Level 4 Musculoskeletal Procedures in Colorado
What 49 hospitals in Colorado charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$59,465
Hospital list price billed
Average allowed
$6,822
Medicare's payment + patient's share
Medicare paid
$5,422
Average per service
State rank
#33 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $59,465 for level 4 musculoskeletal procedures, about 8.7 times the average medicare-allowed amount of $6,822. That payment is 2% above the U.S. average of $6,708.
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 $6,822Billed $59,465
About 11¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 4 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 |
|---|---|---|---|---|
| Medical Center of the RockiesLoveland | 234 | $38,978 | $6,718 | $5,332 |
| University of Colorado Hospital Anschutz InpatientAurora | 178 | $58,169 | $6,810 | $5,424 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 165 | $43,232 | $6,646 | $5,261 |
| Poudre Valley HospitalFort Collins | 150 | $42,511 | $6,704 | $5,312 |
| Vail Valley Medical CenterVail | 142 | $40,189 | $7,253 | $5,769 |
| Memorial Hospital CentralColorado Springs | 134 | $51,000 | $6,810 | $5,426 |
| Swedish Medical CenterEnglewood | 131 | $138,916 | $6,769 | $5,384 |
| Centura Health-Porter Adventist HospitalDenver | 116 | $62,018 | $6,810 | $5,426 |
| Adventhealth Castle RockCastle Rock | 114 | $59,648 | $6,655 | $5,282 |
| Animas Surgical Hospital, LLCDurango | 96 | $36,547 | $6,810 | $5,424 |
| Uchealth Broomfield HospitalBroomfield | 88 | $51,306 | $6,749 | $5,353 |
| Community HospitalGrand Junction | 87 | $41,482 | $6,810 | $5,426 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 87 | $52,031 | $6,810 | $5,426 |
| Sky Ridge Medical CenterLone Tree | 81 | $164,810 | $6,676 | $5,290 |
| Orthocolorado Hospital at St Anthony Med CampusDenver | 81 | $48,215 | $6,743 | $5,357 |
| Parkview Medical Center INCPueblo | 80 | $59,475 | $6,810 | $5,424 |
| Boulder Community HospitalBoulder | 80 | $88,356 | $6,675 | $5,289 |
| St Mary's Hospital and Medical CenterGrand Junction | 76 | $48,276 | $7,217 | $5,731 |
| Centura Health-St Anthony Central HospitalDenver | 74 | $48,205 | $6,810 | $5,421 |
| Valley View Hospital AssociationGlenwood Springs | 72 | $36,198 | $7,215 | $5,731 |
| Rose Medical CenterDenver | 65 | $139,672 | $6,746 | $5,359 |
| Parker Adventist HospitalParker | 58 | $55,857 | $6,717 | $5,332 |
| Centura Health-Avista Adventist HospitalLouisville | 54 | $52,002 | $6,810 | $5,426 |
| Platte Valley Medical CenterBrighton | 49 | $39,722 | $6,367 | $4,983 |
| Mercy Medical CenterDurango | 48 | $56,469 | $7,294 | $5,811 |
| Centura Health-St Mary Corwin Medical CenterPueblo | 44 | $51,711 | $6,810 | $5,426 |
| Centura Health-St Anthony North HospitalWestminster | 43 | $48,150 | $6,810 | $5,426 |
| Banner Fort Collins Medical CenterFort Collins | 42 | $43,533 | $6,810 | $5,422 |
| Uchealth Grandview HospitalColorado Springs | 40 | $40,352 | $6,810 | $5,426 |
| North Colorado Medical CenterGreeley | 39 | $52,110 | $6,558 | $5,168 |
| Medical Center of Aurora, theAurora | 39 | $135,390 | $6,810 | $5,426 |
| Longs Peak HospitalLongmont | 37 | $48,371 | $6,810 | $5,426 |
| Exempla Good Samaritan Medical Center LLCLafayette | 36 | $53,555 | $6,660 | $5,275 |
| Centura Health-Littleton Adventist HospitalLittleton | 35 | $54,737 | $6,810 | $5,426 |
| Yampa Valley Medical CenterSteamboat Springs | 34 | $36,311 | $7,294 | $5,806 |
| San Luis Valley Regional Medical CenterAlamosa | 29 | $23,047 | $7,294 | $5,810 |
| St Francis Hospital - InterquestColorado Springs | 26 | $59,008 | $6,810 | $5,426 |
| Montrose Memorial HospitalMontrose | 25 | $41,233 | $7,294 | $5,811 |
| Exempla Lutheran Medical CenterWheat Ridge | 24 | $69,588 | $6,810 | $5,426 |
| Presbyterian/St Luke's Medical CenterDenver | 19 | $165,494 | $6,810 | $5,426 |
| St Anthony Summit Medical CenterBreckenridge | 19 | $71,094 | $7,294 | $5,811 |
| Denver Health Medical CenterDenver | 14 | $36,050 | $6,810 | $5,425 |
| Delta County Memorial HospitalDelta | 14 | $20,466 | $7,294 | $5,809 |
| Uchealth Greeley HospitalGreeley | 14 | $42,539 | $6,837 | $5,447 |
| Banner North Co Medical Center - Loveland CampusLoveland | 13 | $47,988 | $6,810 | $5,426 |
| Sterling Regional MedcenterSterling | 11 | $52,703 | $6,766 | $5,266 |
| Longmont United HospitalLongmont | – | – | – | – |
| Exempla Saint Joseph HospitalDenver | – | – | – | – |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
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
| Platte Valley Medical CenterBrighton, CO | $6,367 |
|---|---|
| North Colorado Medical CenterGreeley, CO | $6,558 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $6,646 |
| Adventhealth Castle RockCastle Rock, CO | $6,655 |
| Exempla Good Samaritan Medical Center LLCLafayette, CO | $6,660 |
Highest
| Yampa Valley Medical CenterSteamboat Springs, CO | $7,294 |
|---|---|
| Delta County Memorial HospitalDelta, CO | $7,294 |
| San Luis Valley Regional Medical CenterAlamosa, CO | $7,294 |
| Montrose Memorial HospitalMontrose, CO | $7,294 |
| Mercy Medical CenterDurango, CO | $7,294 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Colorado?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 49 hospitals in Colorado was billed at $59,465 on average, while the average medicare-allowed amount was $6,822, of which Medicare paid $5,422. 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 8.7 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.