Level 6 Musculoskeletal Procedures in Louisiana
What 51 hospitals in Louisiana charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$94,413
Hospital list price billed
Average allowed
$15,576
Medicare's payment + patient's share
Medicare paid
$13,943
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in Louisiana billed an average of $94,413 for level 6 musculoskeletal procedures, about 6.1 times the average medicare-allowed amount of $15,576. That payment is 10% 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 $15,576Billed $94,413
About 16¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 6 musculoskeletal procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Willis Knighton Medical CenterShreveport | 110 | $76,975 | $15,683 | $14,051 |
| Specialists Hospital ShreveportShreveport | 94 | $57,283 | $15,614 | $13,979 |
| CHRISTUS Central Louisiana Surgical HospitalAlexandria | 86 | $162,359 | $15,933 | $14,301 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette | 74 | $71,222 | $15,277 | $13,637 |
| CHRISTUS Schumpert Health SystemShreveport | 64 | $111,884 | $15,892 | $14,260 |
| Tulane Medical CenterNew Orleans | 62 | $166,711 | $15,754 | $14,122 |
| Surgical Specialty Center of Baton RougeBaton Rouge | 56 | $44,930 | $15,474 | $13,840 |
| Thibodaux Regional Medical CenterThibodaux | 55 | $74,989 | $15,366 | $13,734 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport | 45 | $60,469 | $15,415 | $13,777 |
| Park Place Surgical HospitalLafayette | 44 | $80,183 | $15,464 | $13,832 |
| St Francis Medical CenterMonroe | 37 | $64,901 | $15,464 | $13,832 |
| Slidell Memorial HospitalSlidell | 32 | $93,549 | $15,508 | $13,901 |
| CHRISTUS St Patrick HospitalLake Charles | 31 | $292,475 | $15,953 | $14,321 |
| Ochsner Foundation HospitalNew Orleans | 31 | $108,865 | $14,621 | $12,989 |
| St Tammany Parish HospitalCovington | 28 | $135,994 | $15,754 | $14,122 |
| Lafayette Surgical Specialty HospitalLafayette | 26 | $71,389 | $14,932 | $13,297 |
| Terrebonne General Medical CenterHouma | 24 | $42,330 | $15,605 | $13,973 |
| AvalaCovington | 23 | $75,528 | $15,754 | $14,122 |
| Sterling Surgical HospitalSlidell | 22 | $77,136 | $15,754 | $14,106 |
| The Spine Hospital of LouisianaBaton Rouge | 22 | $78,587 | $15,726 | $14,094 |
| Lake Charles Memorial HospitalLake Charles | 20 | $66,773 | $15,953 | $14,321 |
| Baton Rouge General Medical CenterBaton Rouge | 17 | $65,774 | $14,797 | $13,165 |
| Touro InfirmaryNew Orleans | 16 | $107,412 | $15,754 | $14,122 |
| Lafayette General Medical CenterLafayette | 15 | $101,560 | $15,464 | $13,832 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge | 13 | $69,975 | $15,726 | $14,094 |
| Monroe Surgical HospitalMonroe | 13 | $50,299 | $15,464 | $13,832 |
| Southern Surgical HospitalSlidell | 13 | $108,609 | $15,754 | $14,122 |
| West Calcasieu Cameron HospitalSulphur | 12 | $20,242 | $15,624 | $13,992 |
| Glenwood Regional Medical CenterWest Monroe | 12 | $81,187 | $15,464 | $13,813 |
| CHRISTUS Ochsner Lake Area HospitalLake Charles | 11 | $142,766 | $15,624 | $13,992 |
| University Medical Center New OrleansNew Orleans | – | – | – | – |
| North Oaks Medical CenterHammond | – | – | – | – |
| Opelousas General Health SystemOpelousas | – | – | – | – |
| CHRISTUS St Frances Cabrini HospitalAlexandria | – | – | – | – |
| Lane Regional Medical CenterZachary | – | – | – | – |
| West Jefferson Medical CenterMarrero | – | – | – | – |
| Acadia General HospitalCrowley | – | – | – | – |
| Iberia General Hospital and Medical CenterNew Iberia | – | – | – | – |
| Northern Louisiana Medical CenterRuston | – | – | – | – |
| LSU Medical Center-Univ HospShreveport | – | – | – | – |
| Minden Medical CenterMinden | – | – | – | – |
| Byrd Regional HospitalLeesville | – | – | – | – |
| Leonard J Chabert Medical CenterHouma | – | – | – | – |
| Ochsner Medical Center-Baton RougeBaton Rouge | – | – | – | – |
| Physicians Medical CenterHouma | – | – | – | – |
| Ochsner Medical Center-Kenner LLCKenner | – | – | – | – |
| Omega Hospital, LLCMetairie | – | – | – | – |
| Cypress Pointe Surgical HospitalHammond | – | – | – | – |
| St Bernard Parish HospitalChalmette | – | – | – | – |
| New Orleans East HospitalNew Orleans | – | – | – | – |
| Acadian Medical CenterEunice | – | – | – | – |
Lowest and highest allowed amounts in Louisiana
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
| Ochsner Foundation HospitalNew Orleans, LA | $14,621 |
|---|---|
| Baton Rouge General Medical CenterBaton Rouge, LA | $14,797 |
| Lafayette Surgical Specialty HospitalLafayette, LA | $14,932 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $15,277 |
| Thibodaux Regional Medical CenterThibodaux, LA | $15,366 |
Highest
| CHRISTUS St Patrick HospitalLake Charles, LA | $15,953 |
|---|---|
| Lake Charles Memorial HospitalLake Charles, LA | $15,953 |
| CHRISTUS Central Louisiana Surgical HospitalAlexandria, LA | $15,933 |
| CHRISTUS Schumpert Health SystemShreveport, LA | $15,892 |
| Sterling Surgical HospitalSlidell, LA | $15,754 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Louisiana?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 51 hospitals in Louisiana was billed at $94,413 on average, while the average medicare-allowed amount was $15,576, of which Medicare paid $13,943. 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 Louisiana, average charges were 6.1 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.