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 Ohio

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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Ohio

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Average payment across these 98 hospitals: $2,715National $2,995 · Ohio $2,715
Median hospital: $2,754
Lowest to highest: $1,419–$2,950
Medicare procedures: 4,734

98 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–98. 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
Mercy Medical CenterCanton, OH · CCN 360070	18	$2,754	About average	$2,184	$18,517
Adena Regional Medical CenterChillicothe, OH · CCN 360159	58	$2,755	About average	$2,180	$29,396
Kettering Health DaytonDayton, OH · CCN 360133	210	$2,759	About average	$2,182	$28,048
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	40	$2,759	About average	$2,186	$25,595
Wood County HospitalBowling Green, OH · CCN 360029	24	$2,762	About average	$2,201	$15,058
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	32	$2,762	About average	$2,201	$28,457
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	29	$2,763	About average	$2,202	$17,946
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	28	$2,763	About average	$2,202	$15,403
Hillcrest HospitalMayfield Heights, OH · CCN 360230	59	$2,763	About average	$2,202	$15,817
South Pointe HospitalWarrensville Heights, OH · CCN 360144	13	$2,763	About average	$2,202	$16,950
Lutheran HospitalCleveland, OH · CCN 360087	50	$2,763	About average	$2,201	$16,247
Licking Memorial HospitalNewark, OH · CCN 360218	47	$2,766	About average	$2,182	$14,145
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	31	$2,768	About average	$2,203	$39,262
Upper Valley Medical CenterTroy, OH · CCN 360174	34	$2,769	About average	$2,185	$15,385
Bethesda NorthCincinnati, OH · CCN 360179	67	$2,773	About average	$2,209	$14,992
Soin Medical CenterBeaver Creek, OH · CCN 360360	36	$2,777	About average	$2,183	$27,550
Wilson Memorial HospitalSidney, OH · CCN 360013	45	$2,802	About average	$2,212	$18,317
Christ HospitalCincinnati, OH · CCN 360163	157	$2,809	About average	$2,236	$17,866
Grant Medical CenterColumbus, OH · CCN 360017	115	$2,814	About average	$2,226	$29,055
Avita OntarioOntario, OH · CCN 360365	17	$2,815	About average	$2,243	$12,387
Good Samaritan HospitalCincinnati, OH · CCN 360134	64	$2,815	About average	$2,243	$11,790
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	31	$2,815	About average	$2,240	$35,236
Grady Memorial HospitalDelaware, OH · CCN 360210	29	$2,815	About average	$2,227	$26,604
Mercy Health - West HospitalCincinnati, OH · CCN 360234	30	$2,815	About average	$2,240	$26,089
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	31	$2,815	About average	$2,239	$21,544
Riverside Methodist HospitalColumbus, OH · CCN 360006	30	$2,818	About average	$2,226	$27,603
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	31	$2,818	About average	$2,230	$18,503
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	36	$2,819	About average	$2,220	$24,670
ProMedica Toledo HospitalToledo, OH · CCN 360068	92	$2,822	About average	$2,232	$27,657
Berger HospitalCircleville, OH · CCN 360170	33	$2,825	About average	$2,236	$20,225
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	49	$2,833	About average	$2,257	$24,192
Marion General HospitalMarion, OH · CCN 360011	29	$2,833	About average	$2,251	$29,272
Lima Memorial Health SystemLima, OH · CCN 360009	17	$2,834	About average	$2,246	$30,317
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	35	$2,839	About average	$2,248	$31,051
Doctors HospitalColumbus, OH · CCN 360152	15	$2,869	About average	$2,286	$30,665
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	65	$2,869	About average	$2,276	$12,354
Ohio State University State Health SystemColumbus, OH · CCN 360085	136	$2,871	About average	$2,279	$23,246
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	162	$2,876	About average	$2,282	$33,891
Van Wert County HospitalVan Wert, OH · CCN 360071	21	$2,893	About average	$2,300	$7,017
Mercy Health - Defiance HospitalDefiance, OH · CCN 360270	15	$2,893	About average	$2,298	$16,051
Fairfield Medical CenterLancaster, OH · CCN 360072	16	$2,894	About average	$2,306	$18,142
Mount Carmel St Ann'sWesterville, OH · CCN 360012	13	$2,894	About average	$2,306	$29,202
Mount Carmel New Albany Surgical HospitalNew Albany, OH · CCN 360266	29	$2,894	About average	$2,306	$37,572
Kettering Health Main CampusKettering, OH · CCN 360079	27	$2,905	About average	$2,315	$25,363
Mary Rutan HospitalBellefontaine, OH · CCN 360197	40	$2,910	About average	$2,293	$26,061
Knox Community HospitalMount Vernon, OH · CCN 360040	37	$2,936	About average	$2,313	$13,942
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	15	$2,950	About average	$2,350	$12,437
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	22	$2,950	About average	$2,350	$19,626

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.