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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,401–1,450. 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
St Lukes HospitalBethlehem, PA · CCN 390049	136	$3,033	About average	$2,402	$36,282
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	41	$3,034	About average	$2,387	$42,367
CHI St Alexius HealthBismarck, ND · CCN 350002	43	$3,035	About average	$2,418	$13,209
Community Medical CenterMissoula, MT · CCN 270023	20	$3,035	About average	$2,418	$24,695
Sanford Medical Center AberdeenAberdeen, SD · CCN 430097	23	$3,035	About average	$2,418	$8,423
Sanford Medical Center BismarckBismarck, ND · CCN 350015	77	$3,035	About average	$2,418	$9,939
Sanford Medical Center FargoFargo, ND · CCN 350011	291	$3,035	About average	$2,417	$11,443
St. Patrick HospitalMissoula, MT · CCN 270014	25	$3,035	About average	$2,412	$12,671
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	23	$3,035	About average	$2,418	$15,036
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	23	$3,035	About average	$2,418	$19,794
Fauquier HospitalWarrenton, VA · CCN 490023	38	$3,035	About average	$2,418	$26,302
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	39	$3,035	About average	$2,418	$17,101
Inova Loudoun HospitalLeesburg, VA · CCN 490043	27	$3,035	About average	$2,418	$15,584
Mary Washington HospitalFredericksburg, VA · CCN 490022	13	$3,035	About average	$2,418	$17,472
Stonesprings Hospital CenterDulles, VA · CCN 490145	12	$3,035	About average	$2,418	$38,832
Warren Memorial HospitalFront Royal, VA · CCN 490033	15	$3,035	About average	$2,418	$8,352
Inova Alexandria HospitalAlexandria, VA · CCN 490040	32	$3,035	About average	$2,416	$15,018
Virginia Hospital CenterArlington, VA · CCN 490050	66	$3,035	About average	$2,413	$14,807
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	14	$3,037	About average	$2,419	$11,447
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	14	$3,037	About average	$2,419	$13,188
Physicians Care Surgical HospitalRoyersford, PA · CCN 390324	94	$3,037	About average	$2,417	$26,396
Chandler Regional Medical CenterChandler, AZ · CCN 030036	21	$3,037	About average	$2,395	$48,028
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	35	$3,037	About average	$2,412	$8,974
Pottstown HospitalPottstown, PA · CCN 390123	34	$3,037	About average	$2,411	$16,489
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	36	$3,037	About average	$2,403	$9,003
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	41	$3,038	About average	$2,396	$13,337
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	17	$3,039	About average	$2,422	$12,217
McLaren Northern MichiganPetoskey, MI · CCN 230105	49	$3,039	About average	$2,421	$8,053
St. George Regional HospitalSt George, UT · CCN 460021	76	$3,040	About average	$2,409	$13,745
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	12	$3,041	About average	$2,423	$21,111
McLaren FlintFlint, MI · CCN 230141	20	$3,041	About average	$2,423	$12,339
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	74	$3,041	About average	$2,412	$14,365
Northern Light Mercy HospitalPortland, ME · CCN 200008	59	$3,041	About average	$2,423	$13,776
York HospitalYork, ME · CCN 200020	30	$3,041	About average	$2,423	$13,952
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	50	$3,042	About average	$2,402	$14,427
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	81	$3,043	About average	$2,416	$23,768
Memorial Satilla HealthWaycross, GA · CCN 110003	13	$3,043	About average	$2,425	$37,106
Chelsea HospitalChelsea, MI · CCN 230259	53	$3,043	About average	$2,421	$22,918
Froedtert South Inc.Kenosha, WI · CCN 520021	38	$3,044	About average	$2,425	$16,117
Methodist Hospitals IncGary, IN · CCN 150002	29	$3,044	About average	$2,425	$26,550
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	13	$3,044	About average	$2,425	$19,674
Presence St Marys HospitalKankakee, IL · CCN 140155	17	$3,044	About average	$2,425	$26,573
St Mary Medical CenterGalesburg, IL · CCN 140064	16	$3,044	About average	$2,393	$18,123
Community HospitalMunster, IN · CCN 150125	63	$3,044	About average	$2,423	$19,179
St Catherine Hospital IncEast Chicago, IN · CCN 150008	16	$3,044	About average	$2,422	$17,081
Franciscan Health MunsterMunster, IN · CCN 150165	51	$3,044	About average	$2,419	$29,558
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	55	$3,045	About average	$2,426	$11,254
Saint Anthony Medical CenterRockford, IL · CCN 140233	47	$3,046	About average	$2,398	$15,671
Ascension All Saints HospitalRacine, WI · CCN 520096	17	$3,046	About average	$2,427	$27,239
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	45	$3,046	About average	$2,425	$22,447

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.