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

Hospitals in Texas

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.

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Average payment across these 173 hospitals: $2,828National $2,995 · Texas $2,828
Median hospital: $2,847
Lowest to highest: $1,335–$3,214
Medicare procedures: 9,016

173 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
St David's Medical CenterAustin, TX · CCN 450431	43	$2,849	About average	$2,268	$42,130
St Luke's Hospital At The VintageHouston, TX · CCN 670075	16	$2,852	About average	$2,242	$28,628
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	16	$2,852	About average	$2,230	$20,286
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 450853	79	$2,854	About average	$2,258	$22,330
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	60	$2,856	About average	$2,256	$26,038
North Central Surgical Center LLPDallas, TX · CCN 670049	284	$2,859	About average	$2,266	$15,345
Hunt Regional Medical CenterGreenville, TX · CCN 450352	45	$2,862	About average	$2,259	$10,600
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 450888	118	$2,863	About average	$2,265	$17,886
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	69	$2,871	About average	$2,285	$30,452
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	61	$2,875	About average	$2,279	$17,335
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	36	$2,880	About average	$2,263	$12,748
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	144	$2,881	About average	$2,285	$13,848
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	24	$2,902	About average	$2,302	$19,974
Crescent Medical Center LancasterLancaster, TX · CCN 670090	12	$2,905	About average	$2,313	$26,871
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 450891	22	$2,913	About average	$2,321	$23,777
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	24	$2,913	About average	$2,321	$24,662
Legent Surgical Hospital PlanoPlano, TX · CCN 670322	30	$2,913	About average	$2,321	$29,366
Medical City Las ColinasIrving, TX · CCN 450822	11	$2,913	About average	$2,321	$85,677
Parkland Health & Hospital SystemDallas, TX · CCN 450015	16	$2,913	About average	$2,321	$27,158
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	12	$2,913	About average	$2,321	$19,586
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	11	$2,913	About average	$2,321	$28,627
Texoma Medical CenterDenison, TX · CCN 450324	14	$2,913	About average	$2,320	$53,993
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	22	$2,914	About average	$2,322	$32,617
Ascension ProvidenceWaco, TX · CCN 450042	69	$2,914	About average	$2,321	$23,159
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	120	$2,914	About average	$2,304	$18,722
AdventHealth Central TexasKilleen, TX · CCN 450152	51	$2,918	About average	$2,316	$29,890
Medical City DentonDenton, TX · CCN 450634	107	$2,922	About average	$2,328	$92,726
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	19	$2,922	About average	$2,328	$20,028
Medical City DecaturDecatur, TX · CCN 450271	15	$2,922	About average	$2,328	$37,804
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	24	$2,922	About average	$2,328	$19,286
Texas Health Harris Methodist Hospital AzleAzle, TX · CCN 450419	12	$2,922	About average	$2,328	$16,154
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	21	$2,922	About average	$2,328	$37,701
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	30	$2,922	About average	$2,328	$23,970
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132 · +$2,359 outlier payments per case	43	$2,922	About average	$2,328	$23,366
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	13	$2,922	About average	$2,323	$22,676
Texas Health Hospital MansfieldMansfield, TX · CCN 670309	15	$2,922	About average	$2,322	$29,880
Medical City WeatherfordWeatherford, TX · CCN 450203	79	$2,922	About average	$2,320	$47,149
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	32	$2,927	About average	$2,314	$35,955
Baytown Medical Center LpBaytown, TX · CCN 670109	19	$2,943	About average	$2,335	$49,562
North Houston Surgical Hospital LLCSpring, TX · CCN 670280	17	$2,944	About average	$2,317	$76,881
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	97	$2,946	About average	$2,340	$21,053
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	44	$2,947	About average	$2,337	$49,879
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	132	$2,948	About average	$2,336	$31,813
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	29	$2,952	About average	$2,335	$8,064
Shannon Medical CenterSan Angelo, TX · CCN 450571	126	$2,952	About average	$2,340	$21,298
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	38	$2,954	About average	$2,354	$9,707
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	199	$2,955	About average	$2,349	$37,516
Houston Methodist West HospitalHouston, TX · CCN 670077	116	$2,955	About average	$2,345	$47,143
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	52	$2,955	About average	$2,345	$15,786
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	111	$2,964	About average	$2,354	$18,819

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.