Level 6 Musculoskeletal Procedures in Pennsylvania
What 108 hospitals in Pennsylvania charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$91,576
Hospital list price billed
Average allowed
$17,344
Medicare's payment + patient's share
Medicare paid
$15,712
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $91,576 for level 6 musculoskeletal procedures, about 5.3 times the average medicare-allowed amount of $17,344. That payment is about the same as 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 $17,344Billed $91,576
About 19¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 6 musculoskeletal procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 200 | $146,680 | $18,135 | $16,503 |
| Thomas Jefferson University HospitalPhiladelphia | 133 | $73,186 | $17,733 | $16,101 |
| Oss Orthopaedic HospitalYork | 119 | $64,005 | $16,905 | $15,273 |
| Lancaster General HospitalLancaster | 112 | $52,816 | $17,157 | $15,525 |
| UPMC Pinnacle HospitalsHarrisburg | 98 | $51,041 | $16,511 | $14,879 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 93 | $57,834 | $17,938 | $16,306 |
| Physicians Care Surgical HospitalRoyersford | 93 | $50,512 | $17,444 | $15,810 |
| Abington Memorial HospitalAbington | 87 | $62,664 | $17,444 | $15,812 |
| Wellspan Surgery and Rehabilitation HospitalYork | 87 | $132,602 | $17,178 | $15,546 |
| UPMC PassavantPittsburgh | 85 | $85,182 | $16,259 | $14,626 |
| Riddle Memorial HospitalMedia | 80 | $53,686 | $17,905 | $16,272 |
| St Luke's Hospital BethlehemBethlehem | 79 | $143,374 | $17,718 | $16,085 |
| Bucks County Specialty HospitalBensalem | 77 | $73,522 | $17,740 | $16,107 |
| Robert Packer HospitalSayre | 75 | $67,209 | $17,082 | $15,450 |
| Milton S Hershey Medical CenterHershey | 72 | $195,927 | $17,062 | $15,427 |
| Chester County HospitalWest Chester | 66 | $66,860 | $17,938 | $16,306 |
| Mount Nittany Medical CenterState College | 65 | $69,076 | $18,762 | $17,130 |
| Lehigh Valley Hospital - Dickson CityDickson City | 64 | $130,178 | $16,610 | $14,978 |
| Main Line Hospital PaoliPaoli | 60 | $58,803 | $17,938 | $16,306 |
| Ephrata Community HospitalEphrata | 59 | $109,168 | $16,957 | $15,325 |
| Doylestown HospitalDoylestown | 57 | $86,555 | $17,938 | $16,304 |
| Evangelical Community HospitalLewisburg | 55 | $89,986 | $16,610 | $14,978 |
| Gettysburg HospitalGettysburg | 53 | $87,275 | $18,322 | $16,690 |
| Penn Presbyterian Medical CenterPhiladelphia | 50 | $103,860 | $18,732 | $17,100 |
| York HospitalYork | 49 | $162,202 | $17,179 | $15,547 |
| Geisinger-Community Medical CenterScranton | 45 | $148,808 | $16,610 | $14,975 |
| Uniontown HospitalUniontown | 42 | $37,199 | $16,610 | $14,978 |
| UPMC St MargaretPittsburgh | 42 | $95,505 | $16,610 | $14,978 |
| Surgical Institute of ReadingWyomissing | 42 | $56,417 | $16,739 | $15,107 |
| Williamsport Hospital & Medical CenterWilliamsport | 41 | $75,108 | $16,610 | $14,978 |
| UPMC EastMonroeville | 41 | $95,576 | $16,610 | $14,976 |
| Holy Spirit HospitalCamp Hill | 40 | $176,053 | $16,837 | $15,205 |
| Chambersburg HospitalChambersburg | 38 | $58,825 | $18,393 | $16,759 |
| Edgewood Surgical HospitalTransfer | 37 | $63,640 | $16,610 | $14,978 |
| Grand View HospitalSellersville | 36 | $48,575 | $17,938 | $16,306 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 36 | $191,611 | $16,610 | $14,973 |
| Heritage Valley SewickleySewickley | 35 | $40,728 | $16,610 | $14,978 |
| Carlisle Regional Medical CtrCarlisle | 35 | $50,817 | $16,837 | $15,205 |
| Geisinger Medical CenterDanville | 33 | $159,618 | $16,156 | $14,523 |
| Penn State Health Lancaster Medical CenterLancaster | 32 | $166,751 | $16,391 | $14,756 |
| Saint Vincent Health CenterErie | 29 | $117,202 | $19,594 | $17,962 |
| Allegheny General HospitalPittsburgh | 28 | $68,434 | $16,610 | $14,978 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 27 | $82,160 | $18,732 | $17,100 |
| Nason HospitalRoaring Spring | 26 | $75,054 | $16,034 | $14,402 |
| Easton HospitalEaston | 25 | $166,275 | $17,858 | $16,226 |
