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 1,301–1,350. 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
Elkhart General HospitalElkhart, IN · CCN 150018	28	$2,989	About average	$2,381	$14,542
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	36	$2,989	About average	$2,378	$27,132
Carolina East Medical CenterNew Bern, NC · CCN 340131	175	$2,989	About average	$2,376	$15,343
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	12	$2,989	About average	$2,382	$18,759
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	180	$2,990	About average	$2,376	$17,979
Wellspan Surgery And Rehabilitation HospitalYork, PA · CCN 390327	29	$2,990	About average	$2,382	$29,264
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	27	$2,990	About average	$2,364	$17,032
AdventHealth LittletonLittleton, CO · CCN 060113	26	$2,991	About average	$2,364	$19,621
Colleton Medical CenterWalterboro, SC · CCN 420030	24	$2,991	About average	$2,383	$23,086
CGH Medical CenterSterling, IL · CCN 140043	22	$2,991	About average	$2,383	$27,378
Decatur Memorial HospitalDecatur, IL · CCN 140135	108	$2,991	About average	$2,383	$19,403
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	14	$2,991	About average	$2,383	$25,518
St Josephs HospitalBreese, IL · CCN 140145	20	$2,991	About average	$2,383	$17,327
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	24	$2,991	About average	$2,383	$24,889
Heartland Regional Medical CenterMarion, IL · CCN 140184	41	$2,991	About average	$2,383	$42,082
St Marys HospitalDecatur, IL · CCN 140166	28	$2,991	About average	$2,383	$21,349
Trinity Rock IslandRock Island, IL · CCN 140280	33	$2,991	About average	$2,383	$12,888
Carle Bromenn Medical CenterNormal, IL · CCN 140127	24	$2,992	About average	$2,376	$13,840
Carle Health Pekin HospitalPekin, IL · CCN 140120	22	$2,992	About average	$2,375	$30,829
Methodist Fremont HealthFremont, NE · CCN 280077	51	$2,992	About average	$2,376	$10,550
Dunes Surgical HospitalDakota Dunes, SD · CCN 430089	113	$2,992	About average	$2,372	$20,810
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	163	$2,994	About average	$2,373	$18,079
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	49	$2,995	About average	$2,373	$22,694
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	189	$2,997	About average	$2,383	$19,605
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	16	$2,997	About average	$2,371	$19,567
Parkview Medical Center, IncPueblo, CO · CCN 060020	59	$2,998	About average	$2,368	$30,253
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	43	$3,000	About average	$2,380	$19,131
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	235	$3,001	About average	$2,386	$18,042
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	40	$3,001	About average	$2,391	$16,694
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	29	$3,001	About average	$2,391	$66,168
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	54	$3,001	About average	$2,391	$76,004
HCA Houston Healthcare TomballTomball, TX · CCN 450670	39	$3,001	About average	$2,391	$82,222
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	29	$3,001	About average	$2,391	$25,990
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	11	$3,001	About average	$2,391	$25,183
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	13	$3,001	About average	$2,391	$118,152
HCA Houston Healthcare WestHouston, TX · CCN 450644	21	$3,001	About average	$2,391	$87,717
Oakbend Medical CenterRichmond, TX · CCN 450330	17	$3,001	About average	$2,391	$42,946
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	18	$3,001	About average	$2,391	$17,828
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	15	$3,001	About average	$2,391	$26,883
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	57	$3,001	About average	$2,391	$22,748
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	92	$3,001	About average	$2,388	$52,048
Avera St LukesAberdeen, SD · CCN 430014	74	$3,002	About average	$2,385	$18,201
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	11	$3,002	About average	$2,357	$50,229
Palos Community HospitalPalos Heights, IL · CCN 140062	69	$3,002	About average	$2,378	$26,378
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	78	$3,004	About average	$2,382	$23,223
Ngmc Barrow, LLCWinder, GA · CCN 110045	26	$3,004	About average	$2,393	$43,557
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	20	$3,004	About average	$2,393	$34,483
Tanner Medical Center Villa RicaVilla Rica, GA · CCN 110015	20	$3,004	About average	$2,393	$20,122
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	24	$3,004	About average	$2,393	$26,542
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	11	$3,004	About average	$2,393	$22,520

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.