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 Pennsylvania

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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Pennsylvania

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Average payment across these 98 hospitals: $2,901National $2,995 · Pennsylvania $2,901
Median hospital: $2,891
Lowest to highest: $1,664–$3,412
Medicare procedures: 5,031

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
Sharon Regional Medical CenterSharon, PA · CCN 390211	15	$2,892	About average	$2,269	$37,294
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	144	$2,897	About average	$2,305	$17,114
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	19	$2,900	About average	$2,311	$29,758
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	73	$2,901	About average	$2,310	$14,462
UPMC LititzLititz, PA · CCN 390068	24	$2,909	About average	$2,318	$17,334
Penn Highlands DuboisDubois, PA · CCN 390086	59	$2,920	About average	$2,297	$9,672
Oss Orthopaedic HospitalYork, PA · CCN 390325 · +$833 outlier payments per case	183	$2,922	About average	$2,317	$12,922
UPMC CarlisleCarlisle, PA · CCN 390058	39	$2,931	About average	$2,335	$14,530
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	47	$2,931	About average	$2,332	$38,699
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	15	$2,951	About average	$2,352	$30,404
Reading HospitalWest Reading, PA · CCN 390044	44	$2,957	About average	$2,356	$17,857
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	19	$2,978	About average	$2,346	$43,565
Wellspan Surgery And Rehabilitation HospitalYork, PA · CCN 390327	29	$2,990	About average	$2,382	$29,264
St Lukes HospitalBethlehem, PA · CCN 390049	136	$3,033	About average	$2,402	$36,282
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	14	$3,037	About average	$2,419	$11,447
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	14	$3,037	About average	$2,419	$13,188
Physicians Care Surgical HospitalRoyersford, PA · CCN 390324	94	$3,037	About average	$2,417	$26,396
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	35	$3,037	About average	$2,412	$8,974
Pottstown HospitalPottstown, PA · CCN 390123	34	$3,037	About average	$2,411	$16,489
UPMC AltoonaAltoona, PA · CCN 390073	50	$3,047	About average	$2,416	$17,776
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	66	$3,050	About average	$2,413	$16,697
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	42	$3,063	About average	$2,429	$16,336
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	47	$3,074	About average	$2,431	$40,839
Lehigh Valley HospitalAllentown, PA · CCN 390133	379	$3,086	About average	$2,448	$20,135
Paoli HospitalPaoli, PA · CCN 390153	67	$3,087	About average	$2,451	$17,935
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	93	$3,087	About average	$2,458	$23,083
Meadville Medical CenterMeadville, PA · CCN 390113	28	$3,096	About average	$2,467	$12,370
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	21	$3,096	About average	$2,467	$14,112
UPMC KaneKane, PA · CCN 390104	11	$3,096	About average	$2,464	$8,633
UPMC SomersetSomerset, PA · CCN 390039	12	$3,096	About average	$2,458	$16,633
Phoenixville HospitalPhoenixville, PA · CCN 390127	106	$3,099	About average	$2,464	$14,840
Indiana Regional Medical CenterIndiana, PA · CCN 390173	21	$3,102	About average	$2,471	$16,950
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	41	$3,123	About average	$2,488	$17,456
Doylestown HospitalDoylestown, PA · CCN 390203	70	$3,123	About average	$2,488	$21,367
Chester County HospitalWest Chester, PA · CCN 390179	68	$3,123	About average	$2,487	$20,129
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 390322	15	$3,123	About average	$2,482	$45,326
Main Line Hospital LankenauWynnewood, PA · CCN 390195	42	$3,123	About average	$2,476	$16,666
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	168	$3,133	About average	$2,490	$42,436
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	27	$3,134	About average	$2,478	$19,663
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	11	$3,145	About average	$2,506	$18,499
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	17	$3,145	About average	$2,497	$58,147
Riddle Memorial HospitalMedia, PA · CCN 390222	14	$3,145	About average	$2,493	$17,695
Temple University HospitalPhiladelphia, PA · CCN 390027	47	$3,206	About average	$2,538	$63,795
St Mary Medical CenterLanghorne, PA · CCN 390258	59	$3,217	About average	$2,563	$21,890
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	77	$3,261	About average	$2,598	$25,483
Mount Nittany Medical CenterState College, PA · CCN 390268	39	$3,266	About average	$2,602	$18,589
Saint Vincent HospitalErie, PA · CCN 390009	67	$3,333	11% above the national average	$2,633	$22,480
UPMC HamotErie, PA · CCN 390063	17	$3,412	14% above the national average	$2,707	$31,576

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.