facebook tracking Level 2 Musculoskeletal Procedures cost in Wyoming: 10 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Wyoming

What 10 hospitals in Wyoming charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $9,194 Hospital list price billed
Average allowed $1,584 Medicare's payment + patient's share
Medicare paid $1,258 Average per service
State rank #37 of 49 1 = lowest average payment

Hospitals in Wyoming billed an average of $9,194 for level 2 musculoskeletal procedures, about 5.8 times the average medicare-allowed amount of $1,584. That payment is 5% above the U.S. average of $1,511.

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 $1,584Billed $9,194

About 17¢ was paid for every $1 hospitals in Wyoming billed for this service.

Wyoming hospitals: level 2 musculoskeletal procedures

Every Wyoming hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Cheyenne Regional Medical CenterCheyenne 45 $12,302 $1,614 $1,284
Wyoming Medical CenterCasper 17 $6,475 $1,614 $1,286
Sheridan Memorial HospitalSheridan 15 $7,939 $1,498 $1,177
St Johns Medical CenterJackson 15 $6,495 $1,614 $1,284
Memorial Hospital Sweetwater CountyRock Springs 13 $6,836 $1,614 $1,271
Summit Medical CenterCasper 13 $8,917 $1,478 $1,177
Campbell County Memorial HospitalGillette – – – –
Sagewest Health CareRiverton – – – –
Ivinson Memorial HospitalLaramie – – – –
Evanston Regional HospitalEvanston – – – –
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Lowest and highest allowed amounts in Wyoming

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

Summit Medical CenterCasper, WY$1,478
Sheridan Memorial HospitalSheridan, WY$1,498
Wyoming Medical CenterCasper, WY$1,614
Cheyenne Regional Medical CenterCheyenne, WY$1,614
St Johns Medical CenterJackson, WY$1,614

Highest

Memorial Hospital Sweetwater CountyRock Springs, WY$1,614
Cheyenne Regional Medical CenterCheyenne, WY$1,614
St Johns Medical CenterJackson, WY$1,614
Wyoming Medical CenterCasper, WY$1,614
Sheridan Memorial HospitalSheridan, WY$1,498

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Wyoming?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 10 hospitals in Wyoming was billed at $9,194 on average, while the average medicare-allowed amount was $1,584, of which Medicare paid $1,258. 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 Wyoming, average charges were 5.8 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.