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 751–800. 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
Methodist McKinney HospitalMckinney, TX · CCN 670069	56	$2,830	About average	$2,237	$20,405
Northside HospitalAtlanta, GA · CCN 110161	83	$2,830	About average	$2,250	$30,209
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	39	$2,831	About average	$2,237	$32,299
Wayne General HospitalWaynesboro, MS · CCN 250077	15	$2,831	About average	$2,256	$4,473
Schneck Medical CenterSeymour, IN · CCN 150065	60	$2,832	About average	$2,232	$23,515
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	78	$2,832	About average	$2,240	$30,857
Ogden Regional Medical CenterOgden, UT · CCN 460005	33	$2,832	About average	$2,240	$33,391
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	79	$2,832	About average	$2,227	$39,998
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	49	$2,833	About average	$2,257	$24,192
Marion General HospitalMarion, OH · CCN 360011	29	$2,833	About average	$2,251	$29,272
Lima Memorial Health SystemLima, OH · CCN 360009	17	$2,834	About average	$2,246	$30,317
Corewell Health Ludington HospitalLudington, MI · CCN 230110	14	$2,834	About average	$2,258	$9,696
Memorial HealthcareOwosso, MI · CCN 230121	16	$2,834	About average	$2,258	$19,689
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	14	$2,834	About average	$2,258	$8,591
Medical City PlanoPlano, TX · CCN 450651	30	$2,836	About average	$2,243	$76,490
Northwestern Memorial HospitalChicago, IL · CCN 140281	155	$2,836	About average	$2,249	$30,020
Eastern New Mexico Medical CenterRoswell, NM · CCN 320006	21	$2,836	About average	$2,259	$30,787
McLaren Central MichiganMount Pleasant, MI · CCN 230080	24	$2,838	About average	$2,261	$12,963
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	33	$2,838	About average	$2,243	$32,122
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	25	$2,839	About average	$2,243	$122,328
UPMC St MargaretPittsburgh, PA · CCN 390102	83	$2,839	About average	$2,251	$33,967
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	35	$2,839	About average	$2,248	$31,051
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 240064	50	$2,840	About average	$2,261	$9,801
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	94	$2,840	About average	$2,253	$22,455
Geisinger Medical CenterDanville, PA · CCN 390006	161	$2,840	About average	$2,252	$59,086
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	80	$2,840	About average	$2,252	$26,164
Doctors HospitalCoral Gables, FL · CCN 100296	32	$2,841	About average	$2,257	$47,203
Mary Lanning HealthcareHastings, NE · CCN 280032	26	$2,841	About average	$2,245	$13,319
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	13	$2,841	About average	$2,219	$16,990
Beaumont Hospital, TroyTroy, MI · CCN 230269	80	$2,842	About average	$2,253	$23,188
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	31	$2,842	About average	$2,245	$16,366
Mountain View HospitalIdaho Falls, ID · CCN 130065	161	$2,842	About average	$2,248	$9,010
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	26	$2,842	About average	$2,243	$65,356
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	33	$2,843	About average	$2,245	$50,956
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	22	$2,843	About average	$2,244	$32,030
Park City HospitalPark City, UT · CCN 460057	41	$2,843	About average	$2,252	$13,631
UPMC JamesonNew Castle, PA · CCN 390016	37	$2,844	About average	$2,256	$13,647
Aspirus Wausau HospitalWausau, WI · CCN 520030	44	$2,844	About average	$2,255	$13,997
Columbus Community HospitalColumbus, TX · CCN 450370	14	$2,844	About average	$2,223	$11,037
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	83	$2,845	About average	$2,250	$43,013
Jackson-Madison County General HospitalJackson, TN · CCN 440002	121	$2,845	About average	$2,253	$15,473
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	37	$2,846	About average	$2,252	$19,560
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	48	$2,847	About average	$2,244	$18,751
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	39	$2,847	About average	$2,269	$19,749
MUSC Health Chester Medical CenterChester, SC · CCN 420019	15	$2,847	About average	$2,256	$43,401
Treasure Valley HospitalBoise, ID · CCN 130063	80	$2,847	About average	$2,262	$16,954
Corewell Health Wayne HospitalWayne, MI · CCN 230142	25	$2,848	About average	$2,256	$27,320
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	77	$2,848	About average	$2,263	$35,336
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	103	$2,849	About average	$2,255	$17,588
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	39	$2,849	About average	$2,255	$14,779

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.