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 651–700. 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
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	47	$2,805	About average	$2,235	$23,466
St Francis Regional Medical CenterShakopee, MN · CCN 240104	30	$2,806	About average	$2,218	$11,903
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	29	$2,806	About average	$2,235	$18,754
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	108	$2,807	About average	$2,228	$13,861
Johnson Memorial HospitalFranklin, IN · CCN 150001	20	$2,807	About average	$2,209	$21,028
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	54	$2,809	About average	$2,238	$26,612
Woodland Heights Medical CenterLufkin, TX · CCN 450484	36	$2,809	About average	$2,238	$67,301
Bsa HospitalAmarillo, TX · CCN 450231	11	$2,809	About average	$2,238	$25,981
Cuero Regional HospitalCuero, TX · CCN 450597	12	$2,809	About average	$2,238	$23,491
Foundation Surgical Hospital Of San AntonioSan Antonio, TX · CCN 670054	17	$2,809	About average	$2,238	$34,199
Palo Pinto General HospitalMineral Wells, TX · CCN 450565	26	$2,809	About average	$2,238	$15,994
Rio Grande Regional HospitalMcallen, TX · CCN 450711	12	$2,809	About average	$2,238	$66,743
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	25	$2,809	About average	$2,238	$65,648
Christus St Michael Health SystemTexarkana, TX · CCN 450801	72	$2,809	About average	$2,237	$22,764
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	45	$2,809	About average	$2,236	$33,950
Christ HospitalCincinnati, OH · CCN 360163	157	$2,809	About average	$2,236	$17,866
CHI Health ImmanuelOmaha, NE · CCN 280081	43	$2,809	About average	$2,211	$23,628
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	58	$2,809	About average	$2,229	$20,845
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	18	$2,809	About average	$2,227	$90,101
Valley Baptist Medical Center- BrownsvilleBrownsville, TX · CCN 450028	18	$2,809	About average	$2,227	$68,082
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	92	$2,809	About average	$2,220	$34,045
Delray Medical CenterDelray Beach, FL · CCN 100258	19	$2,809	About average	$2,213	$76,497
Memorial Regional HospitalHollywood, FL · CCN 100038	19	$2,809	About average	$2,213	$37,932
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	19	$2,809	About average	$2,213	$118,953
Henrico Doctors' HospitalRichmond, VA · CCN 490118	152	$2,809	About average	$2,233	$87,198
St Mary's Regional Medical CenterLewiston, ME · CCN 200034	17	$2,810	About average	$2,239	$29,552
Surgeons Choice Medical CenterSouthfield, MI · CCN 230301	143	$2,810	About average	$2,228	$13,695
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	17	$2,811	About average	$2,210	$24,184
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	26	$2,811	About average	$2,221	$16,210
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	84	$2,811	About average	$2,240	$32,740
Allegheny General HospitalPittsburgh, PA · CCN 390050	29	$2,812	About average	$2,222	$21,860
Southwest Medical CenterLiberal, KS · CCN 170068	16	$2,812	About average	$2,211	$13,008
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	91	$2,812	About average	$2,241	$25,299
Northwest Health - PorterValparaiso, IN · CCN 150035	31	$2,813	About average	$2,226	$33,578
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	19	$2,813	About average	$2,189	$11,401
Grant Medical CenterColumbus, OH · CCN 360017	115	$2,814	About average	$2,226	$29,055
Kansas City Orthopaedic InstituteLeawood, KS · CCN 170188	182	$2,814	About average	$2,239	$22,375
Pelham Medical CenterGreer, SC · CCN 420103	13	$2,815	About average	$2,242	$25,612
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	67	$2,815	About average	$2,225	$15,411
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	27	$2,815	About average	$2,207	$32,147
Avita OntarioOntario, OH · CCN 360365	17	$2,815	About average	$2,243	$12,387
Good Samaritan HospitalCincinnati, OH · CCN 360134	64	$2,815	About average	$2,243	$11,790
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	62	$2,815	About average	$2,243	$14,396
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	31	$2,815	About average	$2,240	$35,236
Grady Memorial HospitalDelaware, OH · CCN 360210	29	$2,815	About average	$2,227	$26,604
Mercy Health - West HospitalCincinnati, OH · CCN 360234	30	$2,815	About average	$2,240	$26,089
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	31	$2,815	About average	$2,239	$21,544
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	20	$2,816	About average	$2,244	$37,845
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	13	$2,816	About average	$2,244	$24,217
Sentara Careplex HospitalHampton, VA · CCN 490093	32	$2,816	About average	$2,242	$17,281

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.