Level 6 Musculoskeletal Procedures in Illinois
What 85 hospitals in Illinois charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$94,864
Hospital list price billed
Average allowed
$17,391
Medicare's payment + patient's share
Medicare paid
$15,759
Average per service
State rank
#29 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $94,864 for level 6 musculoskeletal procedures, about 5.5 times the average medicare-allowed amount of $17,391. That payment is about the same as 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 $17,391Billed $94,864
About 18¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 6 musculoskeletal procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 180 | $84,588 | $17,289 | $15,657 |
| Elmhurst Memorial HospitalElmhurst | 119 | $106,348 | $17,116 | $15,482 |
| Memorial Medical CenterSpringfield | 118 | $109,343 | $17,054 | $15,422 |
| Proctor HospitalPeoria | 104 | $98,343 | $17,185 | $15,553 |
| Northwestern Memorial HospitalChicago | 103 | $112,087 | $17,925 | $16,293 |
| Rush University Medical CenterChicago | 91 | $68,653 | $17,542 | $15,910 |
| Central Dupage HospitalWinfield | 79 | $144,974 | $17,654 | $16,022 |
| St Johns HospitalSpringfield | 77 | $75,943 | $16,781 | $15,149 |
| Adventist la Grange Memorial HospitalLa Grange | 68 | $83,272 | $17,654 | $16,019 |
| Saint Francis Medical CenterPeoria | 65 | $99,224 | $17,185 | $15,553 |
| Sarah Bush Lincoln Health CenterMattoon | 64 | $88,498 | $17,699 | $16,059 |
| Edward HospitalNaperville | 61 | $130,633 | $17,129 | $15,494 |
| Silver Cross HospitalJoliet | 58 | $47,579 | $17,378 | $15,746 |
| Provena - Saint Joseph HospitalElgin | 54 | $150,650 | $18,164 | $16,532 |
| Decatur Memorial HospitalDecatur | 53 | $119,918 | $17,185 | $15,553 |
| Saint Anthony Medical CenterRockford | 51 | $84,701 | $18,084 | $16,452 |
| Northwest Community HospitalArlington Heights | 51 | $62,750 | $17,654 | $16,022 |
| The University of Chicago Medical CenterChicago | 50 | $134,945 | $17,755 | $16,119 |
| Loyola University Medical CenterMaywood | 49 | $45,411 | $17,077 | $15,445 |
| Advocate Good Shepherd HospitalBarrington | 48 | $60,161 | $17,548 | $15,916 |
| Advocate Condell Medical CenterLibertyville | 46 | $86,332 | $17,202 | $15,569 |
| Advocate Lutheran General HospitalPark Ridge | 46 | $61,802 | $17,306 | $15,674 |
| Carle Foundation HospitalUrbana | 45 | $85,633 | $16,840 | $15,208 |
| St Elizabeth HospitalBelleville | 42 | $75,751 | $16,815 | $15,183 |
| Riverside Medical CenterKankakee | 40 | $106,405 | $17,488 | $15,856 |
| Blessing HospitalQuincy | 37 | $154,952 | $18,403 | $16,771 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 36 | $78,397 | $16,297 | $14,663 |
| Rush Oak Park HospitalOak Park | 35 | $60,371 | $17,654 | $16,022 |
| Copley Memorial HospitalAurora | 33 | $83,658 | $17,653 | $16,021 |
| Morris Hospital & Healthcare CentersMorris | 33 | $105,916 | $17,654 | $16,022 |
| Provena St Marys HospitalKankakee | 32 | $115,877 | $17,488 | $15,856 |
| Alton Memorial HospitalAlton | 31 | $58,506 | $17,185 | $15,553 |
| Herrin HospitalHerrin | 31 | $96,746 | $17,185 | $15,546 |
| Sherman HospitalElgin | 31 | $83,459 | $17,630 | $15,998 |
| Palos Community HospitalPalos Heights | 30 | $87,018 | $17,654 | $16,022 |
| St Alexius Medical CenterSchaumburg | 26 | $63,253 | $17,455 | $15,819 |
| Alexian Brothers Medical CenterElk Grove Village | 23 | $64,588 | $18,084 | $16,452 |
| Javon Bea HospitalRockford | 22 | $154,375 | $17,185 | $15,553 |
| Trinity Rock IslandRock Island | 22 | $75,674 | $16,478 | $14,846 |
