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 1,351–1,400. 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
Northside Hospital ForsythCumming, GA · CCN 110005	85	$3,004	About average	$2,391	$26,812
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	23	$3,004	About average	$2,385	$16,965
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	106	$3,004	About average	$2,383	$19,215
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	28	$3,005	About average	$2,377	$25,300
Integris Health Woodward HospitalWoodward, OK · CCN 370002	15	$3,006	About average	$2,395	$41,517
Mile Bluff Medical CenterMauston, WI · CCN 520109	26	$3,007	About average	$2,376	$12,408
Essentia HealthFargo, ND · CCN 350070	90	$3,008	About average	$2,391	$13,460
Memorial HospitalLogansport, IN · CCN 150072	30	$3,008	About average	$2,379	$19,834
Matagorda Regional Medical CenterBay City, TX · CCN 450465	14	$3,008	About average	$2,391	$12,021
Swedish HospitalChicago, IL · CCN 140114	38	$3,009	About average	$2,380	$22,624
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	91	$3,009	About average	$2,376	$32,407
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	13	$3,011	About average	$2,314	$12,343
Lake Region Healthcare CorporationFergus Falls, MN · CCN 240052	30	$3,012	About average	$2,400	$10,994
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	66	$3,013	About average	$2,393	$11,577
Range Regional Health ServicesHibbing, MN · CCN 240040	14	$3,013	About average	$2,401	$12,270
Essentia Health VirginiaVirginia, MN · CCN 240084	21	$3,013	About average	$2,398	$13,373
West Suburban Medical CenterOak Park, IL · CCN 140049	12	$3,013	About average	$2,401	$26,223
St Lukes HospitalDuluth, MN · CCN 240047	42	$3,014	About average	$2,390	$12,512
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 430090	335	$3,014	About average	$2,396	$21,492
Evanston Regional HospitalEvanston, WY · CCN 530032	11	$3,015	About average	$2,354	$13,939
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	18	$3,016	About average	$2,403	$9,751
Ecu Health North HospitalRoanoke Rapids, NC · CCN 340151	28	$3,017	About average	$2,404	$13,759
Vidant Roanoke Chowan HospitalAhoskie, NC · CCN 340099	17	$3,017	About average	$2,404	$8,331
Watauga Medical CenterBoone, NC · CCN 340051	31	$3,017	About average	$2,402	$19,781
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	16	$3,017	About average	$2,399	$20,963
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	42	$3,018	About average	$2,390	$29,754
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	263	$3,018	About average	$2,399	$9,267
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	290	$3,018	About average	$2,401	$18,432
Wentworth-Douglass HospitalDover, NH · CCN 300018	58	$3,018	About average	$2,387	$19,698
Marshfield Medical CenterMarshfield, WI · CCN 520037	58	$3,019	About average	$2,383	$12,377
Carlsbad Medical CenterCarlsbad, NM · CCN 320063	18	$3,019	About average	$2,402	$32,083
Hurley Medical CenterFlint, MI · CCN 230132	11	$3,019	About average	$2,406	$27,272
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	12	$3,020	About average	$2,406	$7,490
Buffalo HospitalBuffalo, MN · CCN 240076	42	$3,020	About average	$2,402	$15,262
UnityPoint Health - MeriterMadison, WI · CCN 520089	67	$3,022	About average	$2,406	$16,145
Reston Hospital CenterReston, VA · CCN 490107	51	$3,022	About average	$2,398	$30,114
Blessing HospitalQuincy, IL · CCN 140015	64	$3,022	About average	$2,408	$22,492
Ashley Regional Medical CenterVernal, UT · CCN 460030	30	$3,023	About average	$2,391	$21,886
St. Mary's HospitalTucson, AZ · CCN 030010	19	$3,024	About average	$2,378	$39,562
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	26	$3,024	About average	$2,390	$49,392
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	42	$3,025	About average	$2,397	$16,652
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	44	$3,026	About average	$2,394	$113,320
Ridgeview Medical CenterWaconia, MN · CCN 240056	36	$3,026	About average	$2,391	$10,772
Golden Valley Memorial HospitalClinton, MO · CCN 260175	46	$3,027	About average	$2,412	$10,175
LmhLawrence, KS · CCN 170137	19	$3,027	About average	$2,412	$15,139
Bothwell Regional Health CenterSedalia, MO · CCN 260009	63	$3,027	About average	$2,411	$7,768
UCHealth Broomfield HospitalBroomfield, CO · CCN 060129	47	$3,029	About average	$2,399	$23,984
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 030130	20	$3,031	About average	$2,382	$25,158
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	59	$3,032	About average	$2,407	$11,569
United Hospital Center, IncBridgeport, WV · CCN 510006	83	$3,033	About average	$2,404	$10,715

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.