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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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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2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,501–1,550. 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
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	14	$3,081	About average	$2,455	$11,596
HCA Healthone RoseDenver, CO · CCN 060032	30	$3,081	About average	$2,455	$65,507
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	11	$3,081	About average	$2,455	$23,314
Longs Peak HospitalLongmont, CO · CCN 060128	12	$3,081	About average	$2,455	$21,930
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	31	$3,081	About average	$2,455	$26,042
St Francis Hospital - InterquestColorado Springs, CO · CCN 060133	17	$3,081	About average	$2,455	$21,473
St Mary-Corwin HospitalPueblo, CO · CCN 060012	17	$3,081	About average	$2,455	$34,886
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	17	$3,081	About average	$2,455	$27,090
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	37	$3,081	About average	$2,455	$27,910
Swedish Medical CenterEnglewood, CO · CCN 060034	37	$3,081	About average	$2,450	$58,935
AdventHealth AvistaLouisville, CO · CCN 060103	19	$3,081	About average	$2,449	$25,188
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	41	$3,081	About average	$2,449	$16,291
Banner Fort Collins Medical CenterFort Collins, CO · CCN 060126	52	$3,081	About average	$2,448	$21,468
Medical Center Of The RockiesLoveland, CO · CCN 060119	40	$3,081	About average	$2,446	$23,424
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	19	$3,082	About average	$2,445	$86,740
Lehigh Valley HospitalAllentown, PA · CCN 390133	379	$3,086	About average	$2,448	$20,135
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	73	$3,086	About average	$2,447	$11,002
Paoli HospitalPaoli, PA · CCN 390153	67	$3,087	About average	$2,451	$17,935
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	93	$3,087	About average	$2,458	$23,083
Frisbie Memorial HospitalRochester, NH · CCN 300014	12	$3,087	About average	$2,460	$23,945
Concord HospitalConcord, NH · CCN 300001	41	$3,088	About average	$2,457	$17,322
Rochester General HospitalRochester, NY · CCN 330125	18	$3,089	About average	$2,430	$11,048
Yuma Regional Medical CenterYuma, AZ · CCN 030013	66	$3,090	About average	$2,450	$19,738
Norton-King's Daughters' HealthMadison, IN · CCN 150069	15	$3,090	About average	$2,462	$21,227
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	28	$3,090	About average	$2,442	$48,344
Augusta HealthFishersville, VA · CCN 490018	68	$3,092	About average	$2,456	$19,063
Altru HospitalGrand Forks, ND · CCN 350019	132	$3,093	About average	$2,451	$14,498
St Clare HospitalLakewood, WA · CCN 500021	33	$3,093	About average	$2,416	$37,009
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	37	$3,094	About average	$2,465	$17,444
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	25	$3,094	About average	$2,465	$14,899
Fairview Northland Regional HospitalPrinceton, MN · CCN 240141	11	$3,094	About average	$2,465	$12,870
Lakeview Memorial HospitalStillwater, MN · CCN 240066	19	$3,094	About average	$2,465	$9,437
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	11	$3,094	About average	$2,465	$13,045
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	20	$3,094	About average	$2,465	$11,946
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	14	$3,094	About average	$2,465	$15,877
Northfield HospitalNorthfield, MN · CCN 240014	51	$3,094	About average	$2,463	$11,396
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	18	$3,094	About average	$2,455	$17,151
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	38	$3,096	About average	$2,466	$27,408
Meadville Medical CenterMeadville, PA · CCN 390113	28	$3,096	About average	$2,467	$12,370
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	21	$3,096	About average	$2,467	$14,112
UPMC KaneKane, PA · CCN 390104	11	$3,096	About average	$2,464	$8,633
UPMC SomersetSomerset, PA · CCN 390039	12	$3,096	About average	$2,458	$16,633
St Joseph's HospitalTucson, AZ · CCN 030011	43	$3,098	About average	$2,454	$70,383
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	24	$3,099	About average	$2,469	$17,168
Phoenixville HospitalPhoenixville, PA · CCN 390127	106	$3,099	About average	$2,464	$14,840
Banner Boswell Medical CenterSun City, AZ · CCN 030061	45	$3,100	About average	$2,459	$22,904
Indiana Regional Medical CenterIndiana, PA · CCN 390173	21	$3,102	About average	$2,471	$16,950
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	14	$3,102	About average	$2,471	$12,558
Howard Young Medical CenterWoodruff, WI · CCN 520091	16	$3,102	About average	$2,471	$11,079
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	18	$3,102	About average	$2,465	$10,300

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.