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 1,201–1,250. 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
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	97	$2,946	About average	$2,340	$21,053
Crouse HospitalSyracuse, NY · CCN 330203	80	$2,946	About average	$2,290	$9,945
St Nicholas HospitalSheboygan, WI · CCN 520044	14	$2,946	About average	$2,348	$16,984
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	44	$2,947	About average	$2,337	$49,879
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	12	$2,947	About average	$2,290	$21,108
White County Medical CenterSearcy, AR · CCN 040014	42	$2,947	About average	$2,348	$10,601
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	132	$2,948	About average	$2,336	$31,813
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	58	$2,948	About average	$2,341	$12,226
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	21	$2,949	About average	$2,349	$20,425
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	54	$2,949	About average	$2,349	$20,938
Watertown Memorial HospitalWatertown, WI · CCN 520116	26	$2,949	About average	$2,348	$17,249
Orthopaedic Hospital Of WisconsinGlendale, WI · CCN 520194	90	$2,949	About average	$2,346	$15,951
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	31	$2,949	About average	$2,343	$21,893
Indiana University HealthIndianapolis, IN · CCN 150056	38	$2,949	About average	$2,340	$35,960
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	14	$2,950	About average	$2,337	$13,453
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	15	$2,950	About average	$2,350	$12,437
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	22	$2,950	About average	$2,350	$19,626
National Park Medical CenterHot Springs, AR · CCN 040078	77	$2,950	About average	$2,346	$44,935
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	15	$2,950	About average	$2,351	$13,070
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	88	$2,950	About average	$2,351	$12,999
Davie Medical CenterBermuda Run, NC · CCN 340187	13	$2,951	About average	$2,344	$25,051
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	20	$2,951	About average	$2,326	$25,036
AdventHealth RedmondRome, GA · CCN 110168	26	$2,951	About average	$2,351	$37,637
Hamilton Medical CenterDalton, GA · CCN 110001	32	$2,951	About average	$2,351	$24,116
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	22	$2,951	About average	$2,351	$15,556
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	29	$2,951	About average	$2,335	$15,486
Aurora Medical Center - SummitSummit, WI · CCN 520206	26	$2,951	About average	$2,344	$14,299
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	15	$2,951	About average	$2,352	$30,404
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	28	$2,952	About average	$2,341	$17,193
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	29	$2,952	About average	$2,335	$8,064
Bartow Regional Medical CenterBartow, FL · CCN 100121	16	$2,952	About average	$2,352	$31,254
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	52	$2,952	About average	$2,330	$12,424
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	26	$2,952	About average	$2,333	$12,293
Camc Greenbrier Valley Medical Center, IncRonceverte, WV · CCN 510002	27	$2,952	About average	$2,352	$18,410
Memorial Medical CenterSpringfield, IL · CCN 140148	99	$2,952	About average	$2,337	$18,816
Shannon Medical CenterSan Angelo, TX · CCN 450571	126	$2,952	About average	$2,340	$21,298
Carle Health Proctor HospitalPeoria, IL · CCN 140013	127	$2,954	About average	$2,344	$32,061
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	38	$2,954	About average	$2,354	$9,707
Memorial HospitalBelleville, IL · CCN 140185	64	$2,954	About average	$2,346	$20,733
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	199	$2,955	About average	$2,349	$37,516
Houston Methodist West HospitalHouston, TX · CCN 670077	116	$2,955	About average	$2,345	$47,143
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	144	$2,955	About average	$2,354	$14,154
MacNeal HospitalBerwyn, IL · CCN 140054	25	$2,955	About average	$2,307	$29,492
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	52	$2,955	About average	$2,345	$15,786
Alamance Regional Medical CenterBurlington, NC · CCN 340070	37	$2,956	About average	$2,349	$15,681
Reading HospitalWest Reading, PA · CCN 390044	44	$2,957	About average	$2,356	$17,857
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	72	$2,958	About average	$2,330	$26,515
Ascension St Vincent KokomoKokomo, IN · CCN 150010	23	$2,959	About average	$2,358	$27,260
Centura St. Catherine-Dodge CityDodge City, KS · CCN 170175	16	$2,960	About average	$2,358	$17,685
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	23	$2,960	About average	$2,358	$22,010

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.