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 851–900. 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
Wilson Medical CenterWilson, NC · CCN 340126	18	$2,862	About average	$2,281	$34,639
UNC Health NashRocky Mount, NC · CCN 340147	47	$2,862	About average	$2,280	$19,508
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	85	$2,862	About average	$2,278	$11,951
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	33	$2,862	About average	$2,277	$12,814
Henry Ford Allegiance HealthJackson, MI · CCN 230092	58	$2,863	About average	$2,272	$12,278
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 450888	118	$2,863	About average	$2,265	$17,886
Delta Health System - The Medical CenterGreenville, MS · CCN 250082	14	$2,863	About average	$2,281	$12,069
UPMC PassavantPittsburgh, PA · CCN 390107	83	$2,863	About average	$2,272	$30,438
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	34	$2,863	About average	$2,260	$54,597
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	73	$2,864	About average	$2,269	$8,256
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	48	$2,864	About average	$2,278	$8,698
Citizens Memorial HospitalBolivar, MO · CCN 260195	29	$2,865	About average	$2,282	$13,334
Lovelace Women's HospitalAlbuquerque, NM · CCN 320017	18	$2,865	About average	$2,283	$52,933
Lovelace Westside HospitalAlbuquerque, NM · CCN 320074	15	$2,865	About average	$2,283	$41,580
UNM HospitalAlbuquerque, NM · CCN 320001	74	$2,865	About average	$2,271	$10,805
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	25	$2,865	About average	$2,258	$19,966
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	35	$2,865	About average	$2,269	$50,580
UF Health Shands HospitalGainesville, FL · CCN 100113	105	$2,865	About average	$2,269	$24,470
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	31	$2,865	About average	$2,248	$8,453
Mercy Hospital SouthSaint Louis, MO · CCN 260077	68	$2,865	About average	$2,278	$9,962
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	60	$2,866	About average	$2,275	$31,777
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	54	$2,866	About average	$2,271	$10,489
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	57	$2,868	About average	$2,267	$39,334
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	115	$2,868	About average	$2,277	$12,724
Lancaster General HospitalLancaster, PA · CCN 390100	97	$2,868	About average	$2,275	$18,683
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	70	$2,868	About average	$2,285	$13,897
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	58	$2,869	About average	$2,274	$15,024
Doctors HospitalColumbus, OH · CCN 360152	15	$2,869	About average	$2,286	$30,665
AdventHealth TampaTampa, FL · CCN 100173	34	$2,869	About average	$2,267	$57,058
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	12	$2,869	About average	$2,244	$22,357
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	65	$2,869	About average	$2,276	$12,354
Owatonna HospitalOwatonna, MN · CCN 240069	46	$2,871	About average	$2,282	$10,384
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	69	$2,871	About average	$2,285	$30,452
Ohio State University State Health SystemColumbus, OH · CCN 360085	136	$2,871	About average	$2,279	$23,246
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	59	$2,872	About average	$2,280	$20,359
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	30	$2,872	About average	$2,272	$12,119
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	110	$2,872	About average	$2,280	$16,569
Blue Ridge Medical CenterBlue Ridge, GA · CCN 110780	28	$2,872	About average	$2,316	$56,818
Morton Plant HospitalClearwater, FL · CCN 100127	39	$2,872	About average	$2,270	$26,722
Northeast Georgia Medical Center LumpkinDahlonega, GA · CCN 110237	25	$2,874	About average	$2,290	$26,925
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	93	$2,875	About average	$2,275	$11,296
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	80	$2,875	About average	$2,285	$17,182
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	61	$2,875	About average	$2,279	$17,335
Broward Health NorthDeerfield Beach, FL · CCN 100086	15	$2,875	About average	$2,291	$19,913
Trinity Health Livingston HospitalHowell, MI · CCN 230069	28	$2,876	About average	$2,271	$24,089
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	162	$2,876	About average	$2,282	$33,891
Sovah Health DanvilleDanville, VA · CCN 490075	24	$2,876	About average	$2,284	$33,222
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	42	$2,876	About average	$2,276	$22,542
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	42	$2,876	About average	$2,276	$84,918
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	12	$2,877	About average	$2,250	$69,152

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.