Level 6 Musculoskeletal Procedures in Florida
What 142 hospitals in Florida charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$139,009
Hospital list price billed
Average allowed
$16,629
Medicare's payment + patient's share
Medicare paid
$14,997
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $139,009 for level 6 musculoskeletal procedures, about 8.4 times the average medicare-allowed amount of $16,629. That payment is 4% 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 $16,629Billed $139,009
About 12¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 6 musculoskeletal procedures
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Physicians Regional Medical Center - Pine RidgeNaples | 281 | $181,329 | $16,791 | $15,158 |
| West Boca Medical CenterBoca Raton | 235 | $143,357 | $15,486 | $13,852 |
| Jupiter Medical CenterJupiter | 227 | $83,002 | $16,781 | $15,149 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 204 | $117,226 | $16,845 | $15,213 |
| Ocala Regional Medical CenterOcala | 169 | $186,140 | $16,665 | $15,033 |
| Mayo ClinicJacksonville | 167 | $54,034 | $16,663 | $15,031 |
| Sarasota Memorial HospitalSarasota | 161 | $145,271 | $16,845 | $15,213 |
| Morton Plant HospitalClearwater | 153 | $107,186 | $16,845 | $15,211 |
| Doctors Hospital of SarasotaSarasota | 142 | $170,190 | $16,845 | $15,212 |
| Lee Memorial HospitalFort Myers | 123 | $115,251 | $16,106 | $14,493 |
| Adventhealth OrlandoOrlando | 118 | $132,838 | $16,716 | $15,082 |
| Tampa General HospitalTampa | 113 | $166,335 | $16,845 | $15,213 |
| Gulf Breeze HospitalGulf Breeze | 108 | $124,261 | $16,570 | $14,932 |
| Shands Hospital at the University of FloridaGainesville | 97 | $79,133 | $16,637 | $15,010 |
| Univ of Miami Hosp & ClinicsMiami | 94 | $193,282 | $16,845 | $15,213 |
| University Community Hospital at CarrollwoodTampa | 91 | $190,993 | $16,452 | $14,820 |
| Naples Community HospitalNaples | 89 | $64,473 | $16,674 | $15,042 |
| Viera HospitalMelbourne | 82 | $142,541 | $16,845 | $15,213 |
| Orlando Regional HealthcareOrlando | 76 | $171,123 | $16,845 | $15,212 |
| Baptist Medical CenterJacksonville | 72 | $88,114 | $16,634 | $15,002 |
| St Luke's HospitalJacksonville | 70 | $168,164 | $16,845 | $15,208 |
| Indian River Medical CenterVero Beach | 69 | $56,722 | $16,845 | $15,213 |
| Adventhealth Daytona BeachDaytona Beach | 68 | $95,547 | $16,845 | $15,213 |
| Jfk Medical CenterAtlantis | 66 | $174,409 | $16,614 | $14,982 |
| Martin Memorial Health SystemsStuart | 61 | $85,462 | $16,596 | $14,957 |
| Tallahassee Memorial HealthcareTallahassee | 60 | $87,462 | $16,845 | $15,213 |
| West Florida HospitalPensacola | 59 | $225,273 | $16,845 | $15,213 |
| Adventhealth Wesley ChapelWesley Chapel | 59 | $157,809 | $16,845 | $15,212 |
| Good Samaritan Medical CenterWest Palm Beach | 58 | $209,691 | $13,702 | $12,061 |
| Sacred Heart HospitalPensacola | 56 | $87,109 | $16,845 | $15,213 |
| Citrus Memorial HospitalInverness | 52 | $177,098 | $16,845 | $15,213 |
| South Lake HospitalClermont | 51 | $159,125 | $16,845 | $15,211 |
| St Anthony's HospitalSt Petersburg | 51 | $108,658 | $16,251 | $14,616 |
| Adventhealth Palm CoastPalm Coast | 51 | $83,019 | $16,567 | $14,935 |
| North Florida Regional Medical CenterGainesville | 51 | $212,083 | $16,845 | $15,208 |
| Tampa General Hospital Crystal RiverCrystal River | 51 | $230,122 | $16,845 | $15,213 |
| Boca Raton Regional HospitalBoca Raton | 47 | $133,138 | $16,845 | $15,209 |
| Gulf Coast Medical CenterPanama City | 44 | $211,212 | $16,499 | $14,867 |
| Capital Regional Medical CenterTallahassee | 44 | $183,337 | $16,845 | $15,213 |
| Shorepoint Health Punta GordaPunta Gorda | 43 | $193,386 | $16,491 | $14,859 |
| Florida Hospital WatermanEustis | 43 | $84,538 | $16,537 | $14,902 |
| Adventhealth OcalaOcala | 43 | $250,985 | $16,845 | $15,213 |
