What 37 hospitals in Kansas charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Hospitals in Kansas billed an average of $70,400 for level 6 musculoskeletal procedures, about 4.4 times the average medicare-allowed amount of $16,065. That payment is 8% 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.
About 23¢ was paid for every $1 hospitals in Kansas billed for this service.
Every Kansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Stormont-Vail HealthcareTopeka | 175 | $55,958 | $15,824 | $14,190 |
| University of Kansas HospitalKansas City | 111 | $119,882 | $16,169 | $14,537 |
| Mercy Specialty Hospital Southeast KansasGalena | 106 | $53,967 | $15,878 | $14,245 |
| Kansas Surgery & Recovery CenterWichita | 105 | $35,075 | $15,750 | $14,118 |
| Manhattan Surgical Hospital LLCManhattan | 93 | $75,387 | $15,784 | $14,150 |
| Shawnee Mission Medical CenterOverland Park | 81 | $149,312 | $16,241 | $14,609 |
| Kansas City Orthopaedic InstituteLeawood | 65 | $60,599 | $16,241 | $14,609 |
| Kansas Spine Hospital LLCWichita | 65 | $64,520 | $15,659 | $14,022 |
| St Francis Health CenterTopeka | 62 | $76,719 | $16,241 | $14,609 |
| Salina Regional Health CenterSalina | 52 | $60,935 | $16,743 | $15,129 |
| Labette County Medical CenterParsons | 52 | $32,888 | $17,003 | $15,371 |
| Lawrence Memorial HospitalLawrence | 49 | $56,178 | $17,076 | $15,444 |
| Rock Regional Hospital, LLCDerby | 31 | $55,314 | $14,959 | $13,327 |
| Hays Medical CenterHays | 28 | $68,136 | $16,535 | $14,903 |
| Olathe Medical CenterOlathe | 25 | $60,703 | $15,657 | $14,025 |
| Saint Luke's South HospitalOverland Park | 23 | $75,570 | $16,241 | $14,609 |
| Menorah Medical CenterShawnee Mission | 22 | $88,755 | $15,577 | $13,945 |
| Salina Surgical HospitalSalina | 21 | $48,947 | $15,878 | $14,246 |
| NMC HealthNewton | 20 | $38,973 | $15,878 | $14,246 |
| Great Bend Regional HospitalGreat Bend | 18 | $65,904 | $17,003 | $15,371 |
| Via Christi Hospital Wichita St Teresa INCWichita | 13 | $55,874 | $15,878 | $14,246 |
| Ascentist HospitalLeawood | 12 | $132,757 | $16,241 | $14,609 |
| Centura St. Catherine-Dodge CityDodge City | 11 | $92,965 | $15,606 | $13,974 |
| Adventhealth OttawaOttawa | – | – | – | – |
| Promise Regional Medical Center Hutchinson INCHutchinson | – | – | – | – |
| Pratt Regional Medical CenterPratt | – | – | – | – |
| Southwest Medical CenterLiberal | – | – | – | – |
| Stormont Vail Health Flint HillsJunction City | – | – | – | – |
| Via Christi Hospitals Wichita INCWichita | – | – | – | – |
| Wesley Medical CenterWichita | – | – | – | – |
| Ascension Via Christi Hospital ManhattanManhattan | – | – | – | – |
| Providence Medical CenterKansas City | – | – | – | – |
| Overland Park Regional CenterShawnee Mission | – | – | – | – |
| Kansas Medical Center LLCAndover | – | – | – | – |
| Summit Surgical LLCHutchinson | – | – | – | – |
| Minimally Invasive Surgery HospitalLenexa | – | – | – | – |
| Sck HealthArkansas City | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Rock Regional Hospital, LLCDerby, KS | $14,959 |
|---|---|
| Menorah Medical CenterShawnee Mission, KS | $15,577 |
| Centura St. Catherine-Dodge CityDodge City, KS | $15,606 |
| Olathe Medical CenterOlathe, KS | $15,657 |
| Kansas Spine Hospital LLCWichita, KS | $15,659 |
| Lawrence Memorial HospitalLawrence, KS | $17,076 |
|---|---|
| Labette County Medical CenterParsons, KS | $17,003 |
| Great Bend Regional HospitalGreat Bend, KS | $17,003 |
| Salina Regional Health CenterSalina, KS | $16,743 |
| Hays Medical CenterHays, KS | $16,535 |
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 37 hospitals in Kansas was billed at $70,400 on average, while the average medicare-allowed amount was $16,065, of which Medicare paid $14,433. Your own cost depends on your insurance, deductible and the hospital.
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 Kansas, average charges were 4.4 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.