facebook tracking Level 6 Musculoskeletal Procedures cost in Mississippi: 26 hospitals compared (APC 5116)

Level 6 Musculoskeletal Procedures in Mississippi

What 26 hospitals in Mississippi charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.

APC 5116 Outpatient 2024 Medicare data
Average charge $119,395 Hospital list price billed
Average allowed $15,430 Medicare's payment + patient's share
Medicare paid $13,797 Average per service
State rank #5 of 49 1 = lowest average payment

Hospitals in Mississippi billed an average of $119,395 for level 6 musculoskeletal procedures, about 7.7 times the average medicare-allowed amount of $15,430. That payment is 11% 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 $15,430Billed $119,395

About 13¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 6 musculoskeletal procedures

Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
River Oaks HospitalFlowood 186 $271,930 $15,513 $13,879
Forrest General HospitalHattiesburg 114 $49,668 $15,070 $13,438
North Mississippi Medical CenterTupelo 66 $50,729 $16,449 $14,817
Baptist Memorial Hospital North MsOxford 51 $71,696 $15,573 $13,941
St Dominic-Jackson Memorial HospitalJackson 44 $62,088 $15,570 $13,938
Baptist Mem Hosp/Golden Triangle INCColumbus 34 $61,068 $15,390 $13,758
Magnolia Regional Health CenterCorinth 32 $96,668 $14,873 $13,241
Rush Foundation HospitalMeridian 32 $41,344 $15,011 $13,379
Memorial Hospital at GulfportGulfport 27 $84,029 $14,597 $12,965
South Central Regional Med CtrLaurel 25 $36,204 $16,265 $14,633
University of Mississippi Med CenterJackson 23 $59,459 $15,570 $13,938
Wesley Medical CenterHattiesburg 20 $88,852 $15,491 $13,859
Baptist Memorial Hospital DesotoSouthaven 16 $96,091 $13,958 $12,326
Singing River HospitalPascagoula 13 $93,866 $15,311 $13,660
Baptist Memorial Hospital Union CountyNew Albany – – – –
Biloxi Regional Medical CenterBiloxi – – – –
NW Mississippi Regional Med CenterClarksdale – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
King's Daughters Medical Center-BrookhavenBrookhaven – – – –
Crossgates River Oaks HospitalBrandon – – – –
Southwest Mississippi Med CntrMcComb – – – –
Greenwood Leflore HospitalGreenwood – – – –
Mississippi Baptist Medical CenterJackson – – – –
Anderson Regional Medical CenterMeridian – – – –
Singing River GulfportGulfport – – – –
University of Mississippi Medical Center- GrenadaGrenada – – – –
Advertisement

Lowest and highest allowed amounts in Mississippi

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 6 Musculoskeletal Procedures in other states

Questions

How much does level 6 musculoskeletal procedures cost in Mississippi?

In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 26 hospitals in Mississippi was billed at $119,395 on average, while the average medicare-allowed amount was $15,430, of which Medicare paid $13,797. 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 Mississippi, average charges were 7.7 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.