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 101–150. 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
Southeast Michigan Surgical Hospital LLCWarren, MI · CCN 230264	12	$2,542	15% below the national average	$1,992	$31,161
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	16	$2,549	15% below the national average	$2,031	$26,827
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	32	$2,550	15% below the national average	$2,003	$5,790
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	28	$2,551	15% below the national average	$1,984	$53,795
Merit Health WesleyHattiesburg, MS · CCN 250094	12	$2,551	15% below the national average	$2,004	$33,504
Greenwood Leflore HospitalGreenwood, MS · CCN 250099	15	$2,553	15% below the national average	$1,992	$10,142
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	74	$2,554	15% below the national average	$1,967	$33,282
Southwestern Medical CenterLawton, OK · CCN 370097	19	$2,555	15% below the national average	$1,985	$24,520
Crozer Chester Medical CenterUpland, PA · CCN 390180	173	$2,555	15% below the national average	$2,033	$19,263
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	78	$2,556	15% below the national average	$2,017	$18,126
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	34	$2,556	15% below the national average	$1,998	$19,763
John Randolph Medical CenterHopewell, VA · CCN 490020	26	$2,558	15% below the national average	$1,972	$79,139
Callahan Eye HospitalBirmingham, AL · CCN 010018	15	$2,558	15% below the national average	$2,009	$16,148
Forrest General HospitalHattiesburg, MS · CCN 250078	79	$2,563	14% below the national average	$2,022	$15,505
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	19	$2,566	14% below the national average	$2,024	$5,940
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	12	$2,566	14% below the national average	$2,007	$34,177
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	237	$2,567	14% below the national average	$2,019	$19,413
University Of Alabama HospitalBirmingham, AL · CCN 010033	82	$2,567	14% below the national average	$2,023	$32,431
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	51	$2,568	14% below the national average	$2,003	$32,807
Heritage Valley BeaverBeaver, PA · CCN 390036	18	$2,570	14% below the national average	$2,047	$6,273
Blanchard Valley HospitalFindlay, OH · CCN 360095	23	$2,571	14% below the national average	$2,009	$12,835
Wayne Memorial HospitalHonesdale, PA · CCN 390125	26	$2,572	14% below the national average	$2,038	$12,598
Minden Medical CenterMinden, LA · CCN 190144	15	$2,573	14% below the national average	$2,021	$22,198
Crossgates River Oaks HospitalBrandon, MS · CCN 250096	16	$2,575	14% below the national average	$2,024	$75,690
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	17	$2,578	14% below the national average	$2,054	$22,273
St John OwassoOwasso, OK · CCN 370227	13	$2,580	14% below the national average	$2,022	$19,956
Burke Medical CenterWaynesboro, GA · CCN 110113	44	$2,581	14% below the national average	$2,037	$24,533
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	55	$2,582	14% below the national average	$2,033	$11,796
Genesis HospitalZanesville, OH · CCN 360039	68	$2,583	14% below the national average	$2,026	$12,877
Candler HospitalSavannah, GA · CCN 110024	29	$2,586	14% below the national average	$2,026	$18,192
Saint Francis HospitalCharleston, WV · CCN 510031	14	$2,588	14% below the national average	$2,030	$26,391
Flowers HospitalDothan, AL · CCN 010055	56	$2,588	14% below the national average	$2,018	$45,147
St Luke's Nampa Medical CenterNampa, ID · CCN 130071	18	$2,589	14% below the national average	$2,063	$14,685
Carteret General HospitalMorehead City, NC · CCN 340142	28	$2,589	14% below the national average	$2,063	$8,257
Legent Orthopedic HospitalGrapevine, TX · CCN 670265	17	$2,590	14% below the national average	$2,055	$29,503
Jersey Community HospitalJerseyville, IL · CCN 140059	15	$2,593	13% below the national average	$2,066	$8,556
Carle Foundation HospitalUrbana, IL · CCN 140091	34	$2,594	13% below the national average	$2,061	$15,058
Hillcrest Medical CenterTulsa, OK · CCN 370001	40	$2,597	13% below the national average	$2,058	$35,003
Acadia General HospitalCrowley, LA · CCN 190044	23	$2,599	13% below the national average	$2,051	$10,755
Memorial HealthLawton, OK · CCN 370056	55	$2,599	13% below the national average	$2,068	$22,473
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	32	$2,599	13% below the national average	$2,050	$27,055
Fisher-Titus HospitalNorwalk, OH · CCN 360065	13	$2,599	13% below the national average	$2,024	$11,260
Faith HealthNorfolk, NE · CCN 280125	37	$2,600	13% below the national average	$2,058	$14,655
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	114	$2,602	13% below the national average	$2,035	$23,170
Riverview Regional Medical CenterGadsden, AL · CCN 010046	51	$2,602	13% below the national average	$2,057	$49,928
Wheeling Hospital, IncWheeling, WV · CCN 510050	87	$2,603	13% below the national average	$2,057	$17,417
Walker Baptist Medical CenterJasper, AL · CCN 010089	41	$2,603	13% below the national average	$2,019	$36,069
Byrd Regional HospitalLeesville, LA · CCN 190164	38	$2,604	13% below the national average	$2,038	$33,550
Freestone Medical CenterFairfield, TX · CCN 450658	11	$2,605	13% below the national average	$2,034	$13,905
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	35	$2,606	13% below the national average	$2,063	$14,208

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.