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 1,151–1,200. 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
Tampa General HospitalTampa, FL · CCN 100128	51	$2,932	About average	$2,336	$66,047
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249	11	$2,932	About average	$2,336	$60,670
Viera HospitalMelbourne, FL · CCN 100315	23	$2,932	About average	$2,336	$39,868
West Kendall Baptist HospitalMiami, FL · CCN 100314	14	$2,932	About average	$2,336	$37,622
The Villages Regional HospitalThe Villages, FL · CCN 100290	38	$2,932	About average	$2,336	$26,450
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	44	$2,932	About average	$2,334	$32,950
Manatee Memorial HospitalBradenton, FL · CCN 100035	22	$2,932	About average	$2,334	$59,433
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	35	$2,932	About average	$2,334	$51,780
Palm Bay HospitalPalm Bay, FL · CCN 100316	89	$2,932	About average	$2,333	$34,870
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	33	$2,932	About average	$2,333	$65,805
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	13	$2,932	About average	$2,333	$23,051
AdventHealth OcalaOcala, FL · CCN 100062	66	$2,932	About average	$2,332	$93,111
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	71	$2,932	About average	$2,332	$29,482
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	20	$2,932	About average	$2,331	$92,837
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	96	$2,932	About average	$2,331	$65,315
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	39	$2,932	About average	$2,329	$34,056
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	23	$2,932	About average	$2,328	$117,487
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	44	$2,932	About average	$2,328	$43,205
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	27	$2,932	About average	$2,327	$33,519
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	18	$2,932	About average	$2,326	$80,452
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	25	$2,932	About average	$2,325	$53,594
AdventHealth ZephyrhillsZephyrhills, FL · CCN 100046	15	$2,932	About average	$2,324	$52,782
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 100126	13	$2,932	About average	$2,323	$88,167
AdventHealth DelandDeland, FL · CCN 100045	12	$2,932	About average	$2,320	$39,173
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	24	$2,932	About average	$2,320	$70,479
Northside Hospital DuluthDuluth, GA · CCN 110252	101	$2,934	About average	$2,318	$27,112
Knox Community HospitalMount Vernon, OH · CCN 360040	37	$2,936	About average	$2,313	$13,942
Inova Fairfax HospitalFalls Church, VA · CCN 490063	55	$2,938	About average	$2,326	$14,689
Anderson HospitalMaryville, IL · CCN 140289	45	$2,938	About average	$2,328	$13,450
Dupont Hospital LLCFort Wayne, IN · CCN 150150	19	$2,939	About average	$2,342	$39,563
Parkview Whitley HospitalColumbia City, IN · CCN 150101	19	$2,939	About average	$2,342	$29,774
Northwest Specialty HospitalPost Falls, ID · CCN 130066	91	$2,940	About average	$2,335	$16,667
Pikeville Medical CenterPikeville, KY · CCN 180044	59	$2,940	About average	$2,341	$19,126
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	46	$2,940	About average	$2,321	$35,822
Portneuf Medical CenterPocatello, ID · CCN 130028	46	$2,941	About average	$2,304	$29,215
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	45	$2,942	About average	$2,329	$15,738
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	84	$2,943	About average	$2,337	$10,184
Baytown Medical Center LpBaytown, TX · CCN 670109	19	$2,943	About average	$2,335	$49,562
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	76	$2,943	About average	$2,337	$22,313
North Houston Surgical Hospital LLCSpring, TX · CCN 670280	17	$2,944	About average	$2,317	$76,881
Great Plains Regional Medical CenterElk City, OK · CCN 370019	15	$2,944	About average	$2,345	$11,515
Integris Grove HospitalGrove, OK · CCN 370113	11	$2,944	About average	$2,345	$20,272
Northeastern Health SystemTahlequah, OK · CCN 370089	26	$2,944	About average	$2,345	$7,483
Mcalester Regional Health CenterMcalester, OK · CCN 370034	14	$2,944	About average	$2,341	$6,375
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	47	$2,944	About average	$2,335	$20,376
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	19	$2,944	About average	$2,320	$16,544
Aurora Medical CenterGrafton, WI · CCN 520207	78	$2,944	About average	$2,341	$27,882
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	21	$2,945	About average	$2,322	$15,725
Alton Memorial HospitalAlton, IL · CCN 140002	51	$2,945	About average	$2,337	$19,504
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	36	$2,946	About average	$2,342	$16,058

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.