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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

Compare hospitals

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
Specific hospitals up to 10

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 501–550. Download as CSV

Medicare payments per case for Level 3 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
University Hospitals - Elyria Medical CenterElyria, OH · CCN 36014528$2,763About average$2,202$15,403
Hillcrest HospitalMayfield Heights, OH · CCN 36023059$2,763About average$2,202$15,817
South Pointe HospitalWarrensville Heights, OH · CCN 36014413$2,763About average$2,202$16,950
Lutheran HospitalCleveland, OH · CCN 36008750$2,763About average$2,201$16,247
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 17014218$2,763About average$2,202$19,314
NMC HealthNewton, KS · CCN 17010325$2,763About average$2,202$8,136
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 17020034$2,763About average$2,202$14,167
Wesley Medical CenterWichita, KS · CCN 17012339$2,763About average$2,202$53,368
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203121$2,763About average$2,200$20,180
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 10007113$2,764About average$2,156$61,340
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298104$2,764About average$2,194$37,158
Lakeland Hospital, St JosephSt Joseph, MI · CCN 23002140$2,764About average$2,177$11,884
Piedmont Walton HospitalMonroe, GA · CCN 11004620$2,765About average$2,154$26,617
Novant Health Mint Hill Medical CenterCharlotte, NC · CCN 34019029$2,765About average$2,170$19,605
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 67007685$2,765About average$2,196$21,768
Maple Grove HospitalMaple Grove, MN · CCN 24021415$2,765About average$2,135$9,602
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054172$2,765About average$2,189$13,945
Fairview Lakes Health ServicesWyoming, MN · CCN 24005015$2,765About average$2,132$11,145
Licking Memorial HospitalNewark, OH · CCN 36021847$2,766About average$2,182$14,145
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010718$2,766About average$2,178$24,074
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 39018311$2,766About average$2,160$26,701
Kell West Regional HospitalWichita Falls, TX · CCN 45082714$2,767About average$2,204$6,858
Franciscan Health LafayetteLafayette, IN · CCN 15010939$2,767About average$2,176$36,082
Conway Regional Medical Center, IncConway, AR · CCN 040029131$2,768About average$2,199$14,453
Methodist HospitalSan Antonio, TX · CCN 45038855$2,768About average$2,197$32,560
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 52006213$2,768About average$2,169$24,618
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 45085615$2,768About average$2,197$13,767
Mercy Health St Ritas Medical CenterLima, OH · CCN 36006631$2,768About average$2,203$39,262
Upper Valley Medical CenterTroy, OH · CCN 36017434$2,769About average$2,185$15,385
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023791$2,769About average$2,198$28,254
Allen HospitalWaterloo, IA · CCN 16011033$2,769About average$2,206$11,135
Lakes Regional HealthcareSpirit Lake, IA · CCN 16012434$2,769About average$2,206$8,630
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 16006769$2,769About average$2,206$27,676
Spencer Municipal HospitalSpencer, IA · CCN 16011249$2,769About average$2,206$12,722
Corewell Health Trenton HospitalTrenton, MI · CCN 23017629$2,769About average$2,191$27,408
Bronson Battle Creek HospitalBattle Creek, MI · CCN 23007535$2,770About average$2,193$9,327
Cumberland Medical CenterCrossville, TN · CCN 44000932$2,770About average$2,206$6,123
McLaren MacombMount Clemens, MI · CCN 23022728$2,770About average$2,190$22,887
Presbyterian HospitalAlbuquerque, NM · CCN 32002124$2,770About average$2,187$19,664
Resolute Health HospitalNew Braunfels, TX · CCN 67009850$2,770About average$2,194$28,452
St Francis-DowntownGreenville, SC · CCN 420023167$2,770About average$2,198$26,141
Bronson Methodist HospitalKalamazoo, MI · CCN 23001773$2,770About average$2,193$8,898
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 26010439$2,771About average$2,196$15,380
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101169$2,772About average$2,179$14,723
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 45088049$2,772About average$2,190$17,290
Aiken Regional Medical CenterAiken, SC · CCN 42008219$2,772About average$2,209$39,241
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 42008545$2,772About average$2,209$74,324
Saint Thomas River Park HospitalMcminnville, TN · CCN 44015117$2,772About average$2,209$26,039
Northern Regional HospitalMount Airy, NC · CCN 34000315$2,772About average$2,190$9,079
Saint Thomas Highlands HospitalSparta, TN · CCN 44019219$2,772About average$2,206$17,632

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6413$1,583$1,314–$1,899
Mississippi28947$2,519$2,601–$2,686
Alabama391,853$2,552$2,533–$2,680
Tennessee492,127$2,620$2,638–$2,781
Louisiana391,910$2,668$2,629–$2,719
West Virginia20804$2,683$2,599–$2,724
South Carolina422,831$2,688$2,716–$2,802
Ohio984,734$2,715$2,702–$2,815
Georgia622,484$2,723$2,699–$2,930
Kentucky371,726$2,727$2,706–$2,851
Oklahoma473,250$2,735$2,692–$2,841
Arkansas272,136$2,751$2,707–$2,897
Kansas321,981$2,754$2,752–$2,852
Missouri532,474$2,773$2,722–$2,915
Michigan722,772$2,779$2,722–$2,890
Iowa251,094$2,782$2,708–$2,900
Nebraska191,210$2,813$2,834–$2,917
Texas1749,030$2,828$2,772–$2,922
North Carolina652,991$2,846$2,785–$2,890
Virginia542,605$2,856$2,778–$3,032
Indiana562,731$2,859$2,854–$2,950
Idaho14939$2,879$2,864–$3,061
Utah301,037$2,882$2,835–$2,900
Florida1115,022$2,883$2,871–$2,932
New Mexico17564$2,895$2,752–$2,910
Maine14591$2,895$2,738–$2,941
Pennsylvania985,031$2,901$2,844–$3,083
Wisconsin542,612$2,921$2,872–$2,995
Illinois813,523$2,967$2,919–$3,073
Minnesota431,776$2,975$2,937–$3,094
Montana9456$3,003$2,951–$3,187
South Dakota131,592$3,054$3,014–$3,211
North Dakota6723$3,059$3,035–$3,078
Colorado431,532$3,070$3,025–$3,081
New Hampshire12560$3,114$3,084–$3,162
Arizona442,123$3,136$3,072–$3,156
Wyoming10243$3,183$3,156–$3,250
Delaware6415$3,203$3,186–$3,238
District of Columbia4160$3,234$3,218–$3,312
Rhode Island7372$3,249$3,230–$3,285
Washington411,980$3,260$3,204–$3,335
Nevada16646$3,395$3,325–$3,399
New Jersey482,146$3,401$3,341–$3,505
Massachusetts484,090$3,414$3,413–$3,476
Alaska6236$3,415$3,300–$3,453
Oregon301,006$3,424$3,273–$3,396
New York944,940$3,442$3,389–$3,647
Connecticut25750$3,562$3,515–$3,611
Hawaii5168$3,666$3,617–$3,899
California1506,667$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.