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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2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,001–1,050. 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
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	73	$2,901	About average	$2,310	$14,462
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	24	$2,902	About average	$2,302	$19,974
North Mississippi Medical CenterTupelo, MS · CCN 250004	32	$2,903	About average	$2,313	$21,479
Emory Hillandale HospitalLithonia, GA · CCN 110226	24	$2,904	About average	$2,294	$17,065
Orlando Health South Lake HospitalClermont, FL · CCN 100051	84	$2,904	About average	$2,308	$42,158
Centracare- Rice Memorial HospitalWillmar, MN · CCN 240088	20	$2,904	About average	$2,314	$14,170
Kettering Health Main CampusKettering, OH · CCN 360079	27	$2,905	About average	$2,315	$25,363
New England Baptist HospitalBoston, MA · CCN 220088	84	$2,905	About average	$2,315	$10,830
Crescent Medical Center LancasterLancaster, TX · CCN 670090	12	$2,905	About average	$2,313	$26,871
Emory Decatur HospitalDecatur, GA · CCN 110076	49	$2,906	About average	$2,296	$16,931
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	61	$2,906	About average	$2,308	$19,312
Southern Maine Health CareBiddeford, ME · CCN 200019	36	$2,907	About average	$2,287	$18,643
Saint Francis Medical CenterPeoria, IL · CCN 140067	64	$2,907	About average	$2,306	$30,244
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	14	$2,908	About average	$2,316	$24,334
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	14	$2,909	About average	$2,317	$17,638
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	26	$2,909	About average	$2,317	$20,606
Atrium Health PinevilleCharlotte, NC · CCN 340098	24	$2,909	About average	$2,316	$38,004
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	19	$2,909	About average	$2,313	$69,317
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	32	$2,909	About average	$2,283	$13,687
Magnolia HospitalMagnolia, AR · CCN 040067	34	$2,909	About average	$2,315	$7,831
UPMC LititzLititz, PA · CCN 390068	24	$2,909	About average	$2,318	$17,334
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	131	$2,909	About average	$2,316	$14,707
Artesia General HospitalArtesia, NM · CCN 320030	22	$2,910	About average	$2,296	$18,007
Mary Rutan HospitalBellefontaine, OH · CCN 360197	40	$2,910	About average	$2,293	$26,061
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167	79	$2,910	About average	$2,305	$26,448
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	111	$2,911	About average	$2,315	$23,027
Holy Family MemorialManitowoc, WI · CCN 520107	28	$2,911	About average	$2,319	$17,599
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	64	$2,911	About average	$2,320	$31,321
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	29	$2,912	About average	$2,301	$25,799
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 450891	22	$2,913	About average	$2,321	$23,777
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	24	$2,913	About average	$2,321	$24,662
Legent Surgical Hospital PlanoPlano, TX · CCN 670322	30	$2,913	About average	$2,321	$29,366
Medical City Las ColinasIrving, TX · CCN 450822	11	$2,913	About average	$2,321	$85,677
Parkland Health & Hospital SystemDallas, TX · CCN 450015	16	$2,913	About average	$2,321	$27,158
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	12	$2,913	About average	$2,321	$19,586
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	11	$2,913	About average	$2,321	$28,627
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018	43	$2,913	About average	$2,320	$32,353
Texoma Medical CenterDenison, TX · CCN 450324	14	$2,913	About average	$2,320	$53,993
West Valley Medical CenterCaldwell, ID · CCN 130014	36	$2,913	About average	$2,318	$24,696
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	36	$2,914	About average	$2,322	$16,284
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	22	$2,914	About average	$2,322	$32,617
Ascension ProvidenceWaco, TX · CCN 450042	69	$2,914	About average	$2,321	$23,159
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	35	$2,914	About average	$2,322	$12,181
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	41	$2,914	About average	$2,322	$29,306
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	120	$2,914	About average	$2,304	$18,722
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	62	$2,914	About average	$2,309	$13,171
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	20	$2,914	About average	$2,297	$25,703
Ozarks HealthcareWest Plains, MO · CCN 260078	29	$2,915	About average	$2,322	$13,207
Cox Medical Center BransonBranson, MO · CCN 260094	18	$2,915	About average	$2,322	$21,388
Mercy Hospital LebanonLebanon, MO · CCN 260059	12	$2,915	About average	$2,322	$6,161

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.