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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Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 801–850. 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
Ascension Seton HaysKyle, TX · CCN 670056	20	$2,849	About average	$2,270	$40,793
Ascension Seton SouthwestAustin, TX · CCN 450865	27	$2,849	About average	$2,270	$33,648
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	15	$2,849	About average	$2,270	$15,808
Baylor Scott & White Medical Center - BudaBuda, TX · CCN 670131	15	$2,849	About average	$2,270	$15,227
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	18	$2,849	About average	$2,270	$12,902
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	12	$2,849	About average	$2,270	$42,383
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	26	$2,849	About average	$2,270	$36,172
North Austin Medical CenterAustin, TX · CCN 450809	27	$2,849	About average	$2,270	$63,517
Northwest Hills Surgical HospitalAustin, TX · CCN 450808	35	$2,849	About average	$2,270	$14,455
Round Rock Medical CenterRound Rock, TX · CCN 450718	11	$2,849	About average	$2,270	$56,877
St David's South Austin Medical CenterAustin, TX · CCN 450713	39	$2,849	About average	$2,270	$64,599
St David's Medical CenterAustin, TX · CCN 450431	43	$2,849	About average	$2,268	$42,130
CHI Health LakesideOmaha, NE · CCN 280130	66	$2,849	About average	$2,245	$27,670
University Of Kansas Health System Great Bend CampusGreat Bend, KS · CCN 170191	68	$2,849	About average	$2,266	$9,732
Intermountain Medical CenterMurray, UT · CCN 460010	69	$2,850	About average	$2,260	$12,252
Rex HospitalRaleigh, NC · CCN 340114	36	$2,850	About average	$2,257	$15,184
St Josephs HospitalTampa, FL · CCN 100075	57	$2,850	About average	$2,254	$27,192
Lake Huron Medical CenterPort Huron, MI · CCN 230031	11	$2,851	About average	$2,271	$18,824
King's Daughters Medical Center-BrookhavenBrookhaven, MS · CCN 250057	14	$2,851	About average	$2,272	$8,522
Deaconess Henderson HospitalHenderson, KY · CCN 180056	14	$2,851	About average	$2,270	$15,032
Deaconess Hospital IncEvansville, IN · CCN 150082	85	$2,851	About average	$2,272	$13,942
Caromont Regional Medical CenterGastonia, NC · CCN 340032	122	$2,852	About average	$2,257	$16,641
Midwest Surgical Hospital LLCOmaha, NE · CCN 280131	113	$2,852	About average	$2,255	$11,130
St Luke's Hospital At The VintageHouston, TX · CCN 670075	16	$2,852	About average	$2,242	$28,628
McLaren Greater LansingLansing, MI · CCN 230167	60	$2,852	About average	$2,261	$10,632
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	16	$2,852	About average	$2,230	$20,286
Union General HospitalBlairsville, GA · CCN 110051	60	$2,852	About average	$2,255	$16,195
Grady Memorial HospitalChickasha, OK · CCN 370054	26	$2,854	About average	$2,251	$14,829
Advanced Surgical HospitalWashington, PA · CCN 390323	62	$2,854	About average	$2,265	$20,125
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 450853	79	$2,854	About average	$2,258	$22,330
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	68	$2,855	About average	$2,262	$26,126
Hendricks Regional HealthDanville, IN · CCN 150005	34	$2,855	About average	$2,261	$24,151
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	60	$2,856	About average	$2,256	$26,038
Great Plains HealthNorth Platte, NE · CCN 280065	33	$2,856	About average	$2,276	$21,791
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	283	$2,857	About average	$2,261	$26,946
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	68	$2,857	About average	$2,265	$22,527
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	25	$2,857	About average	$2,257	$11,762
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	33	$2,857	About average	$2,262	$11,279
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	83	$2,858	About average	$2,271	$12,336
Holy Cross Hospital-DavisLayton, UT · CCN 460041	55	$2,858	About average	$2,268	$12,032
Riverside Medical CenterKankakee, IL · CCN 140186	39	$2,858	About average	$2,238	$31,021
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	258	$2,859	About average	$2,270	$32,518
Hays Medical CenterHays, KS · CCN 170013	41	$2,859	About average	$2,254	$11,780
Henry County Memorial HospitalNew Castle, IN · CCN 150030	45	$2,859	About average	$2,277	$15,588
North Central Surgical Center LLPDallas, TX · CCN 670049	284	$2,859	About average	$2,266	$15,345
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	13	$2,859	About average	$2,278	$14,655
Duke University HospitalDurham, NC · CCN 340030	145	$2,859	About average	$2,270	$18,098
Hunt Regional Medical CenterGreenville, TX · CCN 450352	45	$2,862	About average	$2,259	$10,600
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	38	$2,862	About average	$2,269	$26,080
The Nebraska Medical CenterOmaha, NE · CCN 280013	85	$2,862	About average	$2,269	$13,615

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.