Outpatient procedure · APC 5115 · Surgery or procedure

Level 5 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $12,402 per procedure at 2,213 hospitals. Half of hospitals averaged between $11,345 and $12,814.

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

National figures, 2024

Average payment per case: $12,402
Typical range (middle half of hospitals): $11,345–$12,814
Medicare’s share: $10,77287% of the payment
Average billed charge: $72,739
Hospitals reporting: 2,213362,845 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.

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Colorado

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Average payment across these 47 hospitals: $12,564National $12,402 · Colorado $12,564
Median hospital: $12,485
Lowest to highest: $12,002–$13,397
Medicare procedures: 8,262

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

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	61	$12,002	About average	$10,362	$76,075
Saint Joseph HospitalDenver, CO · CCN 060028	45	$12,027	About average	$10,395	$63,193
AdventHealth LittletonLittleton, CO · CCN 060113	131	$12,109	About average	$10,484	$85,300
HCA Healthone RoseDenver, CO · CCN 060032	219	$12,262	About average	$10,630	$185,910
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	189	$12,280	About average	$10,648	$85,442
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	284	$12,319	About average	$10,687	$240,882
Banner Fort Collins Medical CenterFort Collins, CO · CCN 060126	64	$12,341	About average	$10,697	$65,828
Longs Peak HospitalLongmont, CO · CCN 060128	140	$12,355	About average	$10,723	$83,795
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	215	$12,359	About average	$10,726	$208,146
Medical Center Of The RockiesLoveland, CO · CCN 060119	239	$12,374	About average	$10,741	$82,993
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	163	$12,377	About average	$10,745	$91,720
St Mary-Corwin HospitalPueblo, CO · CCN 060012	82	$12,378	About average	$10,746	$80,690
Poudre Valley HospitalFort Collins, CO · CCN 060010 · +$21 outlier payments per case	485	$12,398	About average	$10,765	$87,031
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	590	$12,403	About average	$10,770	$72,063
Swedish Medical CenterEnglewood, CO · CCN 060034	103	$12,405	About average	$10,773	$188,337
Boulder Community HealthBoulder, CO · CCN 060027 · +$35 outlier payments per case	522	$12,415	About average	$10,785	$87,148
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	271	$12,430	About average	$10,797	$90,648
AdventHealth Castle RockCastle Rock, CO · CCN 060125	144	$12,437	About average	$10,803	$83,712
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	302	$12,438	About average	$10,806	$86,478
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	544	$12,450	About average	$10,818	$66,345
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	209	$12,458	About average	$10,826	$74,425
Community HospitalGrand Junction, CO · CCN 060054	237	$12,465	About average	$10,831	$53,474
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	318	$12,476	About average	$10,844	$61,554
AdventHealth PorterDenver, CO · CCN 060064 · +$58 outlier payments per case	430	$12,485	About average	$10,852	$72,364
Parkview Medical Center, IncPueblo, CO · CCN 060020	190	$12,510	About average	$10,878	$133,727
St Francis Hospital - InterquestColorado Springs, CO · CCN 060133	111	$12,510	About average	$10,878	$62,465
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	16	$12,510	About average	$10,878	$86,486
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	19	$12,510	About average	$10,878	$48,335
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	23	$12,510	About average	$10,878	$215,298
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	34	$12,510	About average	$10,878	$80,734
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	68	$12,510	About average	$10,878	$55,546
Longmont United HospitalLongmont, CO · CCN 060003	59	$12,510	About average	$10,878	$65,854
AdventHealth AvistaLouisville, CO · CCN 060103	74	$12,510	About average	$10,878	$82,411
AdventHealth ParkerParker, CO · CCN 060114	116	$12,510	About average	$10,876	$75,976
UCHealth Broomfield HospitalBroomfield, CO · CCN 060129	76	$12,510	About average	$10,875	$88,306
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	46	$12,511	About average	$10,871	$72,850
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	85	$12,559	About average	$10,925	$68,641
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 060049 · +$387 outlier payments per case	53	$13,174	About average	$11,542	$60,817
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	217	$13,288	About average	$11,654	$68,534
Mercy Regional Medical CenterDurango, CO · CCN 060013	137	$13,310	About average	$11,678	$90,109
Vail Health HospitalVail, CO · CCN 060096 · +$618 outlier payments per case	492	$13,349	About average	$11,716	$51,005
Montrose Regional HealthMontrose, CO · CCN 060006	136	$13,396	About average	$11,764	$58,662
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 060008	15	$13,396	About average	$11,764	$46,640
Sterling Regional MedCenterSterling, CO · CCN 060076	12	$13,396	About average	$11,764	$75,451
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075 · +$1,205 outlier payments per case	169	$13,396	About average	$11,763	$64,955
St Anthony Summit Medical CenterFrisco, CO · CCN 060118	55	$13,396	About average	$11,760	$95,778
Delta County Memorial HospitalDelta, CO · CCN 060071	72	$13,397	About average	$11,752	$50,704

