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

Hospitals in Illinois

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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Illinois

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Year of care

Average payment across these 81 hospitals: $2,967National $2,995 · Illinois $2,967
Median hospital: $2,991
Lowest to highest: $2,049–$3,204
Medicare procedures: 3,523

81 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–81. 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
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	42	$3,018	About average	$2,390	$29,754
Blessing HospitalQuincy, IL · CCN 140015	64	$3,022	About average	$2,408	$22,492
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	59	$3,032	About average	$2,407	$11,569
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	81	$3,043	About average	$2,416	$23,768
Presence St Marys HospitalKankakee, IL · CCN 140155	17	$3,044	About average	$2,425	$26,573
St Mary Medical CenterGalesburg, IL · CCN 140064	16	$3,044	About average	$2,393	$18,123
Saint Anthony Medical CenterRockford, IL · CCN 140233	47	$3,046	About average	$2,398	$15,671
The University Of Chicago Medical CenterChicago, IL · CCN 140088	52	$3,052	About average	$2,407	$45,778
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	50	$3,055	About average	$2,430	$24,434
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	13	$3,073	About average	$2,448	$27,421
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	48	$3,073	About average	$2,448	$22,457
Saint Joseph Medical CenterJoliet, IL · CCN 140007	14	$3,073	About average	$2,448	$22,776
Rush Oak Park HospitalOak Park, IL · CCN 140063	40	$3,073	About average	$2,447	$19,899
Edward HospitalNaperville, IL · CCN 140231	47	$3,073	About average	$2,446	$20,542
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	29	$3,073	About average	$2,446	$26,311
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	26	$3,073	About average	$2,445	$23,633
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	40	$3,073	About average	$2,444	$35,515
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	37	$3,073	About average	$2,443	$11,618
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	26	$3,073	About average	$2,443	$21,110
Ingalls Memorial HospitalHarvey, IL · CCN 140191	18	$3,073	About average	$2,439	$20,210
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	25	$3,073	About average	$2,436	$25,858
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	35	$3,148	About average	$2,508	$27,111
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	24	$3,148	About average	$2,508	$26,181
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	39	$3,148	About average	$2,506	$24,960
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	35	$3,148	About average	$2,503	$22,059
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	33	$3,148	About average	$2,503	$18,698
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	24	$3,148	About average	$2,501	$25,932
Copley Memorial HospitalAurora, IL · CCN 140029	45	$3,159	About average	$2,517	$23,165
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	26	$3,162	About average	$2,519	$28,147
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	26	$3,162	About average	$2,519	$43,563
Graham Hospital AssociationCanton, IL · CCN 140001	27	$3,204	About average	$2,550	$17,936

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.