facebook tracking Level 6 Musculoskeletal Procedures cost in California: 190 hospitals compared (APC 5116)

Level 6 Musculoskeletal Procedures in California

What 190 hospitals in California charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.

APC 5116 Outpatient 2024 Medicare data
Average charge $131,611 Hospital list price billed
Average allowed $23,412 Medicare's payment + patient's share
Medicare paid $21,779 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $131,611 for level 6 musculoskeletal procedures, about 5.6 times the average medicare-allowed amount of $23,412. That payment is 35% 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 $23,412Billed $131,611

About 18¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 6 musculoskeletal procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Eisenhower Memorial HospitalRancho Mirage 280 $87,540 $22,851 $21,219
Hoag Orthopedic InstituteIrvine 252 $115,075 $22,852 $21,217
Stanford HospitalPalo Alto 176 $220,376 $26,169 $24,535
Scripps Green HospitalLa Jolla 119 $147,109 $22,673 $21,041
Cedars-Sinai Medical CenterLos Angeles 113 $267,265 $22,664 $21,031
French Hospital Medical CenterSan Luis Obispo 107 $127,114 $22,851 $21,219
Fresno Surgical HospitalFresno 101 $52,639 $22,431 $20,799
Mission Hospital Regional Med CenterMission Viejo 83 $120,758 $22,852 $21,211
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 82 $83,926 $22,334 $20,702
Sutter General HospitalSacramento 80 $95,063 $25,724 $24,090
University of California Davis Medical CenterSacramento 79 $149,161 $23,168 $21,536
Community Memorial Hospital - VenturaVentura 77 $82,254 $22,066 $20,434
Grossmont HospitalLa Mesa 76 $119,855 $22,574 $20,940
Washington HospitalFremont 75 $150,265 $26,168 $24,536
Sutter Roseville Medical CenterRoseville 73 $102,112 $23,434 $21,802
El Camino HospitalMountain View 71 $203,240 $25,823 $24,191
Kaweah Delta Medical CenterVisalia 69 $49,320 $22,851 $21,219
University of California San Diego Medical CenterSan Diego 66 $83,950 $22,852 $21,216
Goleta Valley Cottage HospitalSanta Barbara 65 $99,852 $22,249 $20,626
Sutter Medical Center of Santa RosaSanta Rosa 63 $120,052 $24,807 $23,175
St Jude Medical CenterFullerton 60 $84,277 $22,851 $21,219
USC University HospitalLos Angeles 59 $107,114 $22,852 $21,218
St Joseph HospitalEureka 57 $108,804 $22,852 $21,207
White Memorial Medical CenterLos Angeles 55 $232,027 $22,852 $21,218
Community Hospital of the Monterey PeninsulaMonterey 55 $100,976 $26,168 $24,536
Novato Community HospitalNovato 54 $105,822 $25,953 $24,321
Sutter Auburn Faith HospitalAuburn 54 $100,720 $23,737 $22,105
Mercy Medical Center ReddingRedding 50 $84,551 $22,851 $21,219
Loma Linda University Medical CenterLoma Linda 48 $128,188 $22,851 $21,219
Saint John's Health CenterSanta Monica 42 $82,951 $21,887 $20,255
Doctors Medical CenterModesto 42 $191,353 $22,346 $20,703
Palomar Medical Center PowayPoway 42 $87,516 $15,780 $14,146
Sequoia HospitalRedwood City 41 $125,446 $26,169 $24,532
Marian Medical CenterSanta Maria 40 $125,383 $22,851 $21,219
UCSF Medical CenterSan Francisco 40 $131,348 $25,559 $23,927
Mercy General HospitalSacramento 39 $134,157 $23,737 $22,105
UCI Health-OrangeOrange 39 $115,752 $22,310 $20,675
St Josephs Med Center of StocktonStockton 38 $126,053 $25,496 $23,864
John Muir Medical Center - Walnut Creek CampusWalnut Creek 37 $203,867 $25,875 $24,243
Peninsula Medical CenterBurlingame 36 $113,791 $26,563 $24,925
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 36 $105,231 $26,563 $24,931
Mercy Medical Ctr MercedMerced 36 $66,791 $22,347 $20,734
Huntington Memorial HospitalPasadena 35 $123,149 $22,245 $20,613
Adventist Health BakersfieldBakersfield 34 $170,317 $22,851 $21,219
Providence Saint Joseph Medical CtrBurbank 33 $129,353 $22,851 $21,219
Sonora Community HospitalSonora 33 $169,364 $24,472 $22,840
Barton Memorial HospitalSouth Lake Tahoe 33 $168,009 $23,737 $22,105