| Kishwaukee Community HospitalDekalb | 22 | $180,878 | $18,084 | $16,452 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 21 | $44,894 | $18,084 | $16,452 |
| Advocate Good Samaritan HospitalDowners Grove | 21 | $75,783 | $17,654 | $16,022 |
| Memorial HospitalBelleville | 19 | $64,087 | $16,367 | $14,735 |
| Illini HospitalSilvis | 19 | $47,339 | $17,185 | $15,551 |
| Bromenn Healthcare SystemNormal | 18 | $57,265 | $17,185 | $15,553 |
| St Marys HospitalDecatur | 18 | $83,617 | $16,489 | $14,855 |
| Swedish American HospitalRockford | 18 | $322,801 | $18,084 | $16,452 |
| Northwestern Medicine McHenryMcHenry | 16 | $126,063 | $15,651 | $14,019 |
| Advocate Trinity HospitalChicago | 15 | $70,467 | $17,654 | $16,022 |
| Anderson HospitalMaryville | 15 | $50,159 | $17,185 | $15,553 |
| Resurrection Medical CenterChicago | 14 | $99,358 | $17,654 | $16,022 |
| Hinsdale HospitalHinsdale | 14 | $85,562 | $17,654 | $16,022 |
| Swedish Covenant HospitalChicago | 13 | $70,795 | $17,654 | $16,022 |
| Macneal HospitalBerwyn | 12 | $128,342 | $18,084 | $16,452 |
| OSF Saint Elizabeth Mdl CtrOttawa | 12 | $93,751 | $18,084 | $16,452 |
| Advocate Illinois Masonic Medical CenterChicago | 12 | $104,356 | $17,654 | $16,022 |
| Graham Hospital AssociationCanton | – | – | – | – |
| Provena St Joseph Medical CenterJoliet | – | – | – | – |
| St Anthonys Memorial HospitalEffingham | – | – | – | – |
| St Marys HospitalCentralia | – | – | – | – |
| Cgh Medical CenterSterling | – | – | – | – |
| Good Samaritan Regional Hlth CenterMt Vernon | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| St Mary Medical CenterGalesburg | – | – | – | – |
| Rhc St Francis HospitalEvanston | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Lake Forest HospitalLake Forest | – | – | – | – |
| University of Illinois Hospital and ClinicsChicago | – | – | – | – |
| Fhn Memorial HospitalFreeport | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| St Joseph Medical CenterBloomington | – | – | – | – |
| Memorial Hospital of CarbondaleCarbondale | – | – | – | – |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | – | – | – | – |
| Provena Mercy Medical CenterAurora | – | – | – | – |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | – | – | – | – |
| Heartland Regional Medical CenterMarion | – | – | – | – |
| Ingalls Memorial HospitalHarvey | – | – | – | – |
| Methodist Medical Center of IllinoisPeoria | – | – | – | – |
| Delnor Community HospitalGeneva | – | – | – | – |
| Saint Joseph HospitalChicago | – | – | – | – |
| Adventist GlenoaksGlendale Heights | – | – | – | – |
| Crossroads Community HospitalMt Vernon | – | – | – | – |
| Adventist Bolingbrook HospitalBolingbrook | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Northwestern Medicine McHenryMcHenry, IL | $15,651 |
|---|---|
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $16,297 |
| Memorial HospitalBelleville, IL | $16,367 |
| Trinity Rock IslandRock Island, IL | $16,478 |
| St Marys HospitalDecatur, IL | $16,489 |
Highest
| Blessing HospitalQuincy, IL | $18,403 |
|---|---|
| Provena - Saint Joseph HospitalElgin, IL | $18,164 |
| Loyola Gottlieb Memorial HospitalMelrose Park, IL | $18,084 |
| Macneal HospitalBerwyn, IL | $18,084 |
| OSF Saint Elizabeth Mdl CtrOttawa, IL | $18,084 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Illinois?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 85 hospitals in Illinois was billed at $94,864 on average, while the average medicare-allowed amount was $17,391, of which Medicare paid $15,759. 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 Illinois, average charges were 5.5 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.