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 1,451–1,500. 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
UPMC AltoonaAltoona, PA · CCN 390073	50	$3,047	About average	$2,416	$17,776
San Juan Regional Medical Center IncFarmington, NM · CCN 320005	27	$3,049	About average	$2,411	$14,084
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	66	$3,050	About average	$2,413	$16,697
The University Of Chicago Medical CenterChicago, IL · CCN 140088	52	$3,052	About average	$2,407	$45,778
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	14	$3,052	About average	$2,432	$10,612
Kootenai HealthCoeur D'Alene, ID · CCN 130049	93	$3,052	About average	$2,425	$14,370
Corewell Health Big Rapids HospitalBig Rapids, MI · CCN 230093	18	$3,053	About average	$2,433	$11,739
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	50	$3,055	About average	$2,430	$24,434
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	47	$3,057	About average	$2,413	$16,913
UNC Health Care WayneGoldsboro, NC · CCN 340010	22	$3,059	About average	$2,386	$13,977
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	11	$3,061	About average	$2,390	$21,209
Poudre Valley HospitalFort Collins, CO · CCN 060010	124	$3,062	About average	$2,435	$26,889
Southside HospitalBay Shore, NY · CCN 330043	25	$3,062	About average	$2,318	$15,739
Cheshire Medical CenterKeene, NH · CCN 300019	76	$3,062	About average	$2,440	$12,757
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	42	$3,063	About average	$2,429	$16,336
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	36	$3,064	About average	$2,426	$13,832
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112	53	$3,064	About average	$2,412	$28,603
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	74	$3,066	About average	$2,427	$13,705
Missouri Delta Medical CenterSikeston, MO · CCN 260113	22	$3,066	About average	$2,404	$10,851
Alomere HealthAlexandria, MN · CCN 240030	52	$3,066	About average	$2,423	$12,636
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	25	$3,067	About average	$2,425	$71,010
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	29	$3,070	About average	$2,428	$22,381
Allina Health Faribault Medical CenterFaribault, MN · CCN 240071	12	$3,071	About average	$2,447	$11,950
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	41	$3,071	About average	$2,447	$10,765
Exeter Hospital IncExeter, NH · CCN 300023	80	$3,072	About average	$2,442	$11,356
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	60	$3,072	About average	$2,431	$26,107
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	13	$3,073	About average	$2,448	$27,421
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	48	$3,073	About average	$2,448	$22,457
Saint Joseph Medical CenterJoliet, IL · CCN 140007	14	$3,073	About average	$2,448	$22,776
Rush Oak Park HospitalOak Park, IL · CCN 140063	40	$3,073	About average	$2,447	$19,899
Edward HospitalNaperville, IL · CCN 140231	47	$3,073	About average	$2,446	$20,542
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	29	$3,073	About average	$2,446	$26,311
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	26	$3,073	About average	$2,445	$23,633
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	40	$3,073	About average	$2,444	$35,515
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	37	$3,073	About average	$2,443	$11,618
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	26	$3,073	About average	$2,443	$21,110
Ingalls Memorial HospitalHarvey, IL · CCN 140191	18	$3,073	About average	$2,439	$20,210
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	25	$3,073	About average	$2,436	$25,858
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	47	$3,074	About average	$2,431	$40,839
Deaconess Medical CenterSpokane, WA · CCN 500044	15	$3,076	About average	$2,416	$19,060
Mayo Clinic Health System - FairmontFairmont, MN · CCN 240166	11	$3,078	About average	$2,403	$10,350
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	22	$3,078	About average	$2,429	$13,527
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	11	$3,080	About average	$2,454	$21,753
AdventHealth PorterDenver, CO · CCN 060064	18	$3,080	About average	$2,454	$21,096
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	103	$3,081	About average	$2,455	$20,458
AdventHealth Castle RockCastle Rock, CO · CCN 060125	48	$3,081	About average	$2,455	$26,310
AdventHealth ParkerParker, CO · CCN 060114	26	$3,081	About average	$2,455	$23,667
Boulder Community HealthBoulder, CO · CCN 060027 · +$905 outlier payments per case	49	$3,081	About average	$2,455	$53,637
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	28	$3,081	About average	$2,455	$24,294
Community HospitalGrand Junction, CO · CCN 060054	24	$3,081	About average	$2,455	$24,028

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.