Outpatient procedure · APC 5112 · Surgery or procedure

Level 2 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $1,511 per procedure at 1,819 hospitals. Half of hospitals averaged between $1,386 and $1,603.

Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery

National figures, 2024

Average payment per case: $1,511
Typical range (middle half of hospitals): $1,386–$1,603
Medicare’s share: $1,19679% of the payment
Average billed charge: $12,397
Hospitals reporting: 1,81974,793 procedures

Hospitals in Colorado

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Colorado

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 27 hospitals: $1,510National $1,511 · Colorado $1,510
Median hospital: $1,530
Lowest to highest: $1,352–$1,639
Medicare procedures: 746

27 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	99	$1,352	11% below the national average	$1,069	$14,729
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	36	$1,411	About average	$1,121	$6,774
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	20	$1,469	About average	$1,136	$17,585
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	24	$1,479	About average	$1,168	$12,399
Parkview Medical Center, IncPueblo, CO · CCN 060020	71	$1,496	About average	$1,185	$17,571
AdventHealth LittletonLittleton, CO · CCN 060113	17	$1,506	About average	$1,195	$19,490
AdventHealth ParkerParker, CO · CCN 060114	13	$1,530	About average	$1,219	$25,627
Boulder Community HealthBoulder, CO · CCN 060027	35	$1,530	About average	$1,219	$18,091
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	18	$1,530	About average	$1,219	$9,144
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	16	$1,530	About average	$1,219	$11,550
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	11	$1,530	About average	$1,219	$6,730
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	23	$1,530	About average	$1,219	$46,863
Swedish Medical CenterEnglewood, CO · CCN 060034	19	$1,530	About average	$1,219	$40,298
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	29	$1,530	About average	$1,219	$22,199
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	26	$1,530	About average	$1,216	$11,167
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	56	$1,530	About average	$1,216	$13,706
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	15	$1,530	About average	$1,215	$17,383
Medical Center Of The RockiesLoveland, CO · CCN 060119	23	$1,530	About average	$1,210	$9,689
AdventHealth Castle RockCastle Rock, CO · CCN 060125	19	$1,530	About average	$1,209	$12,262
Poudre Valley HospitalFort Collins, CO · CCN 060010	39	$1,530	About average	$1,207	$11,390
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	11	$1,536	About average	$1,224	$10,471
Delta County Memorial HospitalDelta, CO · CCN 060071	32	$1,598	About average	$1,252	$4,539
Mercy Regional Medical CenterDurango, CO · CCN 060013	32	$1,639	About average	$1,306	$12,217
Montrose Regional HealthMontrose, CO · CCN 060006	15	$1,639	About average	$1,306	$7,134
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 060008	18	$1,639	About average	$1,299	$7,558
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	16	$1,639	About average	$1,294	$8,860
Vail Health HospitalVail, CO · CCN 060096	13	$1,639	About average	$1,291	$7,542

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 72,034 procedures at 1,920 hospitals · 2021: 76,736 procedures at 1,979 hospitals · 2022: 76,304 procedures at 1,953 hospitals · 2023: 74,709 procedures at 1,886 hospitals · 2024: 74,793 procedures at 1,819 hospitals

View data as a table

National average payment and billed charge for Level 2 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$1,336	$9,994
2021	$1,385	$10K
2022	$1,402	$11K
2023	$1,399	$12K
2024	$1,511	$12K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 2 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	501	$686	$655–$932
Mississippi	15	447	$1,143	$1,298–$1,315
South Carolina	38	1,868	$1,302	$1,339–$1,387
Alabama	28	868	$1,311	$1,300–$1,349
Tennessee	37	1,298	$1,317	$1,309–$1,381
Louisiana	28	1,063	$1,333	$1,306–$1,360
West Virginia	19	586	$1,333	$1,293–$1,363
Georgia	54	1,512	$1,343	$1,358–$1,465
Ohio	86	3,612	$1,346	$1,332–$1,398
Kentucky	27	971	$1,363	$1,334–$1,395
Oklahoma	38	1,936	$1,366	$1,353–$1,397
Arkansas	24	1,351	$1,375	$1,351–$1,434
Michigan	59	2,063	$1,378	$1,377–$1,435
Kansas	27	1,211	$1,391	$1,372–$1,429
Iowa	20	704	$1,392	$1,363–$1,434
Missouri	48	1,646	$1,397	$1,373–$1,447
Indiana	46	1,499	$1,414	$1,433–$1,463
Texas	135	5,815	$1,414	$1,395–$1,449
Idaho	13	667	$1,418	$1,446–$1,498
Nebraska	16	776	$1,424	$1,405–$1,462
Florida	101	3,550	$1,425	$1,428–$1,456
Virginia	52	2,383	$1,426	$1,384–$1,500
North Carolina	55	2,093	$1,428	$1,399–$1,447
Utah	25	731	$1,432	$1,395–$1,440
Maine	11	315	$1,451	$1,402–$1,496
Pennsylvania	89	4,368	$1,454	$1,422–$1,538
Wisconsin	48	1,852	$1,461	$1,441–$1,491
Illinois	66	2,210	$1,486	$1,455–$1,526
New Mexico	10	474	$1,502	$1,400–$1,499
Colorado	27	746	$1,510	$1,530–$1,533
Montana	9	389	$1,516	$1,499–$1,519
New Hampshire	10	475	$1,522	$1,505–$1,539
South Dakota	13	1,029	$1,525	$1,498–$1,614
Minnesota	41	1,407	$1,528	$1,487–$1,546
North Dakota	5	594	$1,541	$1,507–$1,572
Arizona	40	1,437	$1,570	$1,566–$1,568
Wyoming	6	118	$1,584	$1,527–$1,614
Delaware	5	335	$1,610	$1,613–$1,613
Rhode Island	7	233	$1,617	$1,583–$1,631
District of Columbia	5	172	$1,623	$1,644–$1,644
Washington	40	2,105	$1,649	$1,603–$1,690
New Jersey	38	1,533	$1,689	$1,675–$1,704
Alaska	6	195	$1,697	$1,668–$1,720
Massachusetts	47	3,693	$1,708	$1,695–$1,726
Nevada	16	427	$1,711	$1,699–$1,722
Oregon	26	779	$1,720	$1,651–$1,730
New York	89	4,787	$1,731	$1,704–$1,815
Connecticut	21	595	$1,788	$1,762–$1,809
Hawaii	9	274	$1,893	$1,809–$1,980
California	138	5,100	$2,038	$1,976–$2,116

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.