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 1,651–1,700. 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
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	14	$3,214	About average	$2,561	$25,929
Providence Holy Family HospitalSpokane, WA · CCN 500077	80	$3,216	About average	$2,556	$19,320
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	15	$3,216	About average	$2,504	$20,018
Rhode Island HospitalProvidence, RI · CCN 410007	48	$3,216	About average	$2,563	$6,893
St Mary Medical CenterLanghorne, PA · CCN 390258	59	$3,217	About average	$2,563	$21,890
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	82	$3,219	About average	$2,558	$14,932
University Of Washington Medical CenterSeattle, WA · CCN 500008	88	$3,219	About average	$2,558	$17,599
Parkland Medical CenterDerry, NH · CCN 300017	20	$3,222	About average	$2,567	$39,936
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	21	$3,222	About average	$2,567	$31,620
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	74	$3,222	About average	$2,567	$9,350
Sanford Worthington Medical CenterWorthington, MN · CCN 240022	13	$3,222	About average	$2,564	$8,914
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	107	$3,225	About average	$2,561	$19,214
Wynn HospitalUtica, NY · CCN 330044	20	$3,226	About average	$2,570	$16,079
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	38	$3,227	About average	$2,571	$11,323
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	37	$3,227	About average	$2,571	$7,885
Winona Health ServicesWinona, MN · CCN 240044	17	$3,227	About average	$2,569	$6,672
Geneva General HospitalGeneva, NY · CCN 330058	40	$3,227	About average	$2,512	$6,686
George Washington University HospitalWashington, DC · CCN 090001	28	$3,230	About average	$2,543	$56,319
St Joseph Medical CenterTacoma, WA · CCN 500108	55	$3,238	About average	$2,558	$37,859
Mercy Regional Medical CenterDurango, CO · CCN 060013	62	$3,240	About average	$2,568	$25,395
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	22	$3,241	About average	$2,583	$17,176
South County Hospital IncWakefield, RI · CCN 410008	61	$3,244	About average	$2,565	$9,890
Alaska Regional HospitalAnchorage, AK · CCN 020017	26	$3,246	About average	$2,560	$39,084
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	19	$3,247	About average	$2,558	$22,541
Kent County Memorial HospitalWarwick, RI · CCN 410009	110	$3,247	About average	$2,578	$9,147
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	19	$3,248	About average	$2,587	$18,194
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	66	$3,248	About average	$2,583	$9,213
Harborview Medical CenterSeattle, WA · CCN 500064	42	$3,249	About average	$2,588	$21,772
Kadlec Regional Medical CenterRichland, WA · CCN 500058	16	$3,249	About average	$2,588	$14,715
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	43	$3,249	About average	$2,588	$17,268
Brookings Health SystemBrookings, SD · CCN 430008	45	$3,250	About average	$2,590	$10,242
Ivinson Memorial HospitalLaramie, WY · CCN 530025	25	$3,250	About average	$2,590	$12,036
Sagewest Health CareRiverton, WY · CCN 530008	16	$3,250	About average	$2,590	$30,773
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	43	$3,250	About average	$2,589	$16,815
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 430005	57	$3,250	About average	$2,588	$9,025
St Johns Medical CenterJackson, WY · CCN 530015	31	$3,250	About average	$2,587	$17,979
Memorial Hospital Sweetwater CountyRock Springs, WY · CCN 530011	12	$3,250	About average	$2,586	$13,047
Logan Health Medical CenterKalispell, MT · CCN 270051	38	$3,250	About average	$2,582	$11,537
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	32	$3,258	About average	$2,579	$23,465
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	77	$3,261	About average	$2,598	$25,483
Hutchinson HealthHutchinson, MN · CCN 240187	13	$3,263	About average	$2,599	$13,056
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	11	$3,264	About average	$2,560	$58,513
Hunterdon Medical CenterFlemington, NJ · CCN 310005	41	$3,265	About average	$2,601	$16,161
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	26	$3,265	About average	$2,565	$21,872
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 310084	22	$3,266	About average	$2,577	$18,411
Mount Nittany Medical CenterState College, PA · CCN 390268	39	$3,266	About average	$2,602	$18,589
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	17	$3,271	About average	$2,573	$6,435
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	54	$3,272	About average	$2,567	$32,603
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	98	$3,272	About average	$2,578	$19,926
Providence St Peter HospitalOlympia, WA · CCN 500024	58	$3,273	About average	$2,607	$20,702

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.