Level 5 Musculoskeletal Procedures in Colorado
What 49 hospitals in Colorado charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$89,472
Hospital list price billed
Average allowed
$12,564
Medicare's payment + patient's share
Medicare paid
$10,931
Average per service
State rank
#33 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $89,472 for level 5 musculoskeletal procedures, about 7.1 times the average medicare-allowed amount of $12,564. That payment is 1% above the U.S. average of $12,402.
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 $12,564Billed $89,472
About 14¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 5 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 |
|---|---|---|---|---|
| Orthocolorado Hospital at St Anthony Med CampusDenver | 590 | $72,063 | $12,403 | $10,770 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 544 | $66,345 | $12,450 | $10,818 |
| Boulder Community HospitalBoulder | 522 | $87,148 | $12,415 | $10,785 |
| Vail Valley Medical CenterVail | 492 | $51,005 | $13,349 | $11,716 |
| Poudre Valley HospitalFort Collins | 485 | $87,031 | $12,398 | $10,765 |
| Centura Health-Porter Adventist HospitalDenver | 430 | $72,364 | $12,485 | $10,852 |
| Animas Surgical Hospital, LLCDurango | 318 | $61,554 | $12,476 | $10,844 |
| Uchealth Grandview HospitalColorado Springs | 302 | $86,478 | $12,438 | $10,806 |
| Sky Ridge Medical CenterLone Tree | 284 | $240,882 | $12,319 | $10,687 |
| University of Colorado Hospital Anschutz InpatientAurora | 271 | $90,648 | $12,430 | $10,797 |
| Medical Center of the RockiesLoveland | 239 | $82,993 | $12,374 | $10,741 |
| Community HospitalGrand Junction | 237 | $53,474 | $12,465 | $10,831 |
| Rose Medical CenterDenver | 219 | $185,910 | $12,262 | $10,630 |
| St Mary's Hospital and Medical CenterGrand Junction | 217 | $68,534 | $13,288 | $11,654 |
| Medical Center of Aurora, theAurora | 215 | $208,146 | $12,359 | $10,726 |
| Centura Health-St Anthony North HospitalWestminster | 209 | $74,425 | $12,458 | $10,826 |
| Parkview Medical Center INCPueblo | 190 | $133,727 | $12,510 | $10,878 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 189 | $85,442 | $12,280 | $10,648 |
| Valley View Hospital AssociationGlenwood Springs | 169 | $64,955 | $13,396 | $11,763 |
| Memorial Hospital CentralColorado Springs | 163 | $91,720 | $12,377 | $10,745 |
| Adventhealth Castle RockCastle Rock | 144 | $83,712 | $12,437 | $10,803 |
| Longs Peak HospitalLongmont | 140 | $83,795 | $12,355 | $10,723 |
| Mercy Medical CenterDurango | 137 | $90,109 | $13,310 | $11,678 |
| Montrose Memorial HospitalMontrose | 136 | $58,662 | $13,396 | $11,764 |
| Centura Health-Littleton Adventist HospitalLittleton | 131 | $85,300 | $12,109 | $10,484 |
| Parker Adventist HospitalParker | 116 | $75,976 | $12,510 | $10,876 |
| St Francis Hospital - InterquestColorado Springs | 111 | $62,465 | $12,510 | $10,878 |
| Swedish Medical CenterEnglewood | 103 | $188,337 | $12,405 | $10,773 |
| North Colorado Medical CenterGreeley | 85 | $68,641 | $12,559 | $10,925 |
| Centura Health-St Mary Corwin Medical CenterPueblo | 82 | $80,690 | $12,378 | $10,746 |
| Uchealth Broomfield HospitalBroomfield | 76 | $88,306 | $12,510 | $10,875 |
| Centura Health-Avista Adventist HospitalLouisville | 74 | $82,411 | $12,510 | $10,878 |
| Delta County Memorial HospitalDelta | 72 | $50,704 | $13,397 | $11,752 |
| Platte Valley Medical CenterBrighton | 68 | $55,546 | $12,510 | $10,878 |
| Banner Fort Collins Medical CenterFort Collins | 64 | $65,828 | $12,341 | $10,697 |
| Exempla Good Samaritan Medical Center LLCLafayette | 61 | $76,075 | $12,002 | $10,362 |
| Longmont United HospitalLongmont | 59 | $65,854 | $12,510 | $10,878 |
| St Anthony Summit Medical CenterBreckenridge | 55 | $95,778 | $13,396 | $11,760 |
| Yampa Valley Medical CenterSteamboat Springs | 53 | $60,817 | $13,174 | $11,542 |
| Banner North Co Medical Center - Loveland CampusLoveland | 46 | $72,850 | $12,511 | $10,871 |
| Exempla Saint Joseph HospitalDenver | 45 | $63,193 | $12,027 | $10,395 |
| Exempla Lutheran Medical CenterWheat Ridge | 34 | $80,734 | $12,510 | $10,878 |
| Presbyterian/St Luke's Medical CenterDenver | 23 | $215,298 | $12,510 | $10,878 |
| Denver Health Medical CenterDenver | 19 | $48,335 | $12,510 | $10,878 |
| Centura Health-St Anthony Central HospitalDenver | 16 | $86,486 | $12,510 | $10,878 |
| San Luis Valley Regional Medical CenterAlamosa | 15 | $46,640 | $13,396 | $11,764 |
| Sterling Regional MedcenterSterling | 12 | $75,451 | $13,396 | $11,764 |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
| Uchealth Greeley HospitalGreeley | – | – | – | – |
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
| Exempla Good Samaritan Medical Center LLCLafayette, CO | $12,002 |
|---|---|
| Exempla Saint Joseph HospitalDenver, CO | $12,027 |
| Centura Health-Littleton Adventist HospitalLittleton, CO | $12,109 |
| Rose Medical CenterDenver, CO | $12,262 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $12,280 |
Highest
| Delta County Memorial HospitalDelta, CO | $13,397 |
|---|---|
| St Anthony Summit Medical CenterBreckenridge, CO | $13,396 |
| Valley View Hospital AssociationGlenwood Springs, CO | $13,396 |
| Montrose Memorial HospitalMontrose, CO | $13,396 |
| San Luis Valley Regional Medical CenterAlamosa, CO | $13,396 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Colorado?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 49 hospitals in Colorado was billed at $89,472 on average, while the average medicare-allowed amount was $12,564, of which Medicare paid $10,931. 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 7.1 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.