Outpatient procedure · APC 5116 · Surgery or procedure

Level 6 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $17,392 per procedure at 1,481 hospitals. Half of hospitals averaged between $16,055 and $18,131.

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

National figures, 2024

Average payment per case: $17,392
Typical range (middle half of hospitals): $16,055–$18,131
Medicare’s share: $15,76391% of the payment
Average billed charge: $97,523
Hospitals reporting: 1,48173,440 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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Year of care

Average payment across these 37 hospitals: $17,744National $17,392 · Colorado $17,744
Median hospital: $17,701
Lowest to highest: $15,058–$18,956
Medicare procedures: 2,121

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

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
UCHealth Greeley HospitalGreeley, CO · CCN 060131	29	$15,058	13% below the national average	$13,455	$69,892
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	12	$16,362	About average	$14,730	$108,519
AdventHealth Castle RockCastle Rock, CO · CCN 060125	22	$16,971	About average	$15,339	$126,200
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	25	$17,066	About average	$15,426	$289,788
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	29	$17,214	About average	$15,577	$65,619
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	38	$17,285	About average	$15,646	$135,006
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	193	$17,285	About average	$15,652	$92,924
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	54	$17,404	About average	$15,772	$102,400
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	172	$17,423	About average	$15,791	$106,287
AdventHealth PorterDenver, CO · CCN 060064	69	$17,468	About average	$15,836	$130,733
UCHealth Broomfield HospitalBroomfield, CO · CCN 060129	70	$17,472	About average	$15,834	$107,795
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	63	$17,481	About average	$15,857	$288,395
Poudre Valley HospitalFort Collins, CO · CCN 060010	222	$17,484	About average	$15,852	$70,905
Medical Center Of The RockiesLoveland, CO · CCN 060119	92	$17,526	About average	$15,894	$114,445
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	54	$17,701	About average	$16,069	$87,606
Community HospitalGrand Junction, CO · CCN 060054	53	$17,701	About average	$16,069	$84,874
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	52	$17,701	About average	$16,069	$137,572
AdventHealth ParkerParker, CO · CCN 060114	35	$17,701	About average	$16,069	$143,019
Boulder Community HealthBoulder, CO · CCN 060027	34	$17,701	About average	$16,069	$138,341
HCA Healthone RoseDenver, CO · CCN 060032	78	$17,701	About average	$16,069	$295,076
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	17	$17,701	About average	$16,069	$101,076
Parkview Medical Center, IncPueblo, CO · CCN 060020	29	$17,701	About average	$16,069	$115,064
St Francis Hospital - InterquestColorado Springs, CO · CCN 060133	35	$17,701	About average	$16,069	$94,563
St Mary-Corwin HospitalPueblo, CO · CCN 060012	19	$17,701	About average	$16,069	$104,623
Swedish Medical CenterEnglewood, CO · CCN 060034	14	$17,701	About average	$16,069	$206,211
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	27	$17,701	About average	$16,069	$105,510
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	78	$17,701	About average	$16,069	$114,338
Longs Peak HospitalLongmont, CO · CCN 060128	28	$17,701	About average	$16,068	$111,080
AdventHealth AvistaLouisville, CO · CCN 060103 · +$1,697 outlier payments per case	38	$17,701	About average	$16,066	$183,492
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	14	$17,701	About average	$16,064	$135,296
Mercy Regional Medical CenterDurango, CO · CCN 060013	38	$18,044	About average	$16,412	$105,897
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	31	$18,956	About average	$17,324	$74,382
Montrose Regional HealthMontrose, CO · CCN 060006	20	$18,956	About average	$17,324	$95,423
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 060049	15	$18,956	About average	$17,324	$77,269
Vail Health HospitalVail, CO · CCN 060096 · +$1,139 outlier payments per case	263	$18,956	About average	$17,323	$74,501
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	43	$18,956	About average	$17,323	$91,862
Delta County Memorial HospitalDelta, CO · CCN 060071	16	$18,956	About average	$17,309	$53,927

National trend

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

Average payment
Average billed charge

2020: 1,457 procedures at 85 hospitals · 2021: 8,226 procedures at 353 hospitals · 2022: 3,004 procedures at 156 hospitals · 2023: 14,620 procedures at 540 hospitals · 2024: 73,440 procedures at 1,481 hospitals

View data as a table

National average payment and billed charge for Level 6 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$15K	$75K
2021	$15K	$116K
2022	$16K	$92K
2023	$21K	$112K
2024	$17K	$98K

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 6 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	3	119	$8,999	$8,453–$10,624
Alabama	25	1,210	$15,164	$14,755–$15,349
Utah	23	1,080	$15,193	$16,244–$16,659
Tennessee	33	2,084	$15,325	$15,130–$15,866
Mississippi	14	683	$15,430	$15,026–$15,570
Louisiana	30	1,108	$15,576	$15,464–$15,754
West Virginia	12	558	$15,715	$14,973–$15,721
Oklahoma	30	1,351	$15,834	$15,611–$16,023
Arkansas	21	1,202	$15,872	$15,523–$16,345
South Carolina	30	1,929	$15,906	$15,619–$16,100
Ohio	73	3,030	$15,978	$15,826–$16,279
Kentucky	22	1,410	$16,042	$15,742–$16,096
Kansas	23	1,240	$16,065	$15,767–$16,241
Iowa	20	1,326	$16,087	$15,847–$16,340
Missouri	35	1,775	$16,103	$15,799–$16,551
Virginia	41	2,439	$16,328	$15,963–$17,432
Texas	127	5,228	$16,373	$16,124–$16,789
Michigan	44	1,746	$16,380	$15,785–$17,123
Georgia	42	1,898	$16,409	$15,899–$17,257
North Carolina	45	2,608	$16,492	$16,184–$16,710
Indiana	47	2,034	$16,575	$16,509–$16,797
Florida	86	5,085	$16,629	$16,634–$16,845
Nebraska	16	1,011	$16,771	$16,741–$16,936
Wisconsin	38	1,368	$16,885	$16,647–$17,067
Idaho	13	741	$16,900	$16,735–$17,428
New Mexico	9	300	$17,126	$15,882–$17,343
Maine	7	292	$17,280	$16,837–$17,471
Pennsylvania	65	3,133	$17,344	$16,610–$17,938
Illinois	56	2,463	$17,391	$17,185–$17,654
North Dakota	6	437	$17,467	$17,235–$18,360
South Dakota	10	790	$17,472	$17,281–$18,289
Montana	9	516	$17,606	$17,193–$18,232
Colorado	37	2,121	$17,744	$17,468–$17,701
Minnesota	27	1,383	$18,117	$17,504–$18,536
Wyoming	8	289	$18,154	$18,579–$18,669
New Hampshire	11	403	$18,184	$17,654–$18,332
Arizona	37	2,369	$18,231	$17,996–$18,131
Delaware	5	457	$18,546	$18,654–$18,654
Rhode Island	3	157	$18,657	$18,634–$18,765
District of Columbia	4	199	$18,848	$18,878–$19,023
Washington	33	1,628	$19,062	$18,661–$19,156
Alaska	3	180	$19,345	$18,819–$19,653
New Jersey	28	1,653	$19,847	$19,222–$20,663
Oregon	20	929	$19,883	$19,066–$19,507
Massachusetts	34	1,711	$19,887	$19,966–$19,966
New York	51	1,970	$19,922	$19,552–$20,841
Nevada	9	617	$19,943	$19,802–$19,910
Connecticut	16	778	$20,733	$20,681–$20,925
Hawaii	3	70	$21,247	$21,066–$22,304
California	97	4,332	$23,412	$22,851–$23,737

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.