| Holmes Regional Medical CenterMelbourne | 42 | $139,549 | $16,845 | $15,213 |
| Lakewood Ranch Medical CenterBradenton | 42 | $241,820 | $16,845 | $15,213 |
| Lakeland Regional Medical CenterLakeland | 41 | $93,938 | $16,845 | $15,213 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 41 | $215,560 | $16,845 | $15,213 |
| Holy Cross Hospital INCFort Lauderdale | 39 | $80,305 | $16,845 | $15,213 |
| St Joseph's HospitalTampa | 39 | $91,075 | $16,845 | $15,210 |
| Brandon Regional HospitalBrandon | 39 | $191,638 | $16,845 | $15,213 |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | 38 | $85,087 | $16,445 | $14,810 |
| Doctors Hospital INCCoral Gables | 37 | $128,586 | $16,434 | $14,799 |
| Florida Hospital DelandDeland | 35 | $84,791 | $16,845 | $15,213 |
| Leesburg Regional Medical CenterLeesburg | 35 | $70,911 | $16,845 | $15,213 |
| Villages Regional Hospital theLady Lake | 35 | $78,604 | $16,467 | $14,861 |
| St Lucie Medical CenterPort St Lucie | 34 | $206,858 | $16,845 | $15,213 |
| Winter Haven HospitalWinter Haven | 33 | $84,992 | $16,845 | $15,213 |
| Heart of Florida Reg Med CtrDavenport | 33 | $275,824 | $16,845 | $15,213 |
| Halifax Health Medical CenterDaytona Beach | 30 | $118,188 | $16,845 | $15,213 |
| Wuesthoff Medical Center - MelbourneMelbourne | 30 | $232,005 | $16,845 | $15,213 |
| Oak Hill HospitalBrooksville | 26 | $215,536 | $15,679 | $14,043 |
| Mease Countryside HospitalSafety Harbor | 26 | $124,927 | $16,845 | $15,213 |
| Mease Hospital DunedinDunedin | 25 | $81,987 | $16,845 | $15,213 |
| Orange Park Medical CenterOrange Park | 23 | $212,906 | $16,184 | $14,552 |
| Ascension St Vincent's St Johns CountySt. Johns | 23 | $134,792 | $16,845 | $15,203 |
| Sebastian River Medical CenterSebastian | 22 | $167,161 | $16,845 | $15,213 |
| Bethesda Memorial HospitalBoynton Beach | 21 | $123,388 | $16,845 | $15,213 |
| Delray Medical CenterDelray Beach | 20 | $233,379 | $14,563 | $12,919 |
| Twin Cities HospitalNiceville | 19 | $153,947 | $16,845 | $15,213 |
| Cleveland Clinic HospitalWeston | 19 | $65,729 | $16,845 | $15,213 |
| Jackson Health SystemMiami | 17 | $57,204 | $16,845 | $15,213 |
| Baptist HospitalPensacola | 17 | $122,804 | $15,950 | $14,318 |
| Blake Medical CenterBradenton | 17 | $137,949 | $16,845 | $15,213 |
| Cape Coral HospitalCape Coral | 16 | $120,785 | $16,845 | $15,213 |
| Shands Jacksonville Medical CenterJacksonville | 15 | $150,698 | $15,831 | $14,199 |
| St Vincent's Medical CenterJacksonville | 15 | $134,938 | $16,845 | $15,213 |
| Cape Canaveral HospitalCocoa Beach | 15 | $132,871 | $16,845 | $15,213 |
| Adventhealth TampaTampa | 14 | $164,971 | $16,845 | $15,204 |
| Ascension St Vincent's Clay CountyMiddleburg | 14 | $133,883 | $15,758 | $14,126 |
| Bayfront Medical Center INCSt Petersburg | 13 | $159,620 | $16,845 | $15,213 |
| Memorial Regional HospitalHollywood | 13 | $77,122 | $16,845 | $15,213 |
| Adventhealth North PinellasTarpon Springs | 13 | $104,006 | $16,845 | $15,213 |
| Flagler HospitalSt Augustine | 13 | $68,217 | $18,039 | $16,407 |
| West Kendall Baptist HospitalMiami | 13 | $153,064 | $16,845 | $15,213 |
| Health CentralOcoee | 12 | $169,475 | $16,845 | $15,213 |
| Brooksville Regional HospitalBrooksville | 11 | $233,914 | $16,845 | $15,213 |
| Bartow Regional Medical CenterBartow | 11 | $84,072 | $16,960 | $15,328 |
| Baptist Hospital of Miami INCMiami | – | – | – | – |
| Adventhealth New Smyrna BeachNew Smyrna Beach | – | – | – | – |
| Bay Medical CenterPanama City | – | – | – | – |
| Parrish Medical CenterTitusville | – | – | – | – |
| North Shore Medical CenterMiami | – | – | – | – |
| Mount Sinai Medical CenterMiami Beach | – | – | – | – |
| Manatee Memorial HospitalBradenton | – | – | – | – |
| Broward General Medical CenterFort Lauderdale | – | – | – | – |
