Level 5 Musculoskeletal Procedures in Wyoming
What 10 hospitals in Wyoming charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$54,760
Hospital list price billed
Average allowed
$12,806
Medicare's payment + patient's share
Medicare paid
$11,173
Average per service
State rank
#37 of 49
1 = lowest average payment
Hospitals in Wyoming billed an average of $54,760 for level 5 musculoskeletal procedures, about 4.3 times the average medicare-allowed amount of $12,806. That payment is 3% 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 $12,806Billed $54,760
About 23¢ was paid for every $1 hospitals in Wyoming billed for this service.
Wyoming hospitals: level 5 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 |
|---|---|---|---|---|
| Summit Medical CenterCasper | 204 | $47,582 | $11,879 | $10,245 |
| St Johns Medical CenterJackson | 129 | $40,035 | $12,926 | $11,293 |
| Sheridan Memorial HospitalSheridan | 121 | $44,480 | $12,845 | $11,212 |
| Cheyenne Regional Medical CenterCheyenne | 102 | $72,274 | $13,194 | $11,562 |
| Campbell County Memorial HospitalGillette | 95 | $37,289 | $13,194 | $11,562 |
| Ivinson Memorial HospitalLaramie | 93 | $42,517 | $13,070 | $11,438 |
| Sagewest Health CareRiverton | 68 | $130,025 | $13,194 | $11,562 |
| Wyoming Medical CenterCasper | 47 | $74,636 | $13,194 | $11,560 |
| Memorial Hospital Sweetwater CountyRock Springs | 46 | $41,203 | $13,194 | $11,562 |
| Evanston Regional HospitalEvanston | 14 | $68,425 | $13,194 | $11,562 |
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 | $11,879 |
|---|---|
| Sheridan Memorial HospitalSheridan, WY | $12,845 |
| St Johns Medical CenterJackson, WY | $12,926 |
| Ivinson Memorial HospitalLaramie, WY | $13,070 |
| Campbell County Memorial HospitalGillette, WY | $13,194 |
Highest
| Wyoming Medical CenterCasper, WY | $13,194 |
|---|---|
| Campbell County Memorial HospitalGillette, WY | $13,194 |
| Sagewest Health CareRiverton, WY | $13,194 |
| Memorial Hospital Sweetwater CountyRock Springs, WY | $13,194 |
| Cheyenne Regional Medical CenterCheyenne, WY | $13,194 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Wyoming?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 10 hospitals in Wyoming was billed at $54,760 on average, while the average medicare-allowed amount was $12,806, of which Medicare paid $11,173. 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 4.3 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.