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 1,051–1,100. 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
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	33	$2,915	About average	$2,322	$10,810
Lake Regional Health SystemOsage Beach, MO · CCN 260186	72	$2,915	About average	$2,320	$11,381
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	34	$2,915	About average	$2,318	$81,632
Marion Communtiy HospitalOcala, FL · CCN 100212	146	$2,916	About average	$2,320	$67,387
CHI Health MidlandsPapillion, NE · CCN 280105	20	$2,917	About average	$2,323	$29,684
White River Medical CenterBatesville, AR · CCN 040119	62	$2,917	About average	$2,321	$10,420
Bryan Medical CenterLincoln, NE · CCN 280003	54	$2,917	About average	$2,320	$19,004
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	22	$2,917	About average	$2,315	$32,382
CHI Health Bergan MercyOmaha, NE · CCN 280060	11	$2,917	About average	$2,307	$27,468
AdventHealth Central TexasKilleen, TX · CCN 450152	51	$2,918	About average	$2,316	$29,890
Piedmont Newton HospitalCovington, GA · CCN 110018	28	$2,918	About average	$2,308	$32,407
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	15	$2,918	About average	$2,315	$23,721
Herrin HospitalHerrin, IL · CCN 140011	33	$2,919	About average	$2,311	$37,325
Duke Regional HospitalDurham, NC · CCN 340155	36	$2,920	About average	$2,326	$24,618
Penn Highlands DuboisDubois, PA · CCN 390086	59	$2,920	About average	$2,297	$9,672
West Allis Memorial HospitalWest Allis, WI · CCN 520139	21	$2,921	About average	$2,313	$22,750
St Mary's HospitalAthens, GA · CCN 110006	78	$2,921	About average	$2,321	$28,091
Unity Physicians HospitalMishawaka, IN · CCN 150177	14	$2,921	About average	$2,322	$14,076
Oss Orthopaedic HospitalYork, PA · CCN 390325 · +$833 outlier payments per case	183	$2,922	About average	$2,317	$12,922
Madison Memorial HospitalRexburg, ID · CCN 130025	48	$2,922	About average	$2,322	$8,832
Medical City DentonDenton, TX · CCN 450634	107	$2,922	About average	$2,328	$92,726
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	19	$2,922	About average	$2,328	$20,028
Medical City DecaturDecatur, TX · CCN 450271	15	$2,922	About average	$2,328	$37,804
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	24	$2,922	About average	$2,328	$19,286
Texas Health Harris Methodist Hospital AzleAzle, TX · CCN 450419	12	$2,922	About average	$2,328	$16,154
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	21	$2,922	About average	$2,328	$37,701
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	30	$2,922	About average	$2,328	$23,970
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132 · +$2,359 outlier payments per case	43	$2,922	About average	$2,328	$23,366
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	13	$2,922	About average	$2,323	$22,676
Texas Health Hospital MansfieldMansfield, TX · CCN 670309	15	$2,922	About average	$2,322	$29,880
Medical City WeatherfordWeatherford, TX · CCN 450203	79	$2,922	About average	$2,320	$47,149
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	37	$2,923	About average	$2,323	$38,575
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	40	$2,923	About average	$2,303	$29,881
Ascension St Vincent AndersonAnderson, IN · CCN 150088	25	$2,924	About average	$2,329	$26,393
Ascension St Vincent CarmelCarmel, IN · CCN 150157	12	$2,924	About average	$2,329	$35,429
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	32	$2,924	About average	$2,329	$16,336
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	30	$2,924	About average	$2,329	$31,052
Major HospitalShelbyville, IN · CCN 150097	35	$2,924	About average	$2,329	$28,155
Witham Health ServicesLebanon, IN · CCN 150104	43	$2,924	About average	$2,329	$18,407
Union Hospital IncTerre Haute, IN · CCN 150023	130	$2,924	About average	$2,323	$26,146
IU Health West HospitalAvon, IN · CCN 150158	23	$2,924	About average	$2,320	$32,499
Forrest City Medical CenterForrest City, AR · CCN 040019	11	$2,924	About average	$2,330	$21,787
Advocate Trinity HospitalChicago, IL · CCN 140048	33	$2,925	About average	$2,300	$17,597
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	98	$2,925	About average	$2,313	$14,192
Anmed HealthAnderson, SC · CCN 420027	54	$2,925	About average	$2,322	$24,788
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	106	$2,927	About average	$2,327	$18,924
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	32	$2,927	About average	$2,314	$35,955
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	37	$2,927	About average	$2,319	$22,585
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	31	$2,927	About average	$2,305	$15,851
Benefis Hospitals IncGreat Falls, MT · CCN 270012	45	$2,927	About average	$2,310	$14,569

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.