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 1,251–1,300. 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
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 170006	19	$2,960	About average	$2,358	$19,333
Pratt Regional Medical CenterPratt, KS · CCN 170027	102	$2,960	About average	$2,356	$9,599
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	40	$2,960	About average	$2,346	$9,808
Phelps County Regional Medical CenterRolla, MO · CCN 260017	59	$2,960	About average	$2,330	$21,186
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	71	$2,961	About average	$2,347	$22,427
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	21	$2,961	About average	$2,359	$33,030
Baptist Health PaducahPaducah, KY · CCN 180104	49	$2,962	About average	$2,349	$30,616
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	16	$2,962	About average	$2,340	$23,654
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	111	$2,964	About average	$2,354	$18,819
Northeast Regional Medical CenterKirksville, MO · CCN 260022	27	$2,965	About average	$2,355	$36,130
United Regional Health Care SystemWichita Falls, TX · CCN 450010	85	$2,965	About average	$2,351	$13,041
Mercy HospitalCoon Rapids, MN · CCN 240115	24	$2,965	About average	$2,360	$15,742
Reid HealthRichmond, IN · CCN 150048	65	$2,967	About average	$2,348	$17,679
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	28	$2,969	About average	$2,329	$22,118
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	97	$2,969	About average	$2,361	$14,703
Texas Orthopedic HospitalHouston, TX · CCN 450804	267	$2,970	About average	$2,359	$37,702
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	17	$2,970	About average	$2,337	$19,252
Franciscan Health Crown PointCrown Point, IN · CCN 150126	33	$2,971	About average	$2,352	$21,352
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	90	$2,972	About average	$2,365	$23,934
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007	36	$2,973	About average	$2,369	$21,537
Houston Methodist HospitalHouston, TX · CCN 450358	176	$2,974	About average	$2,364	$41,743
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	77	$2,975	About average	$2,364	$12,391
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	23	$2,975	About average	$2,348	$25,312
Stafford Hospital, LLCStafford, VA · CCN 490140	40	$2,975	About average	$2,358	$13,918
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	20	$2,975	About average	$2,371	$10,006
Summit Medical CenterCasper, WY · CCN 530034	15	$2,976	About average	$2,371	$22,183
Self Regional HealthcareGreenwood, SC · CCN 420071	68	$2,976	About average	$2,370	$17,191
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	41	$2,976	About average	$2,364	$11,371
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	29	$2,976	About average	$2,354	$16,597
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	14	$2,977	About average	$2,332	$21,926
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	77	$2,977	About average	$2,365	$22,335
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	19	$2,978	About average	$2,346	$43,565
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	80	$2,979	About average	$2,361	$12,074
Upson Regional Medical CenterThomaston, GA · CCN 110002	14	$2,981	About average	$2,338	$20,512
St Claire Regional Medical CenterMorehead, KY · CCN 180018	23	$2,984	About average	$2,377	$12,958
St Mary Medical Center IncHobart, IN · CCN 150034	40	$2,984	About average	$2,361	$23,227
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	12	$2,984	About average	$2,375	$12,631
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	45	$2,984	About average	$2,374	$21,488
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	39	$2,985	About average	$2,365	$21,606
Regions HospitalSaint Paul, MN · CCN 240106	65	$2,985	About average	$2,354	$12,312
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	35	$2,985	About average	$2,334	$12,443
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	86	$2,985	About average	$2,361	$11,541
Mercy Hospital AdaAda, OK · CCN 370020	13	$2,987	About average	$2,380	$15,765
Stillwater Medical CenterStillwater, OK · CCN 370049	42	$2,987	About average	$2,379	$20,253
Allina United HospitalSaint Paul, MN · CCN 240038	74	$2,987	About average	$2,365	$13,498
Columbus Community Hospital, IncColumbus, NE · CCN 280111	41	$2,987	About average	$2,380	$15,958
Regional West Medical CenterScottsbluff, NE · CCN 280061	51	$2,987	About average	$2,372	$19,179
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	42	$2,988	About average	$2,355	$10,116
Loyola University Medical CenterMaywood, IL · CCN 140276	47	$2,988	About average	$2,348	$16,155
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	59	$2,988	About average	$2,365	$27,475

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.