Level 6 Musculoskeletal Procedures in Nevada
What 16 hospitals in Nevada charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$122,468
Hospital list price billed
Average allowed
$19,943
Medicare's payment + patient's share
Medicare paid
$18,310
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in Nevada billed an average of $122,468 for level 6 musculoskeletal procedures, about 6.1 times the average medicare-allowed amount of $19,943. That payment is 15% 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 $19,943Billed $122,468
About 16¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 6 musculoskeletal procedures
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Renown South Meadows Medical CenterReno | 151 | $73,855 | $19,802 | $18,170 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 105 | $132,379 | $19,736 | $18,104 |
| Renown Regional Medical CenterReno | 104 | $117,326 | $19,910 | $18,277 |
| Carson Tahoe HospitalCarson City | 76 | $69,468 | $19,962 | $18,326 |
| Spring Valley Hospital Medical CenterLas Vegas | 59 | $191,006 | $19,910 | $18,278 |
| Southern Hills Hospital and Medical CenterLas Vegas | 42 | $217,805 | $19,097 | $17,465 |
| Henderson HospitalHenderson | 35 | $141,331 | $19,910 | $18,278 |
| Northern Nevada Medical CenterSparks | 32 | $182,700 | $22,567 | $20,935 |
| Saint Mary's Regional Medical CenterReno | 13 | $139,942 | $19,910 | $18,278 |
| Sunrise Hospital and Medical CenterLas Vegas | – | – | – | – |
| University Medical CenterLas Vegas | – | – | – | – |
| Northeastern Nevada Regional HospitalElko | – | – | – | – |
| Summerlin Hospital Medical CenterLas Vegas | – | – | – | – |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | – | – | – | – |
| Centennial Hills Hospital Medical CenterLas Vegas | – | – | – | – |
| Northern Nevada Sierra Medical CenterReno | – | – | – | – |
Lowest and highest allowed amounts in Nevada
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
| Southern Hills Hospital and Medical CenterLas Vegas, NV | $19,097 |
|---|---|
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $19,736 |
| Renown South Meadows Medical CenterReno, NV | $19,802 |
| Saint Mary's Regional Medical CenterReno, NV | $19,910 |
| Spring Valley Hospital Medical CenterLas Vegas, NV | $19,910 |
Highest
| Northern Nevada Medical CenterSparks, NV | $22,567 |
|---|---|
| Carson Tahoe HospitalCarson City, NV | $19,962 |
| Renown Regional Medical CenterReno, NV | $19,910 |
| Saint Mary's Regional Medical CenterReno, NV | $19,910 |
| Spring Valley Hospital Medical CenterLas Vegas, NV | $19,910 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Nevada?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 16 hospitals in Nevada was billed at $122,468 on average, while the average medicare-allowed amount was $19,943, of which Medicare paid $18,310. 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 Nevada, 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.