Memorial Medical CenterModesto 33 $98,508 $22,851 $21,219
Sharp Memorial HospitalSan Diego 32 $130,020 $22,851 $21,219
Northridge Hospital Medical CenterNorthridge 32 $145,913 $22,851 $21,219
Marina del Rey HospitalMarina del Rey 32 $128,095 $22,196 $20,564
Bakersfield Memorial HospitalBakersfield 31 $143,521 $22,822 $21,190
Los Robles Hospital & Medical CenterThousand Oaks 30 $330,038 $21,445 $19,805
Sierra Nevada Memorial HospitalGrass Valley 29 $85,411 $22,975 $21,334
Redlands Community HospitalRedlands 29 $121,388 $22,852 $21,203
Torrance Memorial Medical CenterTorrance 29 $76,923 $22,852 $21,218
Queen of the Valley Medical CenterNapa 28 $163,720 $25,913 $24,269
Providence Tarzana Medical CenterTarzana 28 $116,678 $22,851 $21,219
Marinhealth Medical CenterGreenbrae 27 $212,188 $25,953 $24,321
Scripps Memorial Hospital - EncinitasEncinitas 27 $187,931 $22,851 $21,219
Sutter Surgical Hospital - North ValleyYuba City 27 $105,388 $22,220 $20,588
Enloe Medical CenterChico 26 $109,872 $22,851 $21,219
Long Beach Memorial Medical CenterLong Beach 26 $84,765 $22,035 $20,403
Dameron HospitalStockton 25 $241,075 $23,341 $21,709
Marshall Medical Center (1-Rh)Placerville 25 $211,879 $23,737 $22,105
Southwest Healthcare SystemMurrieta 25 $97,141 $22,851 $21,219
Shasta Regional Medical CenterRedding 25 $149,531 $22,851 $21,219
Patients' Hospital of ReddingRedding 24 $128,816 $21,942 $20,342
Tri-City Medical CenterOceanside 23 $101,126 $22,851 $21,219
Saddleback Memorial Medical CenterLaguna Hills 22 $110,235 $22,851 $21,219
Saint Agnes Medical CenterFresno 21 $109,011 $22,851 $21,219
Salinas Valley Memorial HospitalSalinas 21 $118,422 $26,168 $24,536
Stanford Health Care Tri-ValleyPleasanton 20 $156,494 $26,168 $24,536
Twin Cities Community HospitalTempleton 20 $188,046 $22,851 $21,219
Santa Rosa Memorial HospitalSanta Rosa 19 $218,909 $26,026 $24,394
Dominican HospitalSanta Cruz 19 $137,504 $24,350 $22,706
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 19 $136,395 $24,831 $23,199
Community Regional Medical CenterFresno 18 $119,787 $22,851 $21,219
Mercy San Juan Medical CenterCarmichael 18 $131,913 $23,737 $22,093
San Antonio Community HospitalUpland 16 $98,558 $21,525 $19,893
St Bernardine Medical CenterSan Bernardino 16 $88,462 $22,851 $21,219
Providence Little Company of Mary Med Ctr TorranceTorrance 16 $115,483 $22,851 $21,219
Good Samaritan HospitalSan Jose 16 $513,187 $24,635 $23,003
Mercy Hospital of FolsomFolsom 16 $136,794 $23,737 $22,105
Clovis Community Medical CenterClovis 16 $101,905 $20,322 $18,686
West Hills Hospital & Medical CenterWest Hills 15 $301,746 $22,851 $21,219
Temecula Valley HospitalTemecula 15 $111,576 $22,851 $21,219
Scripps Memorial Hospital la JollaLa Jolla 14 $252,999 $22,851 $21,219
Hanford Community Medical CenterHanford 13 $117,383 $22,851 $21,219
Providence Holy Cross Medical CenterMission Hills 13 $111,927 $22,851 $21,219
Orange Coast Memorial Medical CenterFountain Valley 13 $117,509 $22,851 $21,219
Sierra Vista Regional Medical CenterSan Luis Obispo 12 $213,655 $21,087 $19,455
San Ramon Regional Medical CtrSan Ramon 12 $210,983 $25,875 $24,243
Woodland Memorial HospitalWoodland 11 $120,738 $23,737 $22,105
PIH Health Hospital-WhittierWhittier 11 $99,967 $22,851 $21,219
Santa Barbara Cottage HospitalSanta Barbara 11 $117,077 $24,472 $22,840
Stanislaus Surgical HospitalModesto 11 $116,146 $23,349 $21,717
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Riverside Community HospitalRiverside – – – –
Mad River Community HospitalArcata – – – –
Oroville HospitalOroville – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
St Elizabeth Community HospitalRed Bluff – – – –
Alta Bates Summit Medical CenterOakland – – – –
El Centro Regional Medical CenterEl Centro – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
St Joseph HospitalOrange – – – –
Kaiser Foundation HospitalSanta Clara – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Scripps Mercy HospitalSan Diego – – – –
