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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,551–1,600. 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
Uintah Basin Medical CenterRoosevelt, UT · CCN 460019	22	$3,105	About average	$2,474	$9,484
Castleview HospitalPrice, UT · CCN 460011	23	$3,106	About average	$2,469	$16,969
Northwest Medical CenterTucson, AZ · CCN 030085	105	$3,108	About average	$2,466	$44,187
Southern NH Medical CenterNashua, NH · CCN 300020	49	$3,110	About average	$2,463	$20,983
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	55	$3,111	About average	$2,467	$40,755
Olmsted Medical CenterRochester, MN · CCN 240006	56	$3,113	About average	$2,481	$13,109
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	112	$3,115	About average	$2,468	$16,260
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	14	$3,118	About average	$2,435	$27,077
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	114	$3,118	About average	$2,478	$19,038
North Texas Medical CenterGainesville, TX · CCN 450090	13	$3,120	About average	$2,486	$13,200
St Joseph Regional Medical CenterLewiston, ID · CCN 130003	27	$3,120	About average	$2,486	$20,571
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	41	$3,123	About average	$2,488	$17,456
Doylestown HospitalDoylestown, PA · CCN 390203	70	$3,123	About average	$2,488	$21,367
Chester County HospitalWest Chester, PA · CCN 390179	68	$3,123	About average	$2,487	$20,129
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 390322	15	$3,123	About average	$2,482	$45,326
Main Line Hospital LankenauWynnewood, PA · CCN 390195	42	$3,123	About average	$2,476	$16,666
Lowell General HospitalLowell, MA · CCN 220063	46	$3,123	About average	$2,404	$8,812
Flagler HospitalSaint Augustine, FL · CCN 100090	153	$3,124	About average	$2,484	$15,921
Oro Valley HospitalOro Valley, AZ · CCN 030114	81	$3,125	About average	$2,481	$46,222
Mountainview HospitalLas Vegas, NV · CCN 290039	16	$3,126	About average	$2,421	$62,796
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107	140	$3,127	About average	$2,481	$13,616
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	122	$3,129	About average	$2,486	$19,209
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	17	$3,130	About average	$2,494	$16,128
Marion General HospitalMarion, IN · CCN 150011	16	$3,131	About average	$2,495	$31,896
Tucson Medical CenterTucson, AZ · CCN 030006	61	$3,132	About average	$2,489	$12,497
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	168	$3,133	About average	$2,490	$42,436
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	27	$3,134	About average	$2,478	$19,663
Maine General Medical CenterAugusta, ME · CCN 200039	74	$3,135	About average	$2,498	$16,453
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064 · +$972 outlier payments per case	44	$3,138	About average	$2,494	$32,598
Jackson HospitalMarianna, FL · CCN 100142	19	$3,140	About average	$2,502	$7,472
HCA Florida Lake City HospitalLake City, FL · CCN 100156	54	$3,140	About average	$2,500	$49,026
Lower Keys Medical CenterKey West, FL · CCN 100150	21	$3,140	About average	$2,499	$43,495
Winchester Medical CenterWinchester, VA · CCN 490005	60	$3,141	About average	$2,490	$11,882
St Francis Community HospitalFederal Way, WA · CCN 500141	16	$3,141	About average	$2,451	$48,979
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	11	$3,145	About average	$2,506	$18,499
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	17	$3,145	About average	$2,497	$58,147
Riddle Memorial HospitalMedia, PA · CCN 390222	14	$3,145	About average	$2,493	$17,695
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	30	$3,146	About average	$2,507	$48,227
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	28	$3,147	About average	$2,500	$36,969
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	35	$3,148	About average	$2,508	$27,111
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	24	$3,148	About average	$2,508	$26,181
Beloit Health SystemBeloit, WI · CCN 520100	42	$3,148	About average	$2,507	$21,324
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	39	$3,148	About average	$2,506	$24,960
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	35	$3,148	About average	$2,503	$22,059
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	33	$3,148	About average	$2,503	$18,698
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	24	$3,148	About average	$2,501	$25,932
Elliot HospitalManchester, NH · CCN 300012	33	$3,150	About average	$2,510	$19,489
Trios HealthKennewick, WA · CCN 500053	27	$3,153	About average	$2,492	$18,243
Banner Wyoming Medical CenterCasper, WY · CCN 530012	27	$3,154	About average	$2,494	$21,765
Abrazo Central CampusPhoenix, AZ · CCN 030030	11	$3,156	About average	$2,515	$34,173

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.