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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,101–1,150. 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
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	57	$2,928	About average	$2,321	$10,219
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 340109	27	$2,928	About average	$2,315	$19,549
Munson Medical CenterTraverse City, MI · CCN 230097	33	$2,929	About average	$2,326	$14,359
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	67	$2,929	About average	$2,323	$21,111
Jackson Health SystemMiami, FL · CCN 100022	29	$2,930	About average	$2,327	$23,303
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	24	$2,930	About average	$2,335	$30,948
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	30	$2,930	About average	$2,335	$40,874
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	19	$2,930	About average	$2,328	$14,178
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	16	$2,930	About average	$2,323	$16,810
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
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	41	$2,931	About average	$2,319	$24,084
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	19	$2,931	About average	$2,326	$18,371
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	63	$2,932	About average	$2,327	$34,346
AdventHealth CarrollwoodTampa, FL · CCN 100069	17	$2,932	About average	$2,336	$69,026
AdventHealth Fish MemorialOrange City, FL · CCN 100072	15	$2,932	About average	$2,336	$25,232
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	12	$2,932	About average	$2,336	$116,433
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	68	$2,932	About average	$2,336	$20,252
AdventHealth North PinellasTarpon Springs, FL · CCN 100055	19	$2,932	About average	$2,336	$40,521
AdventHealth SebringSebring, FL · CCN 100109	30	$2,932	About average	$2,336	$30,478
AdventHealth WatermanTavares, FL · CCN 100057	47	$2,932	About average	$2,336	$28,895
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	18	$2,932	About average	$2,336	$47,126
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	21	$2,932	About average	$2,336	$56,909
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	88	$2,932	About average	$2,336	$28,819
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140	43	$2,932	About average	$2,336	$25,915
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	74	$2,932	About average	$2,336	$26,544
Cape Coral HospitalCape Coral, FL · CCN 100244	48	$2,932	About average	$2,336	$31,828
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	43	$2,932	About average	$2,336	$26,655
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	20	$2,932	About average	$2,336	$105,566
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	11	$2,932	About average	$2,336	$33,287
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	41	$2,932	About average	$2,336	$43,076
HCA Florida Aventura HospitalAventura, FL · CCN 100131	17	$2,932	About average	$2,336	$59,891
HCA Florida Bayonet Point HospitalHudson, FL · CCN 100256	15	$2,932	About average	$2,336	$84,297
HCA Florida Blake HospitalBradenton, FL · CCN 100213	26	$2,932	About average	$2,336	$50,246
HCA Florida Brandon HospitalBrandon, FL · CCN 100243	24	$2,932	About average	$2,336	$77,977
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	34	$2,932	About average	$2,336	$104,375
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	12	$2,932	About average	$2,336	$97,468
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 100264	14	$2,932	About average	$2,336	$72,770
HCA Florida Putnam HospitalPalatka, FL · CCN 100232	11	$2,932	About average	$2,336	$26,170
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	18	$2,932	About average	$2,336	$78,525
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	34	$2,932	About average	$2,336	$29,719
Jupiter Medical CenterJupiter, FL · CCN 100253	21	$2,932	About average	$2,336	$25,819
Mease Dunedin HospitalDunedin, FL · CCN 100043	15	$2,932	About average	$2,336	$25,254
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	25	$2,932	About average	$2,336	$21,993
Naples Community HospitalNaples, FL · CCN 100018	64	$2,932	About average	$2,336	$27,406
Oviedo Medical CenterOviedo, FL · CCN 100329	14	$2,932	About average	$2,336	$79,587
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292	23	$2,932	About average	$2,336	$25,477
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	34	$2,932	About average	$2,336	$39,275
Shorepoint Health Punta GordaPunta Gorda, FL · CCN 100047	12	$2,932	About average	$2,336	$78,284
South Miami HospitalMiami, FL · CCN 100154	14	$2,932	About average	$2,336	$37,370

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.