facebook tracking Level 6 Musculoskeletal Procedures cost in Kansas: 37 hospitals compared (APC 5116)

Level 6 Musculoskeletal Procedures in Kansas

What 37 hospitals in Kansas charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.

APC 5116 Outpatient 2024 Medicare data
Average charge $70,400 Hospital list price billed
Average allowed $16,065 Medicare's payment + patient's share
Medicare paid $14,433 Average per service
State rank #13 of 49 1 = lowest average payment

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.

Paid $16,065Billed $70,400

About 23¢ was paid for every $1 hospitals in Kansas billed for this service.

Kansas hospitals: level 6 musculoskeletal procedures

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 – – – –
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Lowest and highest allowed amounts in Kansas

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

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

Highest

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

Level 6 Musculoskeletal Procedures in other states

Questions

How much does level 6 musculoskeletal procedures cost in Kansas?

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.

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 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.