Level 3 Musculoskeletal Procedures in Colorado
What 51 hospitals in Colorado charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$29,511
Hospital list price billed
Average allowed
$3,070
Medicare's payment + patient's share
Medicare paid
$2,438
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $29,511 for level 3 musculoskeletal procedures, about 9.6 times the average medicare-allowed amount of $3,070. That payment is 3% above the U.S. average of $2,995.
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 $3,070Billed $29,511
About 10¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 3 musculoskeletal procedures
Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Poudre Valley HospitalFort Collins | 124 | $26,889 | $3,062 | $2,435 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 103 | $20,458 | $3,081 | $2,455 |
| University of Colorado Hospital Anschutz InpatientAurora | 91 | $32,407 | $3,009 | $2,376 |
| Valley View Hospital AssociationGlenwood Springs | 85 | $11,951 | $2,862 | $2,278 |
| Mercy Medical CenterDurango | 62 | $25,395 | $3,240 | $2,568 |
| Parkview Medical Center INCPueblo | 59 | $30,252 | $2,998 | $2,368 |
| Vail Valley Medical CenterVail | 57 | $26,991 | $3,300 | $2,624 |
| Banner Fort Collins Medical CenterFort Collins | 52 | $21,468 | $3,081 | $2,448 |
| Boulder Community HospitalBoulder | 49 | $53,637 | $3,081 | $2,455 |
| Adventhealth Castle RockCastle Rock | 48 | $26,310 | $3,081 | $2,455 |
| Uchealth Broomfield HospitalBroomfield | 47 | $23,984 | $3,029 | $2,399 |
| Sky Ridge Medical CenterLone Tree | 44 | $113,320 | $3,026 | $2,394 |
| Uchealth Grandview HospitalColorado Springs | 42 | $16,652 | $3,025 | $2,397 |
| Animas Surgical Hospital, LLCDurango | 41 | $16,291 | $3,081 | $2,449 |
| Medical Center of the RockiesLoveland | 40 | $23,424 | $3,081 | $2,446 |
| Memorial Hospital CentralColorado Springs | 37 | $27,910 | $3,081 | $2,455 |
| Swedish Medical CenterEnglewood | 37 | $58,935 | $3,081 | $2,450 |
| Orthocolorado Hospital at St Anthony Med CampusDenver | 31 | $26,042 | $3,081 | $2,455 |
| Rose Medical CenterDenver | 30 | $65,507 | $3,081 | $2,455 |
| North Colorado Medical CenterGreeley | 28 | $25,300 | $3,005 | $2,377 |
| Centura Health-St Anthony Central HospitalDenver | 28 | $24,294 | $3,081 | $2,455 |
| Platte Valley Medical CenterBrighton | 27 | $17,032 | $2,990 | $2,364 |
| Centura Health-Littleton Adventist HospitalLittleton | 26 | $19,621 | $2,991 | $2,364 |
| Parker Adventist HospitalParker | 26 | $23,667 | $3,081 | $2,455 |
| Community HospitalGrand Junction | 24 | $24,028 | $3,081 | $2,455 |
| Banner North Co Medical Center - Loveland CampusLoveland | 23 | $25,312 | $2,975 | $2,348 |
| Yampa Valley Medical CenterSteamboat Springs | 22 | $17,077 | $3,300 | $2,629 |
| Delta County Memorial HospitalDelta | 21 | $11,912 | $3,300 | $2,610 |
| San Luis Valley Regional Medical CenterAlamosa | 20 | $9,812 | $3,300 | $2,620 |
| Medical Center of Aurora, theAurora | 19 | $86,740 | $3,082 | $2,445 |
| Centura Health-Avista Adventist HospitalLouisville | 19 | $25,188 | $3,081 | $2,449 |
| Centura Health-Porter Adventist HospitalDenver | 18 | $21,096 | $3,080 | $2,454 |
| Centura Health-St Mary Corwin Medical CenterPueblo | 17 | $34,886 | $3,081 | $2,455 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 17 | $27,090 | $3,081 | $2,455 |
| St Francis Hospital - InterquestColorado Springs | 17 | $21,473 | $3,081 | $2,455 |
| Centura Health-St Anthony North HospitalWestminster | 16 | $19,567 | $2,997 | $2,371 |
| Denver Health Medical CenterDenver | 14 | $11,596 | $3,081 | $2,455 |
| St Anthony Summit Medical CenterBreckenridge | 13 | $29,181 | $3,300 | $2,629 |
| Presbyterian/St Luke's Medical CenterDenver | 12 | $69,152 | $2,877 | $2,250 |
| Longs Peak HospitalLongmont | 12 | $21,930 | $3,081 | $2,455 |
| Uchealth Greeley HospitalGreeley | 12 | $14,910 | $2,888 | $2,244 |
| Exempla Lutheran Medical CenterWheat Ridge | 11 | $23,314 | $3,081 | $2,455 |
| St Mary's Hospital and Medical CenterGrand Junction | 11 | $21,209 | $3,061 | $2,390 |
| Longmont United HospitalLongmont | – | – | – | – |
| Montrose Memorial HospitalMontrose | – | – | – | – |
| Exempla Saint Joseph HospitalDenver | – | – | – | – |
| St Elizabeth HospitalFort Morgan | – | – | – | – |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
| Sterling Regional MedcenterSterling | – | – | – | – |
| Exempla Good Samaritan Medical Center LLCLafayette | – | – | – | – |
| Children's HospitalDenver | – | – | – | – |
Lowest and highest allowed amounts in Colorado
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
| Valley View Hospital AssociationGlenwood Springs, CO | $2,862 |
|---|---|
| Presbyterian/St Luke's Medical CenterDenver, CO | $2,877 |
| Uchealth Greeley HospitalGreeley, CO | $2,888 |
| Banner North Co Medical Center - Loveland CampusLoveland, CO | $2,975 |
| Platte Valley Medical CenterBrighton, CO | $2,990 |
Highest
| Delta County Memorial HospitalDelta, CO | $3,300 |
|---|---|
| San Luis Valley Regional Medical CenterAlamosa, CO | $3,300 |
| Vail Valley Medical CenterVail, CO | $3,300 |
| Yampa Valley Medical CenterSteamboat Springs, CO | $3,300 |
| St Anthony Summit Medical CenterBreckenridge, CO | $3,300 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Colorado?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 51 hospitals in Colorado was billed at $29,511 on average, while the average medicare-allowed amount was $3,070, of which Medicare paid $2,438. 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 Colorado, average charges were 9.6 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.