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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 New York

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.

Location
New York
Specific hospitals up to 10
Average payment across these 93 hospitals
$3,441National $2,995 · New York $3,442
Median hospital
$3,525
Lowest to highest
$1,824–$3,748
Medicare procedures
4,928

93 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–93. Download as CSV

Medicare payments per case for Level 3 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393161$3,56219% above the national average$2,826$24,438
Richmond University Medical CenterStaten Island, NY · CCN 33002824$3,56919% above the national average$2,812$16,907
Lenox Hill HospitalNew York, NY · CCN 330119142$3,56919% above the national average$2,825$20,749
Nyu Langone HospitalsNew York, NY · CCN 330214587$3,58320% above the national average$2,842$37,928
North Shore University HospitalManhasset, NY · CCN 330106126$3,58720% above the national average$2,847$23,807
St Joseph HospitalBethpage, NY · CCN 33033251$3,59320% above the national average$2,849$16,620
Montefiore St Luke's CornwallNewburgh, NY · CCN 33026436$3,59420% above the national average$2,854$20,762
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 33008537$3,59620% above the national average$2,849$7,241
Montefiore Medical CenterBronx, NY · CCN 33005965$3,60220% above the national average$2,860$32,927
Northwell Hospital Glen CoveGlen Cove, NY · CCN 33018118$3,61521% above the national average$2,874$16,800
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028653$3,61521% above the national average$2,880$19,302
St Catherine Of Siena HospitalSmithtown, NY · CCN 33040139$3,61521% above the national average$2,880$15,613
Long Island Community HospitalPatchogue, NY · CCN 33014156$3,61521% above the national average$2,878$36,500
Peconic Bay Medical CenterRiverhead, NY · CCN 33010725$3,61521% above the national average$2,878$16,938
Westchester Medical CenterValhalla, NY · CCN 33023463$3,61721% above the national average$2,871$41,744
New York-Presbyterian HospitalNew York, NY · CCN 330101254$3,63821% above the national average$2,886$25,298
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 33025098$3,64622% above the national average$2,899$9,196
Mount Sinai Beth IsraelNew York, NY · CCN 33016940$3,64622% above the national average$2,905$20,691
Mount Sinai WestNew York, NY · CCN 33004681$3,64622% above the national average$2,905$18,326
Mount Sinai South NassauOceanside, NY · CCN 33019846$3,64722% above the national average$2,906$27,294
Nassau University Medical CenterEast Meadow, NY · CCN 33002715$3,64722% above the national average$2,906$12,607
Phelps HospitalSleepy Hollow, NY · CCN 33026138$3,66822% above the national average$2,917$24,838
Brooks-TLC Hospital System, IncDunkirk, NY · CCN 33022911$3,67523% above the national average$2,928$5,904
Jones Memorial HospitalWellsville, NY · CCN 33009616$3,67523% above the national average$2,928$7,485
Olean General HospitalOlean, NY · CCN 33010330$3,67523% above the national average$2,928$7,276
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 33007936$3,67623% above the national average$2,927$10,503
Cayuga Medical Center At IthacaIthaca, NY · CCN 33030794$3,67623% above the national average$2,926$9,922
Bassett HealthcareCooperstown, NY · CCN 33013655$3,67623% above the national average$2,925$10,193
Samaritan Medical CenterWatertown, NY · CCN 33015718$3,67623% above the national average$2,923$11,103
Auburn Community HospitalAuburn, NY · CCN 33023523$3,67623% above the national average$2,920$8,104
Mount Sinai HospitalNew York, NY · CCN 33002430$3,68323% above the national average$2,935$21,359
St Joseph's Medical CenterYonkers, NY · CCN 33000638$3,68323% above the national average$2,935$8,311
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 33015822$3,68323% above the national average$2,935$47,363
Jamaica Hospital Medical CenterJamaica, NY · CCN 33001411$3,68323% above the national average$2,935$6,524
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 33018424$3,68323% above the national average$2,935$19,265
St Barnabas HospitalBronx, NY · CCN 33039913$3,68323% above the national average$2,935$9,570
St John's Riverside HospitalYonkers, NY · CCN 33020816$3,68323% above the national average$2,935$9,377
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 33035014$3,68323% above the national average$2,935$12,934
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 33001916$3,68323% above the national average$2,934$15,057
New York-Presbyterian/QueensFlushing, NY · CCN 33005533$3,68323% above the national average$2,930$18,559
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 33023311$3,68323% above the national average$2,927$9,261
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 33026720$3,68323% above the national average$2,925$17,633
Garnet Health Medical Center CatskillsHarris, NY · CCN 33038613$3,74825% above the national average$2,982$19,135

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6413$1,583$1,314–$1,899
Mississippi28947$2,519$2,601–$2,686
Alabama391,853$2,552$2,533–$2,680
Tennessee492,127$2,620$2,638–$2,781
Louisiana391,910$2,668$2,629–$2,719
West Virginia20804$2,683$2,599–$2,724
South Carolina422,831$2,688$2,716–$2,802
Ohio984,734$2,715$2,702–$2,815
Georgia622,484$2,723$2,699–$2,930
Kentucky371,726$2,727$2,706–$2,851
Oklahoma473,250$2,735$2,692–$2,841
Arkansas272,136$2,751$2,707–$2,897
Kansas321,981$2,754$2,752–$2,852
Missouri532,474$2,773$2,722–$2,915
Michigan722,772$2,779$2,722–$2,890
Iowa251,094$2,782$2,708–$2,900
Nebraska191,210$2,813$2,834–$2,917
Texas1749,030$2,828$2,772–$2,922
North Carolina652,991$2,846$2,785–$2,890
Virginia542,605$2,856$2,778–$3,032
Indiana562,731$2,859$2,854–$2,950
Idaho14939$2,879$2,864–$3,061
Utah301,037$2,882$2,835–$2,900
Florida1115,022$2,883$2,871–$2,932
New Mexico17564$2,895$2,752–$2,910
Maine14591$2,895$2,738–$2,941
Pennsylvania985,031$2,901$2,844–$3,083
Wisconsin542,612$2,921$2,872–$2,995
Illinois813,523$2,967$2,919–$3,073
Minnesota431,776$2,975$2,937–$3,094
Montana9456$3,003$2,951–$3,187
South Dakota131,592$3,054$3,014–$3,211
North Dakota6723$3,059$3,035–$3,078
Colorado431,532$3,070$3,025–$3,081
New Hampshire12560$3,114$3,084–$3,162
Arizona442,123$3,136$3,072–$3,156
Wyoming10243$3,183$3,156–$3,250
Delaware6415$3,203$3,186–$3,238
District of Columbia4160$3,234$3,218–$3,312
Rhode Island7372$3,249$3,230–$3,285
Washington411,980$3,260$3,204–$3,335
Nevada16646$3,395$3,325–$3,399
New Jersey482,146$3,401$3,341–$3,505
Massachusetts484,090$3,414$3,413–$3,476
Alaska6236$3,415$3,300–$3,453
Oregon301,006$3,424$3,273–$3,396
New York944,940$3,442$3,389–$3,647
Connecticut25750$3,562$3,515–$3,611
Hawaii5168$3,666$3,617–$3,899
California1506,667$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.