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 901–950. 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
Greenwich Hospital Association -Greenwich, CT · CCN 070018	18	$2,877	About average	$2,259	$20,322
HCA Florida West HospitalPensacola, FL · CCN 100231	82	$2,877	About average	$2,279	$95,499
Jefferson Regional Medical CenterPine Bluff, AR · CCN 040071	33	$2,878	About average	$2,278	$9,338
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	87	$2,878	About average	$2,280	$44,505
Parkland Health CenterFarmington, MO · CCN 260163	30	$2,879	About average	$2,294	$17,087
The McDowell HospitalMarion, NC · CCN 340087	12	$2,880	About average	$2,294	$28,130
AdventHealth OrlandoOrlando, FL · CCN 100007	235	$2,880	About average	$2,283	$37,823
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	36	$2,880	About average	$2,263	$12,748
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	52	$2,881	About average	$2,295	$16,847
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	144	$2,881	About average	$2,285	$13,848
Mercy Hospital WashingtonWashington, MO · CCN 260052	41	$2,881	About average	$2,286	$11,064
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	46	$2,881	About average	$2,285	$30,109
Billings Clinic HospitalBillings, MT · CCN 270004	162	$2,884	About average	$2,287	$5,443
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	33	$2,884	About average	$2,285	$13,827
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	97	$2,884	About average	$2,287	$59,718
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	30	$2,884	About average	$2,292	$36,984
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	26	$2,885	About average	$2,298	$24,148
McLaren Lapeer RegionLapeer, MI · CCN 230193	11	$2,885	About average	$2,298	$7,933
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	15	$2,885	About average	$2,298	$21,754
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	15	$2,885	About average	$2,295	$11,504
McLaren Bay RegionBay City, MI · CCN 230041	70	$2,885	About average	$2,289	$10,742
Northwest Health-La PorteLa Porte, IN · CCN 150006	39	$2,885	About average	$2,299	$43,176
Norton Clark HospitalJeffersonville, IN · CCN 150009	17	$2,885	About average	$2,299	$22,008
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	21	$2,885	About average	$2,299	$18,434
Good Samaritan HospitalVincennes, IN · CCN 150042	70	$2,885	About average	$2,299	$12,516
Monroe HospitalBloomington, IN · CCN 150183	21	$2,885	About average	$2,298	$15,006
Baptist Health FloydNew Albany, IN · CCN 150044	24	$2,885	About average	$2,291	$26,414
Baxter HealthMountain Home, AR · CCN 040027	153	$2,886	About average	$2,297	$12,094
Sarasota Memorial HospitalSarasota, FL · CCN 100087	93	$2,887	About average	$2,291	$25,102
Merit Health River RegionVicksburg, MS · CCN 250031	17	$2,887	About average	$2,300	$45,071
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	53	$2,888	About average	$2,292	$41,697
UCHealth Greeley HospitalGreeley, CO · CCN 060131	12	$2,888	About average	$2,244	$14,910
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	25	$2,889	About average	$2,283	$27,322
North Carolina Specialty HospitalDurham, NC · CCN 340049	36	$2,890	About average	$2,297	$8,898
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	37	$2,890	About average	$2,303	$14,980
CHI Health St. ElizabethLincoln, NE · CCN 280020	18	$2,890	About average	$2,303	$17,921
Harper University HospitalDetroit, MI · CCN 230104	19	$2,890	About average	$2,303	$45,847
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	49	$2,890	About average	$2,297	$23,403
Uw HealthRockford, IL · CCN 140228	44	$2,891	About average	$2,292	$41,499
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	117	$2,891	About average	$2,291	$38,021
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	113	$2,891	About average	$2,303	$14,922
Ahn Wexford HospitalWexford, PA · CCN 390334	17	$2,891	About average	$2,303	$19,489
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	18	$2,891	About average	$2,303	$16,902
Edgewood Surgical HospitalTransfer, PA · CCN 390307	16	$2,891	About average	$2,303	$13,869
Grove City Medical CenterGrove City, PA · CCN 390266	17	$2,891	About average	$2,303	$12,840
St Clair HospitalPittsburgh, PA · CCN 390228	53	$2,891	About average	$2,303	$16,100
UPMC HorizonGreenville, PA · CCN 390178	13	$2,891	About average	$2,303	$31,585
UPMC NorthwestSeneca, PA · CCN 390091	16	$2,891	About average	$2,303	$13,389
Geisinger-Community Medical CenterScranton, PA · CCN 390001	50	$2,891	About average	$2,303	$52,603
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	11	$2,891	About average	$2,303	$11,692

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.