Level 6 Musculoskeletal Procedures in Indiana
What 68 hospitals in Indiana charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$104,671
Hospital list price billed
Average allowed
$16,575
Medicare's payment + patient's share
Medicare paid
$14,944
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $104,671 for level 6 musculoskeletal procedures, about 6.3 times the average medicare-allowed amount of $16,575. That payment is 5% 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 $16,575Billed $104,671
About 16¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 6 musculoskeletal procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 147 | $105,445 | $16,782 | $15,147 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 137 | $180,669 | $15,922 | $14,304 |
| Deaconess Hospital INCEvansville | 124 | $41,754 | $16,336 | $14,704 |
| Orthoindy HospitalIndianapolis | 114 | $52,909 | $16,547 | $14,915 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 93 | $83,970 | $16,797 | $15,165 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 91 | $181,789 | $16,412 | $14,780 |
| Unity Medical and Surgical HospitalMishawaka | 86 | $88,285 | $16,606 | $14,971 |
| St Mary's Medical Center of Evansville INCEvansville | 84 | $116,704 | $16,399 | $14,766 |
| Reid Hosp & Hlth Care ServicesRichmond | 81 | $61,365 | $16,955 | $15,323 |
| Union Hospital INCTerre Haute | 66 | $79,775 | $16,337 | $14,704 |
| St Vincent Hospital & Health ServicesIndianapolis | 64 | $101,471 | $16,684 | $15,052 |
| Franciscan Health LafayetteLafayette | 61 | $157,971 | $16,332 | $14,697 |
| Community Hospital NorthIndianapolis | 59 | $118,912 | $16,797 | $15,165 |
| Riverview HospitalNoblesville | 57 | $102,240 | $16,531 | $14,899 |
| Hendricks Regional HealthDanville | 49 | $65,244 | $16,487 | $14,855 |
| Physicians' Medical Center LLCNew Albany | 44 | $68,496 | $16,577 | $14,945 |
| Community HospitalMunster | 43 | $67,823 | $17,488 | $15,856 |
| Bloomington HospitalBloomington | 40 | $152,332 | $16,797 | $15,165 |
| Community Hospital of Anderson and Madison CountyAnderson | 40 | $121,506 | $16,797 | $15,165 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 27 | $105,509 | $16,577 | $14,945 |
| St Mary Medical Center INCHobart | 27 | $60,458 | $17,488 | $15,856 |
| Porter, Valparaiso HospitalValparaiso | 27 | $238,183 | $16,588 | $14,956 |
| Indiana University Health North HospitalCarmel | 27 | $181,852 | $16,773 | $15,141 |
| Saint Joseph Reg Medical CtrSouth Bend | 26 | $77,826 | $16,574 | $14,938 |
| Columbus Regional HospitalColumbus | 26 | $59,418 | $17,109 | $15,477 |
| Memorial Hospital and Health Care CenterJasper | 25 | $62,591 | $16,577 | $14,945 |
| Indiana University Health West HospitalAvon | 25 | $136,235 | $16,797 | $15,165 |
| Clark Memorial HospitalJeffersonville | 24 | $91,301 | $16,577 | $14,945 |
| Franciscan St Anthony Health - Crown PointCrown Point | 24 | $87,229 | $17,052 | $15,428 |
| Henry County Memorial HospitalNew Castle | 23 | $74,378 | $16,797 | $15,165 |
| Schneck Medical CenterSeymour | 22 | $65,711 | $15,552 | $13,920 |
| Indiana University Health Arnett HospitalLafayette | 21 | $148,411 | $16,579 | $14,947 |
| Major HospitalShelbyville | 20 | $102,126 | $16,039 | $14,407 |
| St Vincent Carmel Hospital INCCarmel | 20 | $122,294 | $16,797 | $15,161 |
| Elkhart General HospitalElkhart | 19 | $103,023 | $15,536 | $13,904 |
| King's Daughters' Hospital and Health Services,TheMadison | 19 | $91,393 | $16,903 | $15,258 |
| Clarian Health PartnersIndianapolis | 18 | $194,967 | $16,944 | $15,312 |
| Dearborn County HospitalLawrenceburg | 17 | $82,898 | $16,577 | $14,945 |
| Witham Health ServicesLebanon | 15 | $61,645 | $16,797 | $15,165 |
| Community Hospital SouthIndianapolis | 15 | $125,669 | $16,944 | $15,312 |
| Methodist Hospitals, INCGary | 13 | $98,949 | $17,488 | $15,838 |
| Howard Regional Health SystemKokomo | 13 | $97,016 | $15,823 | $14,191 |
| Hancock Regional HospitalGreenfield | 13 | $60,230 | $16,797 | $15,165 |
| Ball Memorial Hospital INCMuncie | 13 | $168,659 | $16,813 | $15,181 |
| Franciscan Health IndianapolisIndianapolis | 13 | $121,961 | $14,588 | $12,956 |
| Community Hospital EastIndianapolis | 11 | $115,237 | $16,944 | $15,312 |
| Saint John's Health SystemAnderson | 11 | $108,760 | $16,797 | $15,165 |
| Johnson Memorial HospitalFranklin | – | – | – | – |
| La Porte Regional Health SystLa Porte | – | – | – | – |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| St Joseph Hospital & Health Center INCKokomo | – | – | – | – |
| Marion General HospitalMarion | – | – | – | – |
| Lutheran Hospital of IndianaFort Wayne | – | – | – | – |
| Parkview HospitalFort Wayne | – | – | – | – |
| Eskenazi HealthIndianapolis | – | – | – | – |
| IU Health Goshen HospitalGoshen | – | – | – | – |
| Good Samaritan HospitalVincennes | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| St Joseph HospitalFort Wayne | – | – | – | – |
| St Francis Hospital MooresvilleMooresville | – | – | – | – |
| Memorial Hospital of South BendSouth Bend | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Franciscan St Margaret Health - DyerDyer | – | – | – | – |
| Kosciusko Community HospitalWarsaw | – | – | – | – |
| Dupont Hospital LLCFort Wayne | – | – | – | – |
| Franciscan Physicians Hospital LLCMunster | – | – | – | – |
| Pinnacle HospitalCrown Point | – | – | – | – |
| Ascension St Vincent FishersFishers | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| Franciscan Health IndianapolisIndianapolis, IN | $14,588 |
|---|---|
| Elkhart General HospitalElkhart, IN | $15,536 |
| Schneck Medical CenterSeymour, IN | $15,552 |
| Howard Regional Health SystemKokomo, IN | $15,823 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $15,922 |
Highest
| Methodist Hospitals, INCGary, IN | $17,488 |
|---|---|
| Community HospitalMunster, IN | $17,488 |
| St Mary Medical Center INCHobart, IN | $17,488 |
| Columbus Regional HospitalColumbus, IN | $17,109 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $17,052 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Indiana?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 68 hospitals in Indiana was billed at $104,671 on average, while the average medicare-allowed amount was $16,575, of which Medicare paid $14,944. 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 Indiana, average charges were 6.3 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.