Outpatient procedure · APC 5113 · Surgery or procedure

Level 3 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $2,995 per procedure at 2,123 hospitals. Half of hospitals averaged between $2,769 and $3,147.

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

National figures, 2024

Average payment per case: $2,995
Typical range (middle half of hospitals): $2,769–$3,147
Medicare’s share: $2,37379% of the payment
Average billed charge: $23,965
Hospitals reporting: 2,123104,003 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 43 hospitals: $3,070National $2,995 · Colorado $3,070
Median hospital: $3,081
Lowest to highest: $2,862–$3,300
Medicare procedures: 1,532

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

Medicare payments per case for Level 3 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	85	$2,862	About average	$2,278	$11,951
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	12	$2,877	About average	$2,250	$69,152
UCHealth Greeley HospitalGreeley, CO · CCN 060131	12	$2,888	About average	$2,244	$14,910
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	23	$2,975	About average	$2,348	$25,312
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	27	$2,990	About average	$2,364	$17,032
AdventHealth LittletonLittleton, CO · CCN 060113	26	$2,991	About average	$2,364	$19,621
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	16	$2,997	About average	$2,371	$19,567
Parkview Medical Center, IncPueblo, CO · CCN 060020	59	$2,998	About average	$2,368	$30,253
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	28	$3,005	About average	$2,377	$25,300
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	91	$3,009	About average	$2,376	$32,407
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	42	$3,025	About average	$2,397	$16,652
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	44	$3,026	About average	$2,394	$113,320
UCHealth Broomfield HospitalBroomfield, CO · CCN 060129	47	$3,029	About average	$2,399	$23,984
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	11	$3,061	About average	$2,390	$21,209
Poudre Valley HospitalFort Collins, CO · CCN 060010	124	$3,062	About average	$2,435	$26,889
AdventHealth PorterDenver, CO · CCN 060064	18	$3,080	About average	$2,454	$21,096
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	103	$3,081	About average	$2,455	$20,458
AdventHealth Castle RockCastle Rock, CO · CCN 060125	48	$3,081	About average	$2,455	$26,310
AdventHealth ParkerParker, CO · CCN 060114	26	$3,081	About average	$2,455	$23,667
Boulder Community HealthBoulder, CO · CCN 060027 · +$905 outlier payments per case	49	$3,081	About average	$2,455	$53,637
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	28	$3,081	About average	$2,455	$24,294
Community HospitalGrand Junction, CO · CCN 060054	24	$3,081	About average	$2,455	$24,028
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	14	$3,081	About average	$2,455	$11,596
HCA Healthone RoseDenver, CO · CCN 060032	30	$3,081	About average	$2,455	$65,507
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	11	$3,081	About average	$2,455	$23,314
Longs Peak HospitalLongmont, CO · CCN 060128	12	$3,081	About average	$2,455	$21,930
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	31	$3,081	About average	$2,455	$26,042
St Francis Hospital - InterquestColorado Springs, CO · CCN 060133	17	$3,081	About average	$2,455	$21,473
St Mary-Corwin HospitalPueblo, CO · CCN 060012	17	$3,081	About average	$2,455	$34,886
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	17	$3,081	About average	$2,455	$27,090
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	37	$3,081	About average	$2,455	$27,910
Swedish Medical CenterEnglewood, CO · CCN 060034	37	$3,081	About average	$2,450	$58,935
AdventHealth AvistaLouisville, CO · CCN 060103	19	$3,081	About average	$2,449	$25,188
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	41	$3,081	About average	$2,449	$16,291
Banner Fort Collins Medical CenterFort Collins, CO · CCN 060126	52	$3,081	About average	$2,448	$21,468
Medical Center Of The RockiesLoveland, CO · CCN 060119	40	$3,081	About average	$2,446	$23,424
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	19	$3,082	About average	$2,445	$86,740
Mercy Regional Medical CenterDurango, CO · CCN 060013	62	$3,240	About average	$2,568	$25,395
St Anthony Summit Medical CenterFrisco, CO · CCN 060118	13	$3,300	10% above the national average	$2,629	$29,181
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 060049	22	$3,300	10% above the national average	$2,629	$17,077
Vail Health HospitalVail, CO · CCN 060096 · +$2,503 outlier payments per case	57	$3,300	10% above the national average	$2,624	$26,991
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 060008	20	$3,300	10% above the national average	$2,620	$9,812
Delta County Memorial HospitalDelta, CO · CCN 060071	21	$3,300	10% above the national average	$2,610	$11,912

