluff – – – –
Stuttgart Regional Medical CtrStuttgart – – – –
Medical Center South ArkansasEl Dorado – – – –
St Vincent Medical Center/NorthSherwood – – – –
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Lowest and highest allowed amounts in Arkansas

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

Washington Regional Med CenterFayetteville, AR$14,811
Siloam Springs Memorial HospitalSiloam Springs, AR$15,166
Arkansas Surgical HospitalNorth Little Rock, AR$15,327
Nea Baptist Memorial HospitalJonesboro, AR$15,361
Baptist Health Medical Center-Little RockLittle Rock, AR$15,414

Highest

CHI St. Vincent Hospital Hot SpringsHot Springs, AR$17,081
St Vincent Infirmary Medical CenterLittle Rock, AR$16,961
White County Medical CenterSearcy, AR$16,932
Baxter Regional Medical CenterMountain Home, AR$16,800
White River Medical CenterBatesville, AR$16,800

Level 6 Musculoskeletal Procedures in other states

Questions

How much does level 6 musculoskeletal procedures cost in Arkansas?

In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 31 hospitals in Arkansas was billed at $62,835 on average, while the average medicare-allowed amount was $15,872, of which Medicare paid $14,242. 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 Arkansas, average charges were 4.0 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.