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

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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Central Vermont Medical CenterBarre, VT · CCN 470001	72	$1,187	60% below the national average	$533	$9,706
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	41	$1,249	58% below the national average	$610	$12,200
University Medical Center Of El PasoEl Paso, TX · CCN 450024	53	$1,335	55% below the national average	$1,060	$16,525
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	102	$1,419	53% below the national average	$1,117	$13,553
Astria Toppenish HospitalToppenish, WA · CCN 500037	41	$1,490	50% below the national average	$1,182	$21,979
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	149	$1,509	50% below the national average	$866	$10,858
Athens Limestone HospitalAthens, AL · CCN 010079	131	$1,599	47% below the national average	$1,265	$21,263
Memorial Hospital At GulfportGulfport, MS · CCN 250019	127	$1,618	46% below the national average	$1,275	$25,853
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	24	$1,627	46% below the national average	$1,293	$9,166
Gettysburg HospitalGettysburg, PA · CCN 390065	78	$1,664	44% below the national average	$1,322	$13,212
Ed Fraser Memorial HospitalMacclenny, FL · CCN 100134	17	$1,700	43% below the national average	$1,320	$5,005
UPMC MemorialYork, PA · CCN 390101	32	$1,701	43% below the national average	$1,355	$10,607
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006	23	$1,822	39% below the national average	$1,452	$40,723
Strong Memorial HospitalRochester, NY · CCN 330285	114	$1,824	39% below the national average	$1,453	$12,195
Rutland Regional Medical CenterRutland, VT · CCN 470005	65	$1,834	39% below the national average	$1,189	$14,536
Kearney Regional Medical CenterKearney, NE · CCN 280134	76	$1,835	39% below the national average	$1,462	$12,518
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	111	$1,878	37% below the national average	$1,481	$18,007
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	54	$1,894	37% below the national average	$1,495	$19,076
MetroHealth SystemCleveland, OH · CCN 360059	69	$1,908	36% below the national average	$1,371	$12,784
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	39	$1,920	36% below the national average	$1,260	$14,382
White Plains Hospital CenterWhite Plains, NY · CCN 330304	109	$1,928	36% below the national average	$1,529	$24,600
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	38	$1,936	35% below the national average	$1,542	$15,260
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	86	$1,957	35% below the national average	$1,552	$44,598
Townsen Memorial HospitalHumble, TX · CCN 670266	38	$2,006	33% below the national average	$1,598	$51,019
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	29	$2,007	33% below the national average	$1,597	$12,716
Marietta Memorial HospitalMarietta, OH · CCN 360147	19	$2,013	33% below the national average	$1,548	$9,541
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$206 outlier payments per case	236	$2,017	33% below the national average	$1,595	$29,056
MUSC Medical CenterCharleston, SC · CCN 420004 · +$744 outlier payments per case	214	$2,024	32% below the national average	$1,608	$31,216
Saint Anthony HospitalChicago, IL · CCN 140095	12	$2,049	32% below the national average	$1,632	$12,633
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	47	$2,087	30% below the national average	$1,491	$12,133
Tristar Summit Medical CenterHermitage, TN · CCN 440150	32	$2,144	28% below the national average	$1,694	$42,842
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	90	$2,152	28% below the national average	$1,698	$34,767
Beauregard Memorial HospitalDeridder, LA · CCN 190050	14	$2,157	28% below the national average	$1,679	$19,737
Piedmont Hospital, IncAtlanta, GA · CCN 110083	69	$2,212	26% below the national average	$1,758	$38,959
Conway Medical CenterConway, SC · CCN 420049	78	$2,271	24% below the national average	$1,806	$16,349
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	15	$2,272	24% below the national average	$1,714	$40,591
North Alabama Medical CenterFlorence, AL · CCN 010006	28	$2,273	24% below the national average	$1,803	$16,376
University Of Kansas HospitalKansas City, KS · CCN 170040	173	$2,273	24% below the national average	$1,804	$14,244
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	23	$2,273	24% below the national average	$1,769	$30,630
Northside Hospital CherokeeCanton, GA · CCN 110008	106	$2,296	23% below the national average	$1,824	$30,153
Milton S Hershey Medical CenterHershey, PA · CCN 390256 · +$2,279 outlier payments per case	63	$2,321	22% below the national average	$1,849	$37,599
Medical Center EnterpriseEnterprise, AL · CCN 010049	19	$2,328	22% below the national average	$1,779	$84,448
Cooper University HospitalCamden, NJ · CCN 310014	63	$2,331	22% below the national average	$1,837	$15,803
Greeneville Community HospitalGreeneville, TN · CCN 440050	12	$2,333	22% below the national average	$1,790	$18,189
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	13	$2,349	22% below the national average	$1,764	$19,625
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	14	$2,363	21% below the national average	$1,865	$27,012
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	25	$2,365	21% below the national average	$1,816	$60,711
St Luke's Regional Medical CenterBoise, ID · CCN 130006	113	$2,369	21% below the national average	$1,880	$11,289
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	15	$2,371	21% below the national average	$1,889	$25,719
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	32	$2,381	20% below the national average	$1,839	$9,179

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.