Level 6 Musculoskeletal Procedures in Minnesota
What 42 hospitals in Minnesota charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$53,736
Hospital list price billed
Average allowed
$18,117
Medicare's payment + patient's share
Medicare paid
$16,484
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $53,736 for level 6 musculoskeletal procedures, about 3.0 times the average medicare-allowed amount of $18,117. That payment is 4% above 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 $18,117Billed $53,736
About 34¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 6 musculoskeletal procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 393 | $59,302 | $18,974 | $17,342 |
| Ridgeview Medical CenterWaconia | 119 | $49,484 | $17,503 | $15,870 |
| Essentia Health DuluthDuluth | 84 | $50,429 | $17,310 | $15,678 |
| St Cloud HospitalSt Cloud | 66 | $52,377 | $18,891 | $17,259 |
| Lakeview Memorial HospitalStillwater | 61 | $40,022 | $17,774 | $16,142 |
| St Lukes HospitalDuluth | 60 | $55,813 | $17,107 | $15,475 |
| Abbott Northwestern Hospital INCMinneapolis | 60 | $53,128 | $17,505 | $15,872 |
| Fairview Southdale HospitalEdina | 59 | $48,178 | $17,501 | $15,869 |
| Healtheast Woodwinds HospitalWoodbury | 54 | $57,087 | $17,176 | $15,543 |
| Park Nicollet Methodist HospitalSaint Louis Park | 45 | $56,684 | $17,774 | $16,142 |
| Mayo Clinic Health System - MankatoMankato | 42 | $40,990 | $19,057 | $17,425 |
| Mercy HospitalCoon Rapids | 35 | $52,784 | $17,313 | $15,681 |
| Maple Grove HospitalMaple Grove | 32 | $47,485 | $17,774 | $16,142 |
| Sanford Bemidji Medical CenterBemidji | 30 | $51,176 | $18,536 | $16,904 |
| Fairview Red Wing HospitalRed Wing | 26 | $42,211 | $17,641 | $16,006 |
| Alomere HealthAlexandria | 24 | $49,335 | $18,536 | $16,904 |
| United HospitalSt Paul | 23 | $69,746 | $17,774 | $16,142 |
| Essentia Health St Joseph's Medical CenterBrainerd | 23 | $52,703 | $17,805 | $16,166 |
| University of Minnesota Medical Center, FairviewMinneapolis | 21 | $71,445 | $17,485 | $15,853 |
| Fairview Ridges HospitalBurnsville | 20 | $69,911 | $17,774 | $16,142 |
| Fairview Lakes Health ServicesWyoming | 18 | $44,501 | $17,774 | $16,142 |
| Northfield HospitalNorthfield | 17 | $51,255 | $17,774 | $16,142 |
| Lake Region Healthcare CorporationFergus Falls | 17 | $56,607 | $18,536 | $16,904 |
| North Memorial Medical CenterRobbinsdale | 14 | $44,553 | $17,774 | $16,142 |
| Olmsted Medical CenterRochester | 14 | $63,550 | $17,885 | $16,253 |
| Itasca Medical CenterGrand Rapids | 14 | $41,936 | $18,536 | $16,903 |
| Rice Memorial HospitalWillmar | 12 | $51,661 | $18,536 | $16,904 |
| Essentia Health St Mary's Medical CenterDuluth | – | – | – | – |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Winona Health ServicesWinona | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| Allina Health Faribault Medical CenterFaribault | – | – | – | – |
| Buffalo HospitalBuffalo | – | – | – | – |
| St Marys Regional Health CenterDetroit Lakes | – | – | – | – |
| St Francis Regional Medical CenterShakopee | – | – | – | – |
| Regions HospitalSt Paul | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
| Hutchinson Area Health CareHutchinson | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| St Lukes HospitalDuluth, MN | $17,107 |
|---|---|
| Healtheast Woodwinds HospitalWoodbury, MN | $17,176 |
| Essentia Health DuluthDuluth, MN | $17,310 |
| Mercy HospitalCoon Rapids, MN | $17,313 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $17,485 |
Highest
| Mayo Clinic Health System - MankatoMankato, MN | $19,057 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $18,974 |
| St Cloud HospitalSt Cloud, MN | $18,891 |
| Itasca Medical CenterGrand Rapids, MN | $18,536 |
| Alomere HealthAlexandria, MN | $18,536 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Minnesota?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 42 hospitals in Minnesota was billed at $53,736 on average, while the average medicare-allowed amount was $18,117, of which Medicare paid $16,484. 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 Minnesota, average charges were 3.0 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.