Level 6 Musculoskeletal Procedures in Colorado
What 49 hospitals in Colorado charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$114,583
Hospital list price billed
Average allowed
$17,744
Medicare's payment + patient's share
Medicare paid
$16,112
Average per service
State rank
#33 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $114,583 for level 6 musculoskeletal procedures, about 6.5 times the average medicare-allowed amount of $17,744. That payment is 2% above the U.S. average of $17,392.
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 $17,744Billed $114,583
About 15¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 6 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 |
|---|---|---|---|---|
| Vail Valley Medical CenterVail | 263 | $74,501 | $18,956 | $17,323 |
| Poudre Valley HospitalFort Collins | 222 | $70,905 | $17,484 | $15,852 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 193 | $92,924 | $17,285 | $15,652 |
| Orthocolorado Hospital at St Anthony Med CampusDenver | 172 | $106,287 | $17,423 | $15,791 |
| Medical Center of the RockiesLoveland | 92 | $114,445 | $17,526 | $15,894 |
| Rose Medical CenterDenver | 78 | $295,076 | $17,701 | $16,069 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 78 | $114,338 | $17,701 | $16,069 |
| Uchealth Broomfield HospitalBroomfield | 70 | $107,795 | $17,472 | $15,834 |
| Centura Health-Porter Adventist HospitalDenver | 69 | $130,733 | $17,468 | $15,836 |
| Sky Ridge Medical CenterLone Tree | 63 | $288,395 | $17,481 | $15,857 |
| Centura Health-St Anthony North HospitalWestminster | 54 | $102,400 | $17,404 | $15,772 |
| Animas Surgical Hospital, LLCDurango | 54 | $87,606 | $17,701 | $16,069 |
| Community HospitalGrand Junction | 53 | $84,874 | $17,701 | $16,069 |
| Memorial Hospital CentralColorado Springs | 52 | $137,572 | $17,701 | $16,069 |
| Valley View Hospital AssociationGlenwood Springs | 43 | $91,862 | $18,956 | $17,323 |
| Mercy Medical CenterDurango | 38 | $105,897 | $18,044 | $16,412 |
| University of Colorado Hospital Anschutz InpatientAurora | 38 | $135,006 | $17,285 | $15,646 |
| Centura Health-Avista Adventist HospitalLouisville | 38 | $183,492 | $17,701 | $16,066 |
| Parker Adventist HospitalParker | 35 | $143,019 | $17,701 | $16,069 |
| St Francis Hospital - InterquestColorado Springs | 35 | $94,563 | $17,701 | $16,069 |
| Boulder Community HospitalBoulder | 34 | $138,341 | $17,701 | $16,069 |
| St Mary's Hospital and Medical CenterGrand Junction | 31 | $74,382 | $18,956 | $17,324 |
| North Colorado Medical CenterGreeley | 29 | $65,619 | $17,214 | $15,577 |
| Parkview Medical Center INCPueblo | 29 | $115,064 | $17,701 | $16,069 |
| Uchealth Greeley HospitalGreeley | 29 | $69,892 | $15,058 | $13,455 |
| Longs Peak HospitalLongmont | 28 | $111,080 | $17,701 | $16,068 |
| Uchealth Grandview HospitalColorado Springs | 27 | $105,510 | $17,701 | $16,069 |
| Medical Center of Aurora, theAurora | 25 | $289,788 | $17,066 | $15,426 |
| Adventhealth Castle RockCastle Rock | 22 | $126,200 | $16,971 | $15,339 |
| Montrose Memorial HospitalMontrose | 20 | $95,423 | $18,956 | $17,324 |
| Centura Health-St Mary Corwin Medical CenterPueblo | 19 | $104,623 | $17,701 | $16,069 |
| Exempla Lutheran Medical CenterWheat Ridge | 17 | $101,076 | $17,701 | $16,069 |
| Delta County Memorial HospitalDelta | 16 | $53,927 | $18,956 | $17,309 |
| Yampa Valley Medical CenterSteamboat Springs | 15 | $77,269 | $18,956 | $17,324 |
| Swedish Medical CenterEnglewood | 14 | $206,212 | $17,701 | $16,069 |
| Exempla Good Samaritan Medical Center LLCLafayette | 14 | $135,296 | $17,701 | $16,064 |
| Centura Health-St Anthony Central HospitalDenver | 12 | $108,519 | $16,362 | $14,730 |
| Longmont United HospitalLongmont | – | – | – | – |
| Platte Valley Medical CenterBrighton | – | – | – | – |
| San Luis Valley Regional Medical CenterAlamosa | – | – | – | – |
| Denver Health Medical CenterDenver | – | – | – | – |
| Presbyterian/St Luke's Medical CenterDenver | – | – | – | – |
| Exempla Saint Joseph HospitalDenver | – | – | – | – |
| Banner North Co Medical Center - Loveland CampusLoveland | – | – | – | – |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
| Sterling Regional MedcenterSterling | – | – | – | – |
| Centura Health-Littleton Adventist HospitalLittleton | – | – | – | – |
| St Anthony Summit Medical CenterBreckenridge | – | – | – | – |
| Banner Fort Collins Medical CenterFort Collins | – | – | – | – |
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
| Uchealth Greeley HospitalGreeley, CO | $15,058 |
|---|---|
| Centura Health-St Anthony Central HospitalDenver, CO | $16,362 |
| Adventhealth Castle RockCastle Rock, CO | $16,971 |
| Medical Center of Aurora, theAurora, CO | $17,066 |
| North Colorado Medical CenterGreeley, CO | $17,214 |
Highest
| Delta County Memorial HospitalDelta, CO | $18,956 |
|---|---|
| Montrose Memorial HospitalMontrose, CO | $18,956 |
| St Mary's Hospital and Medical CenterGrand Junction, CO | $18,956 |
| Yampa Valley Medical CenterSteamboat Springs, CO | $18,956 |
| Valley View Hospital AssociationGlenwood Springs, CO | $18,956 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Colorado?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 49 hospitals in Colorado was billed at $114,583 on average, while the average medicare-allowed amount was $17,744, of which Medicare paid $16,112. 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 6.5 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.