Level 4 Musculoskeletal Procedures in Wyoming
What 10 hospitals in Wyoming charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$35,529
Hospital list price billed
Average allowed
$6,970
Medicare's payment + patient's share
Medicare paid
$5,532
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Wyoming billed an average of $35,529 for level 4 musculoskeletal procedures, about 5.1 times the average medicare-allowed amount of $6,970. That payment is 4% 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 $6,970Billed $35,529
About 20¢ was paid for every $1 hospitals in Wyoming billed for this service.
Wyoming hospitals: level 4 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 |
|---|---|---|---|---|
| St Johns Medical CenterJackson | 69 | $37,905 | $7,101 | $5,640 |
| Summit Medical CenterCasper | 63 | $26,656 | $6,495 | $5,157 |
| Campbell County Memorial HospitalGillette | 52 | $30,209 | $7,183 | $5,723 |
| Sheridan Memorial HospitalSheridan | 48 | $32,597 | $7,044 | $5,612 |
| Memorial Hospital Sweetwater CountyRock Springs | 39 | $23,332 | $7,183 | $5,723 |
| Ivinson Memorial HospitalLaramie | 36 | $29,713 | $6,866 | $5,405 |
| Cheyenne Regional Medical CenterCheyenne | 30 | $49,279 | $6,993 | $5,533 |
| Wyoming Medical CenterCasper | 28 | $46,931 | $6,782 | $5,310 |
| Sagewest Health CareRiverton | 17 | $74,878 | $7,183 | $5,723 |
| Evanston Regional HospitalEvanston | 13 | $42,980 | $7,183 | $5,723 |
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 | $6,495 |
|---|---|
| Wyoming Medical CenterCasper, WY | $6,782 |
| Ivinson Memorial HospitalLaramie, WY | $6,866 |
| Cheyenne Regional Medical CenterCheyenne, WY | $6,993 |
| Sheridan Memorial HospitalSheridan, WY | $7,044 |
Highest
| Campbell County Memorial HospitalGillette, WY | $7,183 |
|---|---|
| Sagewest Health CareRiverton, WY | $7,183 |
| Memorial Hospital Sweetwater CountyRock Springs, WY | $7,183 |
| Evanston Regional HospitalEvanston, WY | $7,183 |
| St Johns Medical CenterJackson, WY | $7,101 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Wyoming?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 10 hospitals in Wyoming was billed at $35,529 on average, while the average medicare-allowed amount was $6,970, of which Medicare paid $5,532. 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 5.1 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.