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 551–600. 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
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	34	$2,772	About average	$2,203	$22,490
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	76	$2,773	About average	$2,199	$13,436
Bethesda NorthCincinnati, OH · CCN 360179	67	$2,773	About average	$2,209	$14,992
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	84	$2,773	About average	$2,192	$19,361
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	46	$2,773	About average	$2,195	$50,164
The Monroe ClinicMonroe, WI · CCN 520028	29	$2,773	About average	$2,152	$18,817
Tift Regional Medical CenterTifton, GA · CCN 110095	21	$2,774	About average	$2,209	$15,089
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	102	$2,774	About average	$2,187	$26,496
Saline Memorial HospitalBenton, AR · CCN 040084	42	$2,775	About average	$2,203	$19,158
Berkeley Medical CenterMartinsburg, WV · CCN 510008	24	$2,775	About average	$2,168	$15,036
Archbold Memorial HospitalThomasville, GA · CCN 110038	13	$2,775	About average	$2,211	$15,822
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	44	$2,775	About average	$2,177	$19,216
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	58	$2,776	About average	$2,203	$17,192
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	41	$2,776	About average	$2,197	$12,914
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	15	$2,776	About average	$2,180	$76,723
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	104	$2,776	About average	$2,207	$25,400
Soin Medical CenterBeaver Creek, OH · CCN 360360	36	$2,777	About average	$2,183	$27,550
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	32	$2,777	About average	$2,206	$46,306
Hillcrest Hospital PryorPryor, OK · CCN 370015	11	$2,777	About average	$2,212	$19,511
Saint Lukes North HospitalKansas City, MO · CCN 260062	45	$2,777	About average	$2,202	$19,510
Cary Medical CenterCaribou, ME · CCN 200031	11	$2,777	About average	$2,213	$12,748
St Joseph HospitalBangor, ME · CCN 200001	55	$2,777	About average	$2,213	$19,472
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	34	$2,778	About average	$2,181	$17,596
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	44	$2,778	About average	$2,203	$16,116
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	29	$2,778	About average	$2,186	$13,718
Broadlawns Medical CenterDes Moines, IA · CCN 160101	11	$2,778	About average	$2,213	$15,430
Longview Regional Medical CenterLongview, TX · CCN 450702	91	$2,778	About average	$2,189	$53,645
Catawba Valley Medical CenterHickory, NC · CCN 340143	28	$2,779	About average	$2,197	$16,351
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	16	$2,781	About average	$2,216	$19,583
Baptist Medical CenterSan Antonio, TX · CCN 450058	72	$2,781	About average	$2,201	$66,097
Prisma Health BaptistColumbia, SC · CCN 420086	39	$2,781	About average	$2,215	$27,439
Prisma Health Richland HospitalColumbia, SC · CCN 420018	12	$2,782	About average	$2,201	$30,397
Frye Regional Medical CenterHickory, NC · CCN 340116	18	$2,782	About average	$2,217	$36,586
University Health SystemSan Antonio, TX · CCN 450213	53	$2,782	About average	$2,206	$23,642
Onslow Memorial HospitalJacksonville, NC · CCN 340042	13	$2,785	About average	$2,219	$15,658
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	108	$2,785	About average	$2,202	$26,337
Mercy Health System CorpJanesville, WI · CCN 520066	83	$2,786	About average	$2,204	$15,723
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	12	$2,786	About average	$2,220	$10,255
Peterson Regional Medical CenterKerrville, TX · CCN 450007	70	$2,786	About average	$2,215	$10,929
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	19	$2,787	About average	$2,220	$23,543
Lewisgale Hospital PulaskiPulaski, VA · CCN 490116	30	$2,787	About average	$2,208	$46,189
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	22	$2,787	About average	$2,220	$15,153
Mary Immaculate HospitalNewport News, VA · CCN 490041	100	$2,787	About average	$2,220	$23,335
Robert Packer HospitalSayre, PA · CCN 390079	89	$2,787	About average	$2,182	$15,317
Newberry County Memorial HospitalNewberry, SC · CCN 420053	13	$2,787	About average	$2,184	$15,451
Covenant Medical CenterSaginaw, MI · CCN 230070	47	$2,787	About average	$2,183	$15,653
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	42	$2,788	About average	$2,210	$19,302
Norman RegionalNorman, OK · CCN 370008	36	$2,789	About average	$2,222	$28,595
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	39	$2,789	About average	$2,222	$18,186
Tristar Centennial Medical CenterNashville, TN · CCN 440161	16	$2,789	About average	$2,222	$41,029

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.