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 1,601–1,650. 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
Banner Baywood Medical CenterMesa, AZ · CCN 030088	31	$3,156	About average	$2,515	$20,843
Banner Desert Medical CenterMesa, AZ · CCN 030065	40	$3,156	About average	$2,515	$28,297
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	12	$3,156	About average	$2,515	$28,757
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	44	$3,156	About average	$2,515	$16,022
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	48	$3,156	About average	$2,515	$44,052
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	30	$3,156	About average	$2,515	$33,090
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	16	$3,156	About average	$2,515	$28,119
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	17	$3,156	About average	$2,515	$69,302
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	77	$3,156	About average	$2,514	$40,122
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	66	$3,156	About average	$2,510	$42,639
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 030121	16	$3,157	About average	$2,505	$32,652
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	15	$3,157	About average	$2,502	$60,407
Copley Memorial HospitalAurora, IL · CCN 140029	45	$3,159	About average	$2,517	$23,165
Campbell County HealthGillette, WY · CCN 530002	29	$3,161	About average	$2,500	$15,098
St Joseph HospitalNashua, NH · CCN 300011	23	$3,161	About average	$2,518	$18,988
Catholic Medical CenterManchester, NH · CCN 300034	15	$3,161	About average	$2,506	$22,735
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	26	$3,162	About average	$2,519	$28,147
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	26	$3,162	About average	$2,519	$43,563
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	132	$3,166	About average	$2,522	$19,799
Valley Medical CenterRenton, WA · CCN 500088	38	$3,167	About average	$2,495	$18,663
Trinity HospitalsMinot, ND · CCN 350006	90	$3,168	About average	$2,507	$14,341
Good Samaritan Medical CenterBrockton, MA · CCN 220111	88	$3,168	About average	$2,522	$11,303
Christiana HospitalNewark, DE · CCN 080001	105	$3,169	About average	$2,509	$12,762
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	37	$3,172	About average	$2,512	$18,943
Ocean Medical CenterBrick, NJ · CCN 310052	32	$3,177	About average	$2,531	$21,561
Santiam Hospital & ClinicsStayton, OR · CCN 380056	40	$3,177	About average	$2,513	$21,358
The Miriam HospitalProvidence, RI · CCN 410012	32	$3,182	About average	$2,535	$7,601
MedStar Georgetown University HospitalWashington, DC · CCN 090004	78	$3,182	About average	$2,509	$25,467
Virginia Mason Medical CenterSeattle, WA · CCN 500005	88	$3,183	About average	$2,523	$19,310
St Francis HospitalWilmington, DE · CCN 080003	36	$3,185	About average	$2,537	$21,190
Island HospitalAnacortes, WA · CCN 500007	19	$3,187	About average	$2,539	$19,768
Sheridan Memorial HospitalSheridan, WY · CCN 530006	30	$3,187	About average	$2,539	$20,338
St Peters HealthHelena, MT · CCN 270003	16	$3,187	About average	$2,539	$9,615
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	49	$3,189	About average	$2,541	$17,378
Cascade Valley HospitalArlington, WA · CCN 500060	23	$3,191	About average	$2,519	$15,529
Asante Ashland Community HospitalAshland, OR · CCN 380005	13	$3,193	About average	$2,544	$14,169
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	47	$3,195	About average	$2,534	$19,807
Avera Sacred Heart HospitalYankton, SD · CCN 430012	49	$3,197	About average	$2,537	$12,927
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	78	$3,199	About average	$2,539	$11,398
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	51	$3,199	About average	$2,539	$15,418
Valley View Medical CenterFort Mohave, AZ · CCN 030117	19	$3,203	About average	$2,547	$52,047
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	51	$3,203	About average	$2,515	$12,773
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	71	$3,204	About average	$2,543	$26,177
Graham Hospital AssociationCanton, IL · CCN 140001	27	$3,204	About average	$2,550	$17,936
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	24	$3,204	About average	$2,506	$22,506
Temple University HospitalPhiladelphia, PA · CCN 390027	47	$3,206	About average	$2,538	$63,795
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 380020	17	$3,209	About average	$2,525	$29,008
Beebe Medical CenterLewes, DE · CCN 080007	140	$3,211	About average	$2,548	$18,413
Avera St Mary's HospitalPierre, SD · CCN 430015	66	$3,211	About average	$2,549	$15,296
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	43	$3,211	About average	$2,534	$27,448

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.