Level 6 Musculoskeletal Procedures in Missouri
What 54 hospitals in Missouri charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$68,370
Hospital list price billed
Average allowed
$16,103
Medicare's payment + patient's share
Medicare paid
$14,470
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $68,370 for level 6 musculoskeletal procedures, about 4.2 times the average medicare-allowed amount of $16,103. That payment is 7% 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 $16,103Billed $68,370
About 24¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 6 musculoskeletal procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes-Jewish West County HospitalSt Louis | 172 | $60,708 | $16,471 | $14,839 |
| Nkc HealthNorth Kansas City | 127 | $73,381 | $16,128 | $14,494 |
| Boone Hospital CenterColumbia | 122 | $55,109 | $15,593 | $13,961 |
| Mercy Hospital SpringfieldSpringfield | 118 | $53,815 | $15,402 | $13,770 |
| Barnes Jewish HospitalSt Louis | 108 | $69,034 | $15,860 | $14,228 |
| St Luke's Des Peres HospitalSaint Louis | 105 | $66,647 | $16,266 | $14,634 |
| St Lukes HospitalChesterfield | 87 | $45,989 | $16,551 | $14,919 |
| Lester E Cox Medical CentersSpringfield | 85 | $62,395 | $15,474 | $13,841 |
| University Hospitals & ClinicsColumbia | 84 | $103,676 | $15,295 | $13,663 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 63 | $51,839 | $16,256 | $14,622 |
| Missouri Baptist Medical CenterTown and Country | 54 | $80,689 | $15,985 | $14,351 |
| SSM Depaul Health CenterBridgeton | 53 | $42,640 | $15,704 | $14,072 |
| Mosaic Life Care at St JosephSt Joseph | 49 | $55,224 | $17,168 | $15,536 |
| St John's Mercy Medical CenterSt Louis | 49 | $45,708 | $16,278 | $14,646 |
| Freeman Health System - Freeman WestJoplin | 45 | $91,421 | $15,328 | $13,696 |
| Liberty HospitalLiberty | 39 | $89,157 | $16,241 | $14,609 |
| Southeast Missouri HospitalCape Girardeau | 36 | $100,501 | $15,304 | $13,672 |
| St Lukes Hospital of Kansas CityKansas City | 36 | $93,025 | $15,436 | $13,798 |
| Hannibal Regional HospitalHannibal | 35 | $118,914 | $17,723 | $16,091 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 29 | $72,998 | $16,241 | $14,609 |
| Citizens Memorial HospitalBolivar | 26 | $50,526 | $16,747 | $15,115 |
| St Francis Medical CenterCape Girardeau | 25 | $116,385 | $16,398 | $14,766 |
| Barnes-Jewish St Peters HospitalSt Peters | 24 | $62,899 | $16,551 | $14,919 |
| Phelps County Regional Medical CenterRolla | 23 | $96,777 | $17,723 | $16,088 |
| St Johns Mercy HospitalWashington | 23 | $46,422 | $16,551 | $14,919 |
| Progress West Healthcare CenterO'fallon | 23 | $58,844 | $16,551 | $14,919 |
| Mercy Hospital SouthSt Louis | 21 | $40,607 | $16,551 | $14,919 |
| SSM St Joseph Hospital WestLake St Louis | 21 | $56,254 | $16,551 | $14,919 |
| Cox Medical Center BransonBranson | 19 | $73,945 | $16,747 | $15,115 |
| Saint Luke's Northland HospSmithville | 16 | $89,368 | $16,241 | $14,609 |
| Lake Regional Health SystemOsage Beach | 13 | $75,494 | $16,747 | $15,115 |
| Lee's Summit HospitalLee's Summit | 12 | $88,672 | $16,241 | $14,609 |
| Bothwell Regional Health CenterSedalia | 11 | $51,676 | $17,392 | $15,760 |
| St Marys Health CenterJefferson City | 11 | $80,068 | $15,738 | $14,106 |
| Centerpoint Medical CenterIndependence | 11 | $149,642 | $16,241 | $14,609 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| SSM St Joseph Health CenterSt Charles | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Truman Medical Center LakewoodKansas City | – | – | – | – |
| Missouri Delta Medical CenterSikeston | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Parkland Health CenterFarmington | – | – | – | – |
| Golden Valley Memorial HospitalClinton | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| University Hospitals & ClinicsColumbia, MO | $15,295 |
|---|---|
| Southeast Missouri HospitalCape Girardeau, MO | $15,304 |
| Freeman Health System - Freeman WestJoplin, MO | $15,328 |
| Mercy Hospital SpringfieldSpringfield, MO | $15,402 |
| St Lukes Hospital of Kansas CityKansas City, MO | $15,436 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $17,723 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $17,723 |
| Bothwell Regional Health CenterSedalia, MO | $17,392 |
| Mosaic Life Care at St JosephSt Joseph, MO | $17,168 |
| Cox Medical Center BransonBranson, MO | $16,747 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Missouri?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 54 hospitals in Missouri was billed at $68,370 on average, while the average medicare-allowed amount was $16,103, of which Medicare paid $14,470. 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 Missouri, average charges were 4.2 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.