Level 6 Musculoskeletal Procedures in Ohio
What 108 hospitals in Ohio charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$78,411
Hospital list price billed
Average allowed
$15,978
Medicare's payment + patient's share
Medicare paid
$14,346
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $78,411 for level 6 musculoskeletal procedures, about 4.9 times the average medicare-allowed amount of $15,978. That payment is 8% 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 $15,978Billed $78,411
About 20¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 6 musculoskeletal procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Christ HospitalCincinnati | 168 | $59,678 | $16,101 | $14,471 |
| Toledo Hospital theToledo | 149 | $86,753 | $15,201 | $13,565 |
| Dublin Methodist HospitalDublin | 137 | $81,959 | $16,630 | $14,997 |
| Crystal Clinic Orthopaedic CenterAkron | 122 | $69,597 | $15,766 | $14,132 |
| Mount Carmel New Albany Surgical HospitalNew Albany | 121 | $83,661 | $16,630 | $14,995 |
| Grant Medical CenterColumbus | 118 | $88,352 | $16,250 | $14,615 |
| Ohio State University HospitalsColumbus | 113 | $86,537 | $16,690 | $15,058 |
| University Hospitals Ahuja Medical CenterBeachwood | 110 | $70,508 | $15,748 | $14,116 |
| Mercy St Vincent Medical CenterToledo | 100 | $135,416 | $16,307 | $14,674 |
| Miami Valley HospitalDayton | 81 | $73,727 | $15,917 | $14,285 |
| Hillcrest HospitalCleveland | 72 | $58,516 | $15,877 | $14,241 |
| Southwest General Health CenterMiddleburg Heights | 70 | $54,849 | $15,877 | $14,244 |
| Good Samaritan HospitalCincinnati | 63 | $55,295 | $16,174 | $14,542 |
| Lake Health Beachwood Medical CenterBeachwood | 61 | $62,560 | $15,410 | $13,778 |
| Kettering Medical Center - SycamoreMiamisburg | 57 | $94,905 | $16,200 | $14,564 |
| Kettering Medical CenterKettering | 55 | $121,127 | $16,690 | $15,058 |
| Institute for Orthopedic SurgeryLima | 51 | $79,004 | $15,301 | $13,688 |
| Cleveland Clinic - Main CampusCleveland | 49 | $63,803 | $15,877 | $14,245 |
| West Chester Medical CenterWest Chester | 49 | $73,357 | $15,427 | $13,812 |
| St John Medical CenterWestlake | 45 | $89,639 | $15,877 | $14,245 |
| Mount Carmel HealthColumbus | 44 | $86,089 | $16,630 | $14,992 |
| Ohio Valley Medical Center, LLCSpringfield | 43 | $57,124 | $16,690 | $15,058 |
| Jewish Hospital, LLCCincinnati | 42 | $102,037 | $16,174 | $14,536 |
| Soin Medical CenterBeaver Creek | 42 | $91,688 | $16,332 | $14,700 |
| Mercy Medical CenterCanton | 39 | $63,218 | $15,826 | $14,194 |
| University Hospitals - Elyria Medical CenterElyria | 38 | $69,653 | $15,877 | $14,245 |
| Summa Health System - Akron CampusAkron | 36 | $118,389 | $14,249 | $12,617 |
| Medina HospitalMedina | 36 | $43,349 | $15,877 | $14,245 |
| Marymount HospitalGarfield Heights | 35 | $63,158 | $15,877 | $14,245 |
| Bay Park Community HospitalOregon | 35 | $69,911 | $14,244 | $12,612 |
| Fisher Titus Memorial HospitalNorwalk | 34 | $48,344 | $15,909 | $14,277 |
| Kettering Health DaytonDayton | 34 | $110,428 | $16,279 | $14,647 |
| Riverside Methodist HospitalColumbus | 33 | $89,531 | $16,630 | $14,984 |
| Bethesda North HospitalCincinnati | 33 | $47,717 | $16,174 | $14,542 |
| Firelands Community HospitalSandusky | 32 | $60,120 | $15,826 | $14,194 |
| University of Toledo Medical CenterToledo | 28 | $93,782 | $16,261 | $14,629 |
| Ohiohealth Mansfield HospitalMansfield | 27 | $79,099 | $15,737 | $14,105 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 27 | $91,135 | $16,174 | $14,533 |
| Surgical Hospital at SouthwoodsYoungstown | 27 | $67,842 | $15,826 | $14,194 |
| St Elizabeth Boardman Health CenterYoungstown | 26 | $103,973 | $15,826 | $14,194 |
| Wilson Memorial HospitalSidney | 24 | $51,815 | $16,690 | $15,058 |
| Genesis Healthcare SystemZanesville | 24 | $72,444 | $17,433 | $15,791 |
| Cleveland Clinic Avon HospitalAvon | 24 | $60,985 | $15,877 | $14,245 |
| Avita OntarioOntario | 24 | $73,356 | $16,174 | $14,542 |
| Southern Ohio Medical CenterPortsmouth | 23 | $102,248 | $16,281 | $14,649 |
| Marion General HospitalMarion | 23 | $91,000 | $16,279 | $14,647 |
| Holzer Medical CenterGallipolis | 23 | $60,073 | $15,826 | $14,194 |
| Lake Hospital SystemPainesville | 22 | $77,928 | $15,230 | $13,598 |
| Wood County HospitalBowling Green | 21 | $51,630 | $15,871 | $14,239 |
| St Rita's Medical CenterLima | 19 | $132,748 | $15,905 | $14,273 |
