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 601–650. 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
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	21	$2,789	About average	$2,222	$36,871
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	33	$2,789	About average	$2,222	$21,698
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	13	$2,789	About average	$2,222	$24,189
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	11	$2,789	About average	$2,222	$57,398
Williamson Medical CenterFranklin, TN · CCN 440029	71	$2,789	About average	$2,222	$20,639
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	32	$2,789	About average	$2,182	$31,019
O U Medical CenterOklahoma City, OK · CCN 370093	65	$2,789	About average	$2,218	$51,047
Summit Medical Center, LLCEdmond, OK · CCN 370225	51	$2,789	About average	$2,218	$39,841
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	60	$2,789	About average	$2,217	$46,638
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	31	$2,789	About average	$2,216	$28,808
University Of Louisville HospitalLouisville, KY · CCN 180141	12	$2,789	About average	$2,215	$19,072
Baptist HospitalPensacola, FL · CCN 100093	37	$2,790	About average	$2,210	$55,813
Johnston HealthSmithfield, NC · CCN 340090	19	$2,790	About average	$2,188	$18,945
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	84	$2,790	About average	$2,212	$16,937
Palomar Health Downtown CampusEscondido, CA · CCN 050115	16	$2,791	About average	$1,982	$40,074
Labette HealthParsons, KS · CCN 170120	28	$2,791	About average	$2,190	$8,413
St Lukes HospitalCedar Rapids, IA · CCN 160045	26	$2,791	About average	$2,224	$14,259
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	26	$2,792	About average	$2,225	$27,077
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	28	$2,792	About average	$2,225	$23,860
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	172	$2,792	About average	$2,223	$13,324
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113 · +$840 outlier payments per case	120	$2,793	About average	$2,201	$37,559
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	20	$2,793	About average	$2,225	$18,351
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$1,205 outlier payments per case	45	$2,794	About average	$2,223	$32,763
Bellevue Medical CenterBellevue, NE · CCN 280132	19	$2,794	About average	$2,202	$12,988
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	15	$2,795	About average	$2,195	$31,382
St Mary's Medical CenterWest Palm Beach, FL · CCN 100288	17	$2,795	About average	$2,188	$79,230
Sentara Leigh HospitalNorfolk, VA · CCN 490046	208	$2,795	About average	$2,220	$18,839
Sacred Heart HospitalPensacola, FL · CCN 100025 · +$741 outlier payments per case	67	$2,795	About average	$2,221	$27,409
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	26	$2,796	About average	$2,207	$29,971
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	47	$2,796	About average	$2,208	$16,005
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	37	$2,796	About average	$2,216	$20,541
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	29	$2,797	About average	$2,228	$27,598
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068 · +$699 outlier payments per case	69	$2,797	About average	$2,193	$47,531
Forbes HospitalMonroeville, PA · CCN 390267	24	$2,797	About average	$2,204	$17,772
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$549 outlier payments per case	119	$2,798	About average	$2,225	$17,800
Memorial Hermann Surgical Hospital KingwoodKingwood, TX · CCN 670005	84	$2,799	About average	$2,225	$19,556
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	58	$2,800	About average	$2,184	$35,210
Orlando HealthOrlando, FL · CCN 100006	52	$2,800	About average	$2,199	$55,466
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	64	$2,800	About average	$2,209	$36,540
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	137	$2,800	About average	$2,226	$28,055
Wilson Memorial HospitalSidney, OH · CCN 360013	45	$2,802	About average	$2,212	$18,317
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	18	$2,802	About average	$2,206	$72,592
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	149	$2,803	About average	$2,213	$10,545
Saint Joseph EastLexington, KY · CCN 180143	13	$2,803	About average	$2,233	$14,815
Riverview HealthNoblesville, IN · CCN 150059	55	$2,803	About average	$2,209	$17,881
Atrium Health ClevelandShelby, NC · CCN 340021	31	$2,804	About average	$2,219	$24,916
Mayo ClinicJacksonville, FL · CCN 100151	202	$2,804	About average	$2,232	$21,268
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	24	$2,805	About average	$2,234	$35,676
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	35	$2,805	About average	$2,226	$43,847
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	24	$2,805	About average	$2,235	$20,274

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.