Level 6 Musculoskeletal Procedures in Washington
What 43 hospitals in Washington charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$87,603
Hospital list price billed
Average allowed
$19,062
Medicare's payment + patient's share
Medicare paid
$17,429
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $87,603 for level 6 musculoskeletal procedures, about 4.6 times the average medicare-allowed amount of $19,062. That payment is 10% 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 $19,062Billed $87,603
About 22¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 6 musculoskeletal procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Swedish Medical CenterSeattle | 156 | $88,222 | $19,686 | $18,054 |
| St Michael Medical CenterBremerton | 120 | $112,533 | $19,736 | $18,111 |
| Providence St Peter HospitalOlympia | 100 | $103,965 | $18,798 | $17,166 |
| Providence Holy Family HospitalSpokane | 89 | $66,984 | $18,305 | $16,673 |
| Kadlec Regional Medical CenterRichland | 88 | $63,101 | $18,661 | $17,029 |
| Confluence Health HospitalWenatchee | 84 | $80,555 | $19,690 | $18,058 |
| Overlake Hospital Medical CenterBellevue | 67 | $110,218 | $18,728 | $17,093 |
| Valley Medical CenterRenton | 65 | $79,389 | $18,987 | $17,355 |
| University of Washington Medical CtrSeattle | 62 | $67,373 | $18,661 | $17,029 |
| Peacehealth St Joseph Medical CenterBellingham | 58 | $93,036 | $19,667 | $18,035 |
| Legacy Salmon Creek Medical CenterVancouver | 56 | $52,344 | $19,507 | $17,875 |
| Tacoma General HospitalTacoma | 54 | $100,617 | $19,156 | $17,520 |
| Valley Hospital & Medical CenterSpokane | 52 | $117,489 | $18,661 | $17,029 |
| Yakima Valley Memorial HospitalYakima | 47 | $46,706 | $19,983 | $18,348 |
| Island HospitalAnacortes | 46 | $43,199 | $18,798 | $17,166 |
| Virginia Mason Medical CenterSeattle | 44 | $73,922 | $18,234 | $16,599 |
| Swedish IssaquahIssaquah | 44 | $84,805 | $18,987 | $17,355 |
| Swedish Medical Center/Cherry HillSeattle | 43 | $103,520 | $19,921 | $18,289 |
| Skagit Valley HospitalMt Vernon | 41 | $71,383 | $18,798 | $17,166 |
| S W Washington Medical CenterVancouver | 35 | $104,741 | $17,975 | $16,342 |
| Providence Regional Medical Center EverettEverett | 33 | $100,177 | $18,987 | $17,353 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 33 | $87,334 | $19,156 | $17,516 |
| Evergreenhealth Medical CenterKirkland | 32 | $52,236 | $18,987 | $17,355 |
| St Francis Community HospitalFederal Way | 27 | $146,525 | $18,348 | $16,716 |
| Providence St Mary Medical CenterWalla Walla | 25 | $79,041 | $19,983 | $18,343 |
| Providence Sacred Heart Medical CenterSpokane | 25 | $67,944 | $17,956 | $16,324 |
| Harborview Medical CenterSeattle | 20 | $111,460 | $18,661 | $17,029 |
| Deaconess Medical CenterSpokane | 19 | $110,658 | $17,764 | $16,132 |
| Multicare Covington Medical CenterCovington | 15 | $82,201 | $17,942 | $16,310 |
| St Clare HospitalLakewood | 13 | $123,505 | $19,155 | $17,523 |
| Highline Medical CenterBurien | 12 | $202,991 | $18,987 | $17,355 |
| St Joseph Medical CenterTacoma | 12 | $127,792 | $19,155 | $17,523 |
| Swedish Edmonds HospitalEdmonds | 11 | $112,889 | $18,987 | $17,355 |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Providence Centralia HospitalCentralia | – | – | – | – |
| Grays Harbor Community HospitalAberdeen | – | – | – | – |
| Samaritan HospitalMoses Lake | – | – | – | – |
| Peachealth St John Medical CenterLongview | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Cascade Valley HospitalArlington | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
| Capital Medical CenterOlympia | – | – | – | – |
| St Anthony HospitalGig Harbor | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Deaconess Medical CenterSpokane, WA | $17,764 |
|---|---|
| Multicare Covington Medical CenterCovington, WA | $17,942 |
| Providence Sacred Heart Medical CenterSpokane, WA | $17,956 |
| S W Washington Medical CenterVancouver, WA | $17,975 |
| Virginia Mason Medical CenterSeattle, WA | $18,234 |
Highest
| Providence St Mary Medical CenterWalla Walla, WA | $19,983 |
|---|---|
| Yakima Valley Memorial HospitalYakima, WA | $19,983 |
| Swedish Medical Center/Cherry HillSeattle, WA | $19,921 |
| St Michael Medical CenterBremerton, WA | $19,736 |
| Confluence Health HospitalWenatchee, WA | $19,690 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Washington?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 43 hospitals in Washington was billed at $87,603 on average, while the average medicare-allowed amount was $19,062, of which Medicare paid $17,429. 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 Washington, average charges were 4.6 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.