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 51–100. 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
Baptist Health RichmondRichmond, KY · CCN 180049	11	$2,382	20% below the national average	$1,816	$19,651
Camden Clark Medical CenterParkersburg, WV · CCN 510058	33	$2,395	20% below the national average	$1,881	$15,347
Cypress Pointe Surgical HospitalHammond, LA · CCN 190303	28	$2,407	20% below the national average	$1,917	$26,979
University Of Kentucky HospitalLexington, KY · CCN 180067	62	$2,415	19% below the national average	$1,902	$21,612
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	24	$2,418	19% below the national average	$1,821	$8,806
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	30	$2,420	19% below the national average	$1,928	$17,141
East Jefferson General HospitalMetairie, LA · CCN 190176	60	$2,422	19% below the national average	$1,930	$62,619
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	35	$2,425	19% below the national average	$1,870	$35,626
Merit Health River OaksFlowood, MS · CCN 250138	20	$2,426	19% below the national average	$1,881	$80,682
Javon Bea HospitalRockford, IL · CCN 140239	21	$2,433	19% below the national average	$1,929	$17,818
Hendrick Medical CenterAbilene, TX · CCN 450229	52	$2,443	18% below the national average	$1,937	$39,672
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	43	$2,443	18% below the national average	$1,878	$6,810
Piedmont Medical CenterRock Hill, SC · CCN 420002	45	$2,445	18% below the national average	$1,854	$39,933
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	14	$2,445	18% below the national average	$1,948	$40,698
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	15	$2,452	18% below the national average	$1,887	$21,769
Baptist Medical Center EastMontgomery, AL · CCN 010149	16	$2,459	18% below the national average	$1,895	$10,758
Henry Ford Health HospitalDetroit, MI · CCN 230053	103	$2,462	18% below the national average	$1,945	$13,077
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	49	$2,463	18% below the national average	$1,952	$38,573
Nevada Regional Medical CenterNevada, MO · CCN 260061	13	$2,466	18% below the national average	$1,965	$15,030
FHN Memorial HospitalFreeport, IL · CCN 140160	25	$2,467	18% below the national average	$1,873	$19,655
Christian Hospital NortheastSaint Louis, MO · CCN 260180	22	$2,470	18% below the national average	$1,947	$18,343
Memorial HospitalFremont, OH · CCN 360156	23	$2,475	17% below the national average	$1,914	$14,215
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	14	$2,476	17% below the national average	$1,973	$21,168
Sentara Obici HospitalSuffolk, VA · CCN 490044	29	$2,480	17% below the national average	$1,960	$20,526
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	51	$2,480	17% below the national average	$1,966	$10,367
Mizell Memorial HospitalOpp, AL · CCN 010007	16	$2,486	17% below the national average	$1,980	$5,999
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	16	$2,492	17% below the national average	$1,929	$10,517
North Baldwin InfirmaryBay Minette, AL · CCN 010129	22	$2,492	17% below the national average	$1,946	$6,977
Touro InfirmaryNew Orleans, LA · CCN 190046	11	$2,493	17% below the national average	$1,984	$15,626
Lee Memorial HospitalFort Myers, FL · CCN 100012	157	$2,495	17% below the national average	$1,988	$33,781
Corewell Health Watervliet HospitalWatervliet, MI · CCN 230078	33	$2,495	17% below the national average	$1,974	$15,288
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	17	$2,496	17% below the national average	$1,989	$19,043
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	31	$2,503	16% below the national average	$1,986	$15,890
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	12	$2,505	16% below the national average	$1,960	$20,348
St Francis HospitalMemphis, TN · CCN 440183	29	$2,509	16% below the national average	$1,949	$42,269
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	23	$2,515	16% below the national average	$1,953	$18,192
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA · CCN 190317	21	$2,516	16% below the national average	$1,959	$20,112
Lake HealthConcord, OH · CCN 360098	22	$2,518	16% below the national average	$1,968	$21,934
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	52	$2,520	16% below the national average	$1,957	$13,536
Clinch Valley Medical CenterRichlands, VA · CCN 490060	16	$2,521	16% below the national average	$1,939	$30,152
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	183	$2,522	16% below the national average	$1,997	$31,881
Fairview HospitalCleveland, OH · CCN 360077	35	$2,524	16% below the national average	$1,962	$12,289
Spectrum HealthGrand Rapids, MI · CCN 230038	129	$2,525	16% below the national average	$1,992	$10,836
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	18	$2,525	16% below the national average	$1,962	$34,157
Caldwell Memorial HospitalLenoir, NC · CCN 340041	59	$2,526	16% below the national average	$1,993	$16,809
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	18	$2,526	16% below the national average	$1,989	$18,556
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	70	$2,533	15% below the national average	$1,991	$23,386
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	38	$2,540	15% below the national average	$2,024	$48,738
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	192	$2,541	15% below the national average	$2,011	$8,373
Physicians Regional Medical CenterPowell, TN · CCN 440120	79	$2,541	15% below the national average	$2,017	$18,390

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.