National trend

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

Average payment
Average billed charge

2020: 125,574 procedures at 2,351 hospitals · 2021: 206,449 procedures at 2,335 hospitals · 2022: 117,912 procedures at 2,259 hospitals · 2023: 113,399 procedures at 2,189 hospitals · 2024: 104,003 procedures at 2,123 hospitals

View data as a table

National average payment and billed charge for Level 3 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$2,660	$19K
2021	$1,684	$12K
2022	$2,815	$21K
2023	$2,870	$22K
2024	$2,995	$24K

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 3 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	413	$1,583	$1,314–$1,899
Mississippi	28	947	$2,519	$2,601–$2,686
Alabama	39	1,853	$2,552	$2,533–$2,680
Tennessee	49	2,127	$2,620	$2,638–$2,781
Louisiana	39	1,910	$2,668	$2,629–$2,719
West Virginia	20	804	$2,683	$2,599–$2,724
South Carolina	42	2,831	$2,688	$2,716–$2,802
Ohio	98	4,734	$2,715	$2,702–$2,815
Georgia	62	2,484	$2,723	$2,699–$2,930
Kentucky	37	1,726	$2,727	$2,706–$2,851
Oklahoma	47	3,250	$2,735	$2,692–$2,841
Arkansas	27	2,136	$2,751	$2,707–$2,897
Kansas	32	1,981	$2,754	$2,752–$2,852
Missouri	53	2,474	$2,773	$2,722–$2,915
Michigan	72	2,772	$2,779	$2,722–$2,890
Iowa	25	1,094	$2,782	$2,708–$2,900
Nebraska	19	1,210	$2,813	$2,834–$2,917
Texas	174	9,030	$2,828	$2,772–$2,922
North Carolina	65	2,991	$2,846	$2,785–$2,890
Virginia	54	2,605	$2,856	$2,778–$3,032
Indiana	56	2,731	$2,859	$2,854–$2,950
Idaho	14	939	$2,879	$2,864–$3,061
Utah	30	1,037	$2,882	$2,835–$2,900
Florida	111	5,022	$2,883	$2,871–$2,932
New Mexico	17	564	$2,895	$2,752–$2,910
Maine	14	591	$2,895	$2,738–$2,941
Pennsylvania	98	5,031	$2,901	$2,844–$3,083
Wisconsin	54	2,612	$2,921	$2,872–$2,995
Illinois	81	3,523	$2,967	$2,919–$3,073
Minnesota	43	1,776	$2,975	$2,937–$3,094
Montana	9	456	$3,003	$2,951–$3,187
South Dakota	13	1,592	$3,054	$3,014–$3,211
North Dakota	6	723	$3,059	$3,035–$3,078
Colorado	43	1,532	$3,070	$3,025–$3,081
New Hampshire	12	560	$3,114	$3,084–$3,162
Arizona	44	2,123	$3,136	$3,072–$3,156
Wyoming	10	243	$3,183	$3,156–$3,250
Delaware	6	415	$3,203	$3,186–$3,238
District of Columbia	4	160	$3,234	$3,218–$3,312
Rhode Island	7	372	$3,249	$3,230–$3,285
Washington	41	1,980	$3,260	$3,204–$3,335
Nevada	16	646	$3,395	$3,325–$3,399
New Jersey	48	2,146	$3,401	$3,341–$3,505
Massachusetts	48	4,090	$3,414	$3,413–$3,476
Alaska	6	236	$3,415	$3,300–$3,453
Oregon	30	1,006	$3,424	$3,273–$3,396
New York	94	4,940	$3,442	$3,389–$3,647
Connecticut	25	750	$3,562	$3,515–$3,611
Hawaii	5	168	$3,666	$3,617–$3,899
California	150	6,667	$4,064	$3,960–$4,167

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.