St Johns Regional Medical CenterOxnard – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
Sonoma Valley HospitalSonoma – – – –
Lompoc Healthcare DistrictLompoc – – – –
Palomar Medical CenterEscondido – – – –
Doctors Hospital of MantecaManteca – – – –
Verdugo Hills HospitalGlendale – – – –
Valley Presbyterian HospitalVan Nuys – – – –
San Gabriel Valley Medical CenterSan Gabriel – – – –
Rideout Memorial HospitalMarysville – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Petaluma Valley HospitalPetaluma – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
California Hospital Medical Center laLos Angeles – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
Emanuel Medical Center INCTurlock – – – –
Palmdale Regional Medical CenterLancaster – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Hoag Memorial Hospital PresbyterianNewport Beach – – – –
San Francisco General HospitalSan Francisco – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
USC Arcadia HospitalArcadia – – – –
Glendale Adventist Medical CtrGlendale – – – –
Desert Regional Medical CenterPalm Springs – – – –
UCLA Medical CenterLos Angeles – – – –
Seton Medical CenterDaly City – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Mercy HospitalBakersfield – – – –
Barstow Community HospitalBarstow – – – –
St Mary Medical CenterApple Valley – – – –
Alta Bates Summit Medical Center - Alta Bates CampBerkeley – – – –
Sutter Tracy Community HospitalTracy – – – –
Kern Medical CenterBakersfield – – – –
Lodi Memorial HospitalLodi – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Northbay Medical CenterFairfield – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Sutter Coast HospitalCrescent City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
St Mary's Medical CenterSan Francisco – – – –
Good Samaritan HospitalLos Angeles – – – –
Eden Medical CenterCastro Valley – – – –
John Muir Medical Center - Concord CampusConcord – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Sutter Delta Medical CenterAntioch – – – –
John F Kennedy Memorial HospIndio – – – –
Sutter Davis HospitalDavis – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
San Dimas Community HospitalSan Dimas – – – –
UCI Health-Placentia LindaPlacentia – – – –
Methodist Hospital of SacramentoSacramento – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Mission Community Hospital - PanoramaPanorama City – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Monterey Park HospitalMonterey Park – – – –
Garfield Medical CenterMonterey Park – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Casa Colina HospitalPomona – – – –
Adventist Health TulareTulare – – – –
Docs Surgical HospitalLos Angeles – – – –
Level 6 Musculoskeletal Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Palomar Medical Center PowayPoway, CA$15,780
Clovis Community Medical CenterClovis, CA$20,322
Sierra Vista Regional Medical CenterSan Luis Obispo, CA$21,087
Los Robles Hospital & Medical CenterThousand Oaks, CA$21,445
San Antonio Community HospitalUpland, CA$21,525

Highest

Peninsula Medical CenterBurlingame, CA$26,563
California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA$26,563
Sequoia HospitalRedwood City, CA$26,169
Stanford HospitalPalo Alto, CA$26,169
Community Hospital of the Monterey PeninsulaMonterey, CA$26,168

Level 6 Musculoskeletal Procedures in other states

Alaska · $19,345 Connecticut · $20,733 Hawaii · $21,247 Massachusetts · $19,887 Nevada · $19,943 New Jersey · $19,847 New York · $19,922 Oregon · $19,883

Questions

How much does level 6 musculoskeletal procedures cost in California?

In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 190 hospitals in California was billed at $131,611 on average, while the average medicare-allowed amount was $23,412, of which Medicare paid $21,779. 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 California, average charges were 5.6 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.