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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2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 701–750. 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
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	19	$2,816	About average	$2,239	$21,346
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	35	$2,816	About average	$2,239	$21,633
Chesapeake General HospitalChesapeake, VA · CCN 490120	35	$2,817	About average	$2,233	$23,703
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	14	$2,817	About average	$2,244	$20,801
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	39	$2,817	About average	$2,244	$11,308
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	49	$2,817	About average	$2,244	$22,195
Sampson Regional Medical CenterClinton, NC · CCN 340024	12	$2,817	About average	$2,244	$9,572
Harris Regional HospitalSylva, NC · CCN 340016	38	$2,817	About average	$2,244	$23,270
Haywood Regional Medical CenterClyde, NC · CCN 340184	19	$2,817	About average	$2,240	$22,861
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	17	$2,817	About average	$2,236	$33,305
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 450883	94	$2,817	About average	$2,234	$18,935
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	13	$2,817	About average	$2,230	$15,439
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	24	$2,817	About average	$2,232	$27,074
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	35	$2,818	About average	$2,217	$39,481
Riverside Methodist HospitalColumbus, OH · CCN 360006	30	$2,818	About average	$2,226	$27,603
HCA Houston Healthcare ConroeConroe, TX · CCN 450222	12	$2,818	About average	$2,192	$65,776
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	31	$2,818	About average	$2,230	$18,503
Memorial Medical CenterLas Cruces, NM · CCN 320018	42	$2,819	About average	$2,246	$42,948
Mountain View Regional Medical CenterLas Cruces, NM · CCN 320085	48	$2,819	About average	$2,245	$50,953
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	36	$2,819	About average	$2,220	$24,670
Emory University Hospital MidtownAtlanta, GA · CCN 110078	13	$2,820	About average	$2,209	$19,911
Holland HospitalHolland, MI · CCN 230072	31	$2,820	About average	$2,246	$11,828
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	23	$2,821	About average	$2,227	$25,516
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	21	$2,821	About average	$2,197	$58,043
ProMedica Toledo HospitalToledo, OH · CCN 360068	92	$2,822	About average	$2,232	$27,657
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	77	$2,822	About average	$2,230	$20,642
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 520205	56	$2,823	About average	$2,214	$24,563
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	75	$2,824	About average	$2,237	$13,097
Oaklawn HospitalMarshall, MI · CCN 230217	17	$2,824	About average	$2,250	$23,502
Berger HospitalCircleville, OH · CCN 360170	33	$2,825	About average	$2,236	$20,225
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	14	$2,826	About average	$2,247	$19,746
Cameron Regional Medical CenterCameron, MO · CCN 260057	15	$2,827	About average	$2,252	$19,876
Centerpoint Medical CenterIndependence, MO · CCN 260095	20	$2,827	About average	$2,252	$40,076
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	17	$2,827	About average	$2,252	$33,312
Liberty HospitalLiberty, MO · CCN 260177	26	$2,827	About average	$2,252	$21,146
Providence Medical CenterKansas City, KS · CCN 170146	13	$2,827	About average	$2,252	$20,895
Saint Luke's East HospitalLees Summit, MO · CCN 260216	19	$2,827	About average	$2,252	$35,634
Saint Luke's South HospitalOverland Park, KS · CCN 170185	29	$2,827	About average	$2,252	$20,779
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	43	$2,827	About average	$2,252	$30,687
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	26	$2,827	About average	$2,252	$9,844
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	65	$2,827	About average	$2,252	$16,637
Methodist Hospital For SurgeryAddison, TX · CCN 670073	27	$2,827	About average	$2,235	$21,862
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	29	$2,827	About average	$2,205	$32,048
Lincoln Surgical HospitalLincoln, NE · CCN 280127	73	$2,827	About average	$2,237	$9,540
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	210	$2,828	About average	$2,238	$16,788
Atrium Health UnionMonroe, NC · CCN 340130	29	$2,829	About average	$2,231	$27,120
UPMC WilliamsportWilliamsport, PA · CCN 390045	74	$2,829	About average	$2,240	$22,518
Integris Health Ponca CityPonca City, OK · CCN 370006	18	$2,829	About average	$2,211	$31,858
SSM St Clare Health CenterFenton, MO · CCN 260081	53	$2,829	About average	$2,253	$14,422
Orthoindy HospitalIndianapolis, IN · CCN 150160	220	$2,829	About average	$2,224	$16,342

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.