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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,701–1,750. 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
Skagit Valley HospitalMount Vernon, WA · CCN 500003	90	$3,273	About average	$2,607	$18,898
Newport HospitalNewport, RI · CCN 410006	65	$3,285	About average	$2,617	$6,761
Roger Williams Medical CenterProvidence, RI · CCN 410004	33	$3,285	About average	$2,617	$7,894
Our Lady Of Fatima HospitalNorth Providence, RI · CCN 410005	23	$3,285	About average	$2,609	$10,336
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	74	$3,289	About average	$2,620	$14,458
Unity HospitalRochester, NY · CCN 330226	40	$3,295	10% above the national average	$2,595	$10,108
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	19	$3,297	10% above the national average	$2,562	$9,031
Arnot Ogden Medical CenterElmira, NY · CCN 330090	41	$3,299	10% above the national average	$2,596	$12,020
Kaleida HealthBuffalo, NY · CCN 330005	19	$3,299	10% above the national average	$2,591	$15,585
St Anthony Summit Medical CenterFrisco, CO · CCN 060118	13	$3,300	10% above the national average	$2,629	$29,181
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 060049	22	$3,300	10% above the national average	$2,629	$17,077
Vail Health HospitalVail, CO · CCN 060096 · +$2,503 outlier payments per case	57	$3,300	10% above the national average	$2,624	$26,991
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 060008	20	$3,300	10% above the national average	$2,620	$9,812
Delta County Memorial HospitalDelta, CO · CCN 060071	21	$3,300	10% above the national average	$2,610	$11,912
Rome Memorial Hospital, IncRome, NY · CCN 330215	21	$3,302	10% above the national average	$2,604	$15,187
Boston Medical Center-BrightonBrighton, MA · CCN 220036	16	$3,303	10% above the national average	$2,585	$7,456
USC Arcadia HospitalArcadia, CA · CCN 050238	20	$3,305	10% above the national average	$2,537	$23,583
Staten Island University HospitalStaten Island, NY · CCN 330160	107	$3,305	10% above the national average	$2,605	$17,158
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	91	$3,306	10% above the national average	$2,634	$16,394
MultiCare Covington Medical CenterCovington, WA · CCN 500154	12	$3,306	10% above the national average	$2,634	$29,132
Providence Regional Medical Center EverettEverett, WA · CCN 500014	15	$3,306	10% above the national average	$2,634	$28,295
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	11	$3,306	10% above the national average	$2,634	$20,393
Swedish IssaquahIssaquah, WA · CCN 500152	26	$3,306	10% above the national average	$2,633	$23,651
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	33	$3,306	10% above the national average	$2,618	$40,979
Providence Newberg Medical CenterNewberg, OR · CCN 380037	30	$3,306	10% above the national average	$2,615	$12,349
Nyack HospitalNyack, NY · CCN 330104	87	$3,308	10% above the national average	$2,632	$21,413
MedStar Washington Hospital CenterWashington, DC · CCN 090011	31	$3,312	11% above the national average	$2,639	$22,547
Sibley Memorial HospitalWashington, DC · CCN 090005	23	$3,312	11% above the national average	$2,634	$22,581
Palomar Medical Center PowayPoway, CA · CCN 050636	19	$3,312	11% above the national average	$2,503	$30,499
Columbia Memorial HospitalHudson, NY · CCN 330094	23	$3,313	11% above the national average	$2,615	$10,816
United Memorial Medical CenterBatavia, NY · CCN 330073	23	$3,313	11% above the national average	$2,615	$11,669
Saint Mary's Regional Medical CenterReno, NV · CCN 290009	18	$3,313	11% above the national average	$2,609	$23,570
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	41	$3,313	11% above the national average	$2,640	$16,240
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	47	$3,317	11% above the national average	$2,641	$27,358
Yakima Valley MemorialYakima, WA · CCN 500036	103	$3,317	11% above the national average	$2,635	$14,268
Newton Medical CenterNewton, NJ · CCN 310028	39	$3,319	11% above the national average	$2,631	$35,380
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	130	$3,325	11% above the national average	$2,623	$16,015
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	30	$3,327	11% above the national average	$2,591	$16,474
Brown University Health Morton HospitalTaunton, MA · CCN 220073	78	$3,328	11% above the national average	$2,636	$6,670
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	20	$3,328	11% above the national average	$2,624	$57,169
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	43	$3,331	11% above the national average	$2,640	$14,378
Saint Vincent HospitalErie, PA · CCN 390009	67	$3,333	11% above the national average	$2,633	$22,480
Capital Medical CenterOlympia, WA · CCN 500139	11	$3,335	11% above the national average	$2,657	$25,309
St Anthony HospitalGig Harbor, WA · CCN 500151	23	$3,335	11% above the national average	$2,653	$49,631
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	54	$3,339	11% above the national average	$2,650	$33,613
Inspira Medical Center VinelandVineland, NJ · CCN 310032	68	$3,339	11% above the national average	$2,659	$18,233
Community Medical CenterToms River, NJ · CCN 310041	57	$3,341	12% above the national average	$2,653	$12,541
Clara Maass Medical CenterBelleville, NJ · CCN 310009	18	$3,348	12% above the national average	$2,641	$14,965
Monmouth Medical CenterLong Branch, NJ · CCN 310075	33	$3,348	12% above the national average	$2,648	$19,571
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	42	$3,349	12% above the national average	$2,644	$65,906

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.