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

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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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. 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
Jefferson HospitalJefferson Hills, PA · CCN 390265	39	$2,891	About average	$2,303	$18,906
The Washington HospitalWashington, PA · CCN 390042	35	$2,891	About average	$2,303	$11,784
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	27	$2,891	About average	$2,303	$21,733
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	12	$2,891	About average	$2,303	$10,432
Uniontown HospitalUniontown, PA · CCN 390041	27	$2,891	About average	$2,303	$5,674
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	119	$2,891	About average	$2,302	$28,554
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	46	$2,891	About average	$2,276	$18,371
Allegheny Valley HospitalNatrona, PA · CCN 390032	20	$2,891	About average	$2,294	$13,274
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	24	$2,891	About average	$2,292	$12,400
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	22	$2,891	About average	$2,292	$13,363
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	17	$2,891	About average	$2,266	$16,595
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	12	$2,891	About average	$2,288	$11,664
Sharon Regional Medical CenterSharon, PA · CCN 390211	15	$2,892	About average	$2,269	$37,294
Parkview Huntington HospitalHuntington, IN · CCN 150091	15	$2,893	About average	$2,305	$16,992
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
St Johns HospitalSpringfield, IL · CCN 140053	74	$2,895	About average	$2,285	$24,862
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	58	$2,895	About average	$2,293	$27,525
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	36	$2,896	About average	$2,294	$38,254
Salina Regional Health CenterSalina, KS · CCN 170012	115	$2,896	About average	$2,295	$15,140
Essentia Health DuluthDuluth, MN · CCN 240019	41	$2,896	About average	$2,281	$13,966
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	20	$2,897	About average	$2,257	$29,331
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	75	$2,897	About average	$2,288	$19,898
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	144	$2,897	About average	$2,305	$17,114
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	118	$2,898	About average	$2,279	$13,802
UNC HospitalsChapel Hill, NC · CCN 340061	82	$2,898	About average	$2,297	$17,197
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	95	$2,899	About average	$2,293	$28,608
Boston Medical CenterBoston, MA · CCN 220031	59	$2,899	About average	$2,300	$9,197
Columbus Regional HospitalColumbus, IN · CCN 150112	30	$2,899	About average	$2,287	$16,989
Three Rivers HealthThree Rivers, MI · CCN 230015	12	$2,899	About average	$2,310	$12,630
Intermountain Health Layton HospitalLayton, UT · CCN 460061	39	$2,900	About average	$2,310	$11,194
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	21	$2,900	About average	$2,310	$15,990
Intermountain Health Spanish Fork HospitalSpanish Fork, UT · CCN 460062	16	$2,900	About average	$2,310	$13,063
St Mark's HospitalSalt Lake City, UT · CCN 460047	36	$2,900	About average	$2,310	$23,183
American Fork HospitalAmerican Fork, UT · CCN 460023	52	$2,900	About average	$2,309	$11,210
Holy Cross Hospital - Salt LakeSalt Lake City, UT · CCN 460003	26	$2,900	About average	$2,308	$13,743
Mountain West Medical CenterTooele, UT · CCN 460014	15	$2,900	About average	$2,307	$25,636
Lakeview HospitalBountiful, UT · CCN 460042	21	$2,900	About average	$2,304	$26,800
Brigham City Community HospitalBrigham City, UT · CCN 460017	28	$2,900	About average	$2,304	$31,826
Orem Community HospitalOrem, UT · CCN 460043	27	$2,900	About average	$2,302	$12,807
LDS HospitalSalt Lake City, UT · CCN 460006	20	$2,900	About average	$2,301	$12,689
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	36	$2,900	About average	$2,297	$12,609
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	14	$2,900	About average	$2,297	$11,351
The Orthopedic Specialty HospitalMurray, UT · CCN 460049	19	$2,900	About average	$2,288	$9,977
Nebraska Orthopaedic HospitalOmaha, NE · CCN 280129	280	$2,900	About average	$2,304	$9,850
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	23	$2,900	About average	$2,265	$41,088
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	19	$2,900	About average	$2,311	$29,758

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.