National trend

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

Average payment
Average billed charge

2020: 229,215 procedures at 2,037 hospitals · 2021: 364,363 procedures at 2,254 hospitals · 2022: 410,561 procedures at 2,321 hospitals · 2023: 427,124 procedures at 2,312 hospitals · 2024: 362,845 procedures at 2,213 hospitals

View data as a table

National average payment and billed charge for Level 5 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$12K	$61K
2021	$12K	$66K
2022	$12K	$68K
2023	$13K	$71K
2024	$12K	$73K

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 5 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	927	$6,642	$5,710–$7,857
Alabama	36	5,517	$10,733	$10,538–$10,928
Mississippi	25	1,977	$10,843	$10,672–$11,006
Tennessee	47	8,201	$10,865	$10,654–$11,195
Louisiana	44	5,417	$10,909	$10,733–$11,044
West Virginia	19	2,033	$11,015	$10,538–$11,114
Ohio	104	15,215	$11,123	$11,029–$11,497
Oklahoma	42	7,005	$11,159	$11,026–$11,326
Arkansas	28	5,195	$11,206	$11,043–$11,679
South Carolina	43	9,015	$11,244	$11,083–$11,366
Kentucky	42	5,097	$11,263	$10,995–$11,552
Kansas	34	6,049	$11,345	$11,166–$11,885
Iowa	29	5,825	$11,405	$11,208–$11,925
Missouri	53	8,629	$11,419	$11,333–$11,837
Virginia	55	13,156	$11,531	$11,183–$12,118
Michigan	73	8,557	$11,535	$11,319–$11,944
Texas	188	27,220	$11,614	$11,350–$11,866
Georgia	71	9,007	$11,645	$11,145–$12,011
North Carolina	65	11,812	$11,652	$11,347–$11,739
New Mexico	16	2,050	$11,704	$11,270–$12,005
Utah	32	3,863	$11,712	$11,479–$11,775
Indiana	64	9,630	$11,754	$11,642–$11,909
Nebraska	21	4,927	$11,799	$11,652–$12,128
Florida	133	23,438	$11,799	$11,730–$11,906
Idaho	15	2,954	$11,894	$11,784–$12,386
Wisconsin	56	7,721	$11,921	$11,695–$12,134
Maine	14	1,590	$12,045	$11,422–$12,212
Pennsylvania	105	17,854	$12,207	$11,693–$12,571
Montana	10	2,257	$12,302	$12,157–$12,991
Illinois	82	14,943	$12,334	$12,119–$12,518
South Dakota	13	3,867	$12,387	$12,258–$13,048
North Dakota	6	1,935	$12,448	$12,260–$12,787
Colorado	47	8,262	$12,564	$12,388–$12,511
New Hampshire	11	2,199	$12,713	$12,410–$12,672
Minnesota	42	6,532	$12,735	$12,361–$12,965
Arizona	47	9,066	$12,802	$12,653–$12,814
Wyoming	10	919	$12,806	$12,962–$13,194
Delaware	6	2,342	$13,085	$13,029–$13,172
District of Columbia	4	774	$13,274	$13,278–$13,444
Rhode Island	8	825	$13,278	$13,310–$13,335
Washington	43	7,875	$13,453	$13,133–$13,721
Alaska	6	992	$13,858	$13,747–$14,483
Oregon	29	3,599	$13,939	$13,452–$13,786
Nevada	16	2,147	$13,956	$13,488–$13,899
Massachusetts	43	9,382	$13,997	$13,872–$14,027
New Jersey	43	10,137	$14,069	$13,614–$14,536
New York	91	13,630	$14,226	$13,725–$14,676
Connecticut	23	3,597	$14,579	$14,481–$14,714
Hawaii	9	682	$14,923	$14,484–$15,494
California	164	27,002	$16,486	$15,996–$16,675

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.