| Hanover HospitalHanover | 25 | $57,831 | $17,503 | $15,871 |
| Hamot Medical CenterErie | 24 | $78,884 | $19,594 | $17,962 |
| Butler Health SystemButler | 22 | $68,155 | $16,610 | $14,978 |
| AHN Wexford HospitalWexford | 21 | $70,504 | $16,610 | $14,978 |
| Meadville Medical CenterMeadville | 20 | $44,796 | $17,787 | $16,155 |
| Wilkes-Barre General HospitalWilkes-Barre | 20 | $140,910 | $16,610 | $14,978 |
| St Clair Memorial HospitalPittsburgh | 20 | $74,241 | $16,610 | $14,978 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 20 | $56,826 | $16,610 | $14,978 |
| Pocono Medical CenterEast Stroudsburg | 19 | $147,637 | $18,135 | $16,503 |
| St Luke's Quakertown HospitalQuakertown | 18 | $207,551 | $17,938 | $16,306 |
| Phoenixville HospitalPhoenixville | 18 | $77,361 | $17,938 | $16,306 |
| Jefferson Regional Medical CenterClairton | 17 | $73,812 | $16,610 | $14,978 |
| Penn State Health Hampden Medical CenterEnola | 17 | $155,480 | $16,664 | $15,032 |
| Reading Hospital and Med CtrWest Reading | 16 | $75,295 | $16,990 | $15,358 |
| Latrobe Area HospitalLatrobe | 16 | $49,333 | $16,610 | $14,975 |
| Advanced Surgical HospitalWashington | 15 | $79,728 | $16,610 | $14,957 |
| Lansdale HospitalLansdale | 12 | $44,653 | $16,223 | $14,591 |
| UPMC MemorialYork | 12 | $53,108 | $17,178 | $15,546 |
| Jefferson Health- NortheastPhiladelphia | 12 | $79,753 | $17,938 | $16,306 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $49,533 | $16,183 | $14,633 |
| Jameson Memorial HospitalNew Castle | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Temple University HospitalPhiladelphia | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Allegheny Valley HospitalNatrona Heights | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| Lewistown HospitalLewistown | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Good Samaritan HospitalLebanon | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Altoona Regional Health SystemAltoona | – | – | – | – |
| Dubois Regional Medical CenterDubois | – | – | – | – |
| West Penn HospitalPittsburgh | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| St Joseph Medical CenterReading | – | – | – | – |
| UPMC KaneKane | – | – | – | – |
| Conemaugh Valley Memorial HospitalJohnstown | – | – | – | – |
| Hospital of the Univ of PaPhiladelphia | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Wayne Memorial HospitalHonesdale | – | – | – | – |
| Albert Einstein Medical CenterPhiladelphia | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| UPMC Presbyterian ShadysidePittsburgh | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| UPMC HorizonGreenville | – | – | – | – |
| Crozer Chester Medical CenterChester | – | – | – | – |
| St Luke's Miners Memorial HospitalCoaldale | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Main Line Hospital LankenauWynnewood | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Mercy Hospital ScrantonScranton | – | – | – | – |
| St Mary Medical CenterLanghorne | – | – | – | – |
| Jefferson Einstein Montgomery HospitalEast Norriton | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Nason HospitalRoaring Spring, PA | $16,034 |
|---|---|
| Geisinger Medical CenterDanville, PA | $16,156 |
| Holy Redeemer Hosp and Med CtrJenkintown, PA | $16,183 |
| Lansdale HospitalLansdale, PA | $16,223 |
| UPMC PassavantPittsburgh, PA | $16,259 |
Highest
| Saint Vincent Health CenterErie, PA | $19,594 |
|---|---|
| Hamot Medical CenterErie, PA | $19,594 |
| Mount Nittany Medical CenterState College, PA | $18,762 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $18,732 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $18,732 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Pennsylvania?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 108 hospitals in Pennsylvania was billed at $91,576 on average, while the average medicare-allowed amount was $17,344, of which Medicare paid $15,712. 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 Pennsylvania, average charges were 5.3 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.