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 Texas

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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Average payment across these 173 hospitals: $2,828National $2,995 · Texas $2,828
Median hospital: $2,847
Lowest to highest: $1,335–$3,214
Medicare procedures: 9,016

173 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. 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
University Health SystemSan Antonio, TX · CCN 450213	53	$2,782	About average	$2,206	$23,642
Peterson Regional Medical CenterKerrville, TX · CCN 450007	70	$2,786	About average	$2,215	$10,929
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	42	$2,788	About average	$2,210	$19,302
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	26	$2,796	About average	$2,207	$29,971
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	37	$2,796	About average	$2,216	$20,541
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068 · +$699 outlier payments per case	69	$2,797	About average	$2,193	$47,531
Memorial Hermann Surgical Hospital KingwoodKingwood, TX · CCN 670005	84	$2,799	About average	$2,225	$19,556
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	24	$2,805	About average	$2,234	$35,676
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	35	$2,805	About average	$2,226	$43,847
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	108	$2,807	About average	$2,228	$13,861
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	54	$2,809	About average	$2,238	$26,612
Woodland Heights Medical CenterLufkin, TX · CCN 450484	36	$2,809	About average	$2,238	$67,301
Bsa HospitalAmarillo, TX · CCN 450231	11	$2,809	About average	$2,238	$25,981
Cuero Regional HospitalCuero, TX · CCN 450597	12	$2,809	About average	$2,238	$23,491
Foundation Surgical Hospital Of San AntonioSan Antonio, TX · CCN 670054	17	$2,809	About average	$2,238	$34,199
Palo Pinto General HospitalMineral Wells, TX · CCN 450565	26	$2,809	About average	$2,238	$15,994
Rio Grande Regional HospitalMcallen, TX · CCN 450711	12	$2,809	About average	$2,238	$66,743
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	25	$2,809	About average	$2,238	$65,648
Christus St Michael Health SystemTexarkana, TX · CCN 450801	72	$2,809	About average	$2,237	$22,764
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	45	$2,809	About average	$2,236	$33,950
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	58	$2,809	About average	$2,229	$20,845
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	18	$2,809	About average	$2,227	$90,101
Valley Baptist Medical Center- BrownsvilleBrownsville, TX · CCN 450028	18	$2,809	About average	$2,227	$68,082
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	84	$2,811	About average	$2,240	$32,740
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 450883	94	$2,817	About average	$2,234	$18,935
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	24	$2,817	About average	$2,232	$27,074
HCA Houston Healthcare ConroeConroe, TX · CCN 450222	12	$2,818	About average	$2,192	$65,776
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	23	$2,821	About average	$2,227	$25,516
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	77	$2,822	About average	$2,230	$20,642
Methodist Hospital For SurgeryAddison, TX · CCN 670073	27	$2,827	About average	$2,235	$21,862
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	210	$2,828	About average	$2,238	$16,788
Methodist McKinney HospitalMckinney, TX · CCN 670069	56	$2,830	About average	$2,237	$20,405
Medical City PlanoPlano, TX · CCN 450651	30	$2,836	About average	$2,243	$76,490
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	80	$2,840	About average	$2,252	$26,164
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	33	$2,843	About average	$2,245	$50,956
Columbus Community HospitalColumbus, TX · CCN 450370	14	$2,844	About average	$2,223	$11,037
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	48	$2,847	About average	$2,244	$18,751
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	39	$2,847	About average	$2,269	$19,749
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	103	$2,849	About average	$2,255	$17,588
Ascension Seton HaysKyle, TX · CCN 670056	20	$2,849	About average	$2,270	$40,793
Ascension Seton SouthwestAustin, TX · CCN 450865	27	$2,849	About average	$2,270	$33,648
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	15	$2,849	About average	$2,270	$15,808
Baylor Scott & White Medical Center - BudaBuda, TX · CCN 670131	15	$2,849	About average	$2,270	$15,227
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	18	$2,849	About average	$2,270	$12,902
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	12	$2,849	About average	$2,270	$42,383
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	26	$2,849	About average	$2,270	$36,172
North Austin Medical CenterAustin, TX · CCN 450809	27	$2,849	About average	$2,270	$63,517
Northwest Hills Surgical HospitalAustin, TX · CCN 450808	35	$2,849	About average	$2,270	$14,455
Round Rock Medical CenterRound Rock, TX · CCN 450718	11	$2,849	About average	$2,270	$56,877
St David's South Austin Medical CenterAustin, TX · CCN 450713	39	$2,849	About average	$2,270	$64,599

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.