Level 6 Musculoskeletal Procedures in Wyoming
What 9 hospitals in Wyoming charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$64,880
Hospital list price billed
Average allowed
$18,154
Medicare's payment + patient's share
Medicare paid
$16,522
Average per service
State rank
#35 of 49
1 = lowest average payment
Hospitals in Wyoming billed an average of $64,880 for level 6 musculoskeletal procedures, about 3.6 times the average medicare-allowed amount of $18,154. That payment is 4% 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 $18,154Billed $64,880
About 28¢ was paid for every $1 hospitals in Wyoming billed for this service.
Wyoming hospitals: level 6 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 | 90 | $47,923 | $17,096 | $15,464 |
| St Johns Medical CenterJackson | 53 | $76,642 | $18,669 | $17,037 |
| Ivinson Memorial HospitalLaramie | 36 | $52,173 | $18,669 | $17,037 |
| Campbell County Memorial HospitalGillette | 28 | $52,691 | $18,669 | $17,037 |
| Wyoming Medical CenterCasper | 28 | $61,202 | $18,669 | $17,037 |
| Cheyenne Regional Medical CenterCheyenne | 23 | $102,832 | $18,669 | $17,037 |
| Sheridan Memorial HospitalSheridan | 20 | $73,760 | $18,308 | $16,676 |
| Sagewest Health CareRiverton | 11 | $133,418 | $18,669 | $17,037 |
| Evanston Regional HospitalEvanston | – | – | – | – |
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 | $17,096 |
|---|---|
| Sheridan Memorial HospitalSheridan, WY | $18,308 |
| Campbell County Memorial HospitalGillette, WY | $18,669 |
| Sagewest Health CareRiverton, WY | $18,669 |
| Wyoming Medical CenterCasper, WY | $18,669 |
Highest
| Campbell County Memorial HospitalGillette, WY | $18,669 |
|---|---|
| Sagewest Health CareRiverton, WY | $18,669 |
| Wyoming Medical CenterCasper, WY | $18,669 |
| Cheyenne Regional Medical CenterCheyenne, WY | $18,669 |
| St Johns Medical CenterJackson, WY | $18,669 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Wyoming?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 9 hospitals in Wyoming was billed at $64,880 on average, while the average medicare-allowed amount was $18,154, of which Medicare paid $16,522. 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 3.6 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.