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 Michigan

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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Michigan

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Year of care

Average payment across these 72 hospitals: $2,779National $2,995 · Michigan $2,779
Median hospital: $2,834
Lowest to highest: $1,894–$3,096
Medicare procedures: 2,772

72 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–72. 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
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
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	37	$2,890	About average	$2,303	$14,980
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
Three Rivers HealthThree Rivers, MI · CCN 230015	12	$2,899	About average	$2,310	$12,630
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	29	$2,912	About average	$2,301	$25,799
Munson Medical CenterTraverse City, MI · CCN 230097	33	$2,929	About average	$2,326	$14,359
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	40	$2,960	About average	$2,346	$9,808
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	71	$2,961	About average	$2,347	$22,427
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	80	$2,979	About average	$2,361	$12,074
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	43	$3,000	About average	$2,380	$19,131
Hurley Medical CenterFlint, MI · CCN 230132	11	$3,019	About average	$2,406	$27,272
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	12	$3,020	About average	$2,406	$7,490
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	17	$3,039	About average	$2,422	$12,217
McLaren Northern MichiganPetoskey, MI · CCN 230105	49	$3,039	About average	$2,421	$8,053
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	12	$3,041	About average	$2,423	$21,111
McLaren FlintFlint, MI · CCN 230141	20	$3,041	About average	$2,423	$12,339
Chelsea HospitalChelsea, MI · CCN 230259	53	$3,043	About average	$2,421	$22,918
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	14	$3,052	About average	$2,432	$10,612
Corewell Health Big Rapids HospitalBig Rapids, MI · CCN 230093	18	$3,053	About average	$2,433	$11,739
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	38	$3,096	About average	$2,466	$27,408

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.