| McCullough-Hyde Memorial HospitalOxford | 18 | $57,452 | $16,174 | $14,542 |
| Metrohealth SystemCleveland | 18 | $61,568 | $6,378 | $4,746 |
| Mount Carmel St Ann's HospitalWesterville | 17 | $112,368 | $16,630 | $14,992 |
| O'bleness Memorial HospitalAthens | 17 | $83,584 | $17,433 | $15,796 |
| Wooster Community HospitalWooster | 16 | $53,166 | $15,909 | $14,277 |
| Knox Community HospitalMt Vernon | 15 | $56,588 | $17,236 | $15,604 |
| Mercy Regional Medical CenterLorain | 15 | $64,496 | $15,877 | $14,245 |
| Atrium Medical CenterMiddletown | 14 | $74,077 | $16,148 | $14,516 |
| Fairview HospitalCleveland | 14 | $62,125 | $15,877 | $14,238 |
| Blanchard Valley Health AssnFindlay | 14 | $52,116 | $15,871 | $14,239 |
| Alliance Community HospitalAlliance | 14 | $51,401 | $15,826 | $14,194 |
| Adena Regional Medical CenterChillicothe | 14 | $140,042 | $16,279 | $14,642 |
| Mercy Hospital AndersonCincinnati | 13 | $80,847 | $15,055 | $13,415 |
| Cleveland Clinic - Akron GeneralAkron | 13 | $62,306 | $15,826 | $14,194 |
| Mercy Hospital FairfieldFairfield | 13 | $84,389 | $16,174 | $14,524 |
| Springfield Regional Medical CenterSpringfield | 13 | $81,493 | $15,409 | $13,777 |
| University Hospitals of ClevelandCleveland | 13 | $128,471 | $15,877 | $14,245 |
| University Hospitals Portage Medical CenterRavenna | 12 | $65,446 | $15,826 | $14,194 |
| Berger HospitalCircleville | 12 | $82,767 | $16,630 | $14,998 |
| Upper Valley Medical CenterTroy | 12 | $78,605 | $15,905 | $14,273 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 12 | $74,585 | $16,174 | $14,542 |
| Fairfield Medical CenterLancaster | 11 | $53,036 | $16,630 | $14,998 |
| UH Regional HospitalsRichmond Heights | 11 | $75,560 | $15,877 | $14,245 |
| University Hospital, INCCincinnati | – | – | – | – |
| Lima Memorial Health SystemLima | – | – | – | – |
| Union HospitalDover | – | – | – | – |
| Grand Lake Health SystemSt Marys | – | – | – | – |
| Parma Community General HospitalParma | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| Trumbull Memorial HospitalWarren | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| St Elizabeth Health CenterYoungstown | – | – | – | – |
| Van Wert County HospitalVan Wert | – | – | – | – |
| East Ohio Regional HospitalMartins Ferry | – | – | – | – |
| Aultman HospitalCanton | – | – | – | – |
| Lutheran HospitalCleveland | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| Bellevue HospitalBellevue | – | – | – | – |
| Community Hospitals and Wellness CentersBryan | – | – | – | – |
| South Pointe HospitalWarrensville Heights | – | – | – | – |
| Marietta Memorial HospitalMarietta | – | – | – | – |
| Summa Western Reserve HospitalCuyahoga Falls | – | – | – | – |
| Doctors HospitalColumbus | – | – | – | – |
| Memorial HospitalFremont | – | – | – | – |
| St Joseph Health CenterWarren | – | – | – | – |
| Trihealth Clinton Regional HospitalWilmington | – | – | – | – |
| Salem Community HospitalSalem | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Mary Rutan HospitalBellefontaine | – | – | – | – |
| Southeastern Ohio Regional Medical CenterCambridge | – | – | – | – |
| Grady Memorial HospitalDelaware | – | – | – | – |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | – | – | – | – |
| Licking Memorial HospitalNewark | – | – | – | – |
| Mercy Hospital ClermontBatavia | – | – | – | – |
| Mercy Hospital of DefianceDefiance | – | – | – | – |
| Kings Daughters Medical Center OhioPortsmouth | – | – | – | – |
| Mercy Health Kings Mills Hospital LLCMason | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $6,378 |
|---|---|
| Bay Park Community HospitalOregon, OH | $14,244 |
| Summa Health System - Akron CampusAkron, OH | $14,249 |
| Mercy Hospital AndersonCincinnati, OH | $15,055 |
| Toledo Hospital theToledo, OH | $15,201 |
Highest
| Genesis Healthcare SystemZanesville, OH | $17,433 |
|---|---|
| O'bleness Memorial HospitalAthens, OH | $17,433 |
| Knox Community HospitalMt Vernon, OH | $17,236 |
| Wilson Memorial HospitalSidney, OH | $16,690 |
| Kettering Medical CenterKettering, OH | $16,690 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Ohio?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 108 hospitals in Ohio was billed at $78,411 on average, while the average medicare-allowed amount was $15,978, of which Medicare paid $14,346. 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 Ohio, average charges were 4.9 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.