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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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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. 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
Summit Surgical, LLCHutchinson, KS · CCN 170198	73	$2,751	About average	$2,189	$11,617
Christus Southern New MexicoAlamogordo, NM · CCN 320004	18	$2,752	About average	$2,138	$84,157
St Joseph Medical CenterKansas City, MO · CCN 260085	30	$2,752	About average	$2,177	$34,301
Stormont Vail HospitalTopeka, KS · CCN 170086	180	$2,752	About average	$2,175	$15,867
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	19	$2,752	About average	$2,141	$38,016
The Physicians CentreBryan, TX · CCN 450834	59	$2,752	About average	$2,176	$12,300
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	81	$2,752	About average	$2,187	$17,597
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	36	$2,753	About average	$2,169	$24,797
Manhattan Surgical Hospital LLCManhattan, KS · CCN 170190	101	$2,753	About average	$2,190	$12,026
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	36	$2,753	About average	$2,168	$32,428
St Marys Regional Medical CenterRussellville, AR · CCN 040041	57	$2,753	About average	$2,191	$46,191
Christus Mother Frances HospitalTyler, TX · CCN 450102	174	$2,754	About average	$2,186	$45,985
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	15	$2,754	About average	$2,163	$33,543
Rock Regional Hospital, LLCDerby, KS · CCN 170204	48	$2,754	About average	$2,192	$17,093
Akron General Medical CenterAkron, OH · CCN 360027	17	$2,754	About average	$2,194	$16,821
Alliance Community HospitalAlliance, OH · CCN 360131	34	$2,754	About average	$2,194	$12,909
Boone Hospital CenterColumbia, MO · CCN 260068	44	$2,754	About average	$2,194	$14,994
East Ohio Regional HospitalMartins Ferry, OH · CCN 360080	14	$2,754	About average	$2,194	$9,656
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	11	$2,754	About average	$2,194	$23,961
Salem Regional Medical CenterSalem, OH · CCN 360185	12	$2,754	About average	$2,194	$15,777
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	34	$2,754	About average	$2,194	$15,071
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	13	$2,754	About average	$2,194	$14,424
Union HospitalDover, OH · CCN 360010	18	$2,754	About average	$2,194	$15,498
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	36	$2,754	About average	$2,194	$27,398
MH St Joseph Warren HospitalWarren, OH · CCN 360161	32	$2,754	About average	$2,189	$18,074
Mercy Medical CenterCanton, OH · CCN 360070	18	$2,754	About average	$2,184	$18,517
Lone Peak HospitalDraper, UT · CCN 460060	16	$2,755	About average	$2,166	$27,596
Adena Regional Medical CenterChillicothe, OH · CCN 360159	58	$2,755	About average	$2,180	$29,396
Lake Granbury Medical CenterGranbury, TX · CCN 450596	28	$2,756	About average	$2,159	$78,506
Kosciusko Community HospitalWarsaw, IN · CCN 150133	17	$2,757	About average	$2,169	$33,498
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	93	$2,757	About average	$2,170	$12,733
King's Daughters' Medical CenterAshland, KY · CCN 180009	20	$2,757	About average	$2,187	$25,563
Texas Health Hospital FriscoFrisco, TX · CCN 670260	15	$2,758	About average	$2,154	$23,430
Laredo Medical CenterLaredo, TX · CCN 450029	34	$2,758	About average	$2,181	$66,070
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	27	$2,758	About average	$2,198	$49,298
Kettering Health DaytonDayton, OH · CCN 360133	210	$2,759	About average	$2,182	$28,048
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	40	$2,759	About average	$2,186	$25,595
JPS Health NetworkFort Worth, TX · CCN 450039	28	$2,759	About average	$2,165	$26,563
WakeMed, Cary HospitalCary, NC · CCN 340173	15	$2,759	About average	$2,167	$20,713
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	33	$2,760	About average	$2,165	$10,104
T J Samson Community HospitalGlasgow, KY · CCN 180017	34	$2,760	About average	$2,157	$14,544
Central Maine Medical CenterLewiston, ME · CCN 200024	13	$2,762	About average	$2,200	$16,135
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	383	$2,762	About average	$2,190	$22,114
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	73	$2,762	About average	$2,194	$16,930
University Medical CenterLubbock, TX · CCN 450686	48	$2,762	About average	$2,187	$31,713
Wood County HospitalBowling Green, OH · CCN 360029	24	$2,762	About average	$2,201	$15,058
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	32	$2,762	About average	$2,201	$28,457
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	97	$2,762	About average	$2,177	$25,507
CJW Medical CenterRichmond, VA · CCN 490112	91	$2,762	About average	$2,194	$86,377
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	29	$2,763	About average	$2,202	$17,946

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.