| Highlands Regional Medical CenterSebring | – | – | – | – |
| Palm Springs General HospitalHialeah | – | – | – | – |
| Florida Hospital Fish MemorialOrange City | – | – | – | – |
| Adventhealth Port CharlottePort Charlotte | – | – | – | – |
| North Broward Medical CenterPompano Beach | – | – | – | – |
| Orlando Health Rockledge HospitalRockledge | – | – | – | – |
| Adventhealth SebringSebring | – | – | – | – |
| Baptist Medical Center BeachesJacksonville Beach | – | – | – | – |
| Santa Rosa Medical CenterMilton | – | – | – | – |
| Homestead HospitalHomestead | – | – | – | – |
| Palms of Pasadena HospitalSt Petersburg | – | – | – | – |
| Aventura Hospital & Med CenterMiami | – | – | – | – |
| South Florida Baptist HospitalPlant City | – | – | – | – |
| Lower Keys Medical CenterKey West | – | – | – | – |
| South Miami HospitalMiami | – | – | – | – |
| Lake City Medical CenterLake City | – | – | – | – |
| Central Florida Regional HospitalSanford | – | – | – | – |
| Plantation General HospitalPlantation | – | – | – | – |
| HCA Florida Memorial HospitalJacksonville | – | – | – | – |
| Palmetto General HospitalHialeah | – | – | – | – |
| Northwest Medical CenterPompano Beach | – | – | – | – |
| HCA Florida Trinity HospitalNew Port Richey | – | – | – | – |
| Imperial Point Medical CenterFort Lauderdale | – | – | – | – |
| Memorial Hospital of TampaTampa | – | – | – | – |
| Kendall Regional Medical CenterMiami | – | – | – | – |
| Gulf Coast Medical Center Lee HealthFort Myers | – | – | – | – |
| Fort Walton Beach Medical CenterFort Walton Beach | – | – | – | – |
| University Hospital & Medical CenterTamarac | – | – | – | – |
| Westside Regional Medical CenterPlantation | – | – | – | – |
| Memorial Hospital PembrokeHollywood | – | – | – | – |
| Putnam Community Medical CtrPalatka | – | – | – | – |
| Fawcett Memorial HospitalPort Charlotte | – | – | – | – |
| Northside HospitalSt Petersburg | – | – | – | – |
| HCA Florida Lawnwood HospitalFort Pierce | – | – | – | – |
| Largo Medical CenterLargo | – | – | – | – |
| Raulerson HospitalOkeechobee | – | – | – | – |
| Regional Medical Center Bayonet PointHudson | – | – | – | – |
| Englewood Community HospitalEnglewood | – | – | – | – |
| Palms West HospitalLoxahatchee | – | – | – | – |
| Wellington Regional Medical CenterWellington | – | – | – | – |
| Memorial Hospital WestHollywood | – | – | – | – |
| St Mary's Medical CenterWest Palm Beach | – | – | – | – |
| St Cloud Regional Medical CenterSt Cloud | – | – | – | – |
| Palm Bay HospitalPalm Bay | – | – | – | – |
| Oviedo Medical CenterOviedo | – | – | – | – |
| Halifax Health /UF Health Medical Center of DeltonDeltona | – | – | – | – |
| Ucf Lake Nona HospitalOrlando | – | – | – | – |
| HCA Florida University HospitalDavie | – | – | – | – |
Lowest and highest allowed amounts in Florida
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
| Good Samaritan Medical CenterWest Palm Beach, FL | $13,702 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $14,563 |
| West Boca Medical CenterBoca Raton, FL | $15,486 |
| Oak Hill HospitalBrooksville, FL | $15,679 |
| Ascension St Vincent's Clay CountyMiddleburg, FL | $15,758 |
Highest
| Flagler HospitalSt Augustine, FL | $18,039 |
|---|---|
| Bartow Regional Medical CenterBartow, FL | $16,960 |
| Ascension St Vincent's St Johns CountySt. Johns, FL | $16,845 |
| Adventhealth TampaTampa, FL | $16,845 |
| St Luke's HospitalJacksonville, FL | $16,845 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Florida?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 142 hospitals in Florida was billed at $139,009 on average, while the average medicare-allowed amount was $16,629, of which Medicare paid $14,997. 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 Florida, average charges were 8.4 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.