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 1,751–1,800. 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
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	11	$3,349	12% above the national average	$2,615	$8,390
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	88	$3,350	12% above the national average	$2,659	$13,221
Henderson HospitalHenderson, NV · CCN 290057	48	$3,352	12% above the national average	$2,644	$68,826
St Peter's HospitalAlbany, NY · CCN 330057	35	$3,354	12% above the national average	$2,656	$14,172
JFK University Medical CenterEdison, NJ · CCN 310108	44	$3,356	12% above the national average	$2,674	$16,906
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	25	$3,356	12% above the national average	$2,652	$82,620
Marlborough HospitalMarlborough, MA · CCN 220049	52	$3,356	12% above the national average	$2,662	$14,482
Samaritan Albany General HospitalAlbany, OR · CCN 380022	18	$3,360	12% above the national average	$2,677	$10,943
OHSU Hospital And ClinicsPortland, OR · CCN 380009	99	$3,362	12% above the national average	$2,677	$19,128
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	73	$3,362	12% above the national average	$2,656	$15,133
Renown Regional Medical CenterReno, NV · CCN 290001	67	$3,363	12% above the national average	$2,680	$21,867
St Charles Medical Center - BendBend, OR · CCN 380047	48	$3,363	12% above the national average	$2,668	$21,713
St Michael Medical CenterSilverdale, WA · CCN 500039	88	$3,365	12% above the national average	$2,655	$45,250
Morristown Medical CenterMorristown, NJ · CCN 310015	229	$3,365	12% above the national average	$2,673	$20,619
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	89	$3,367	12% above the national average	$2,672	$18,375
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	56	$3,367	12% above the national average	$2,661	$51,216
Corning HospitalCorning, NY · CCN 330277	48	$3,375	13% above the national average	$2,677	$12,480
Renown South Meadows Medical CenterReno, NV · CCN 290049	86	$3,377	13% above the national average	$2,680	$25,889
Glens Falls HospitalGlens Falls, NY · CCN 330191	51	$3,378	13% above the national average	$2,677	$10,550
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	21	$3,380	13% above the national average	$2,693	$42,432
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 030016	40	$3,380	13% above the national average	$2,690	$19,409
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	17	$3,381	13% above the national average	$2,688	$15,461
Riverview Medical CenterRed Bank, NJ · CCN 310034	55	$3,381	13% above the national average	$2,679	$17,161
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	31	$3,389	13% above the national average	$2,700	$45,431
West Jersey HospitalVoorhees, NJ · CCN 310022	39	$3,389	13% above the national average	$2,700	$46,198
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	21	$3,389	13% above the national average	$2,700	$14,487
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	22	$3,389	13% above the national average	$2,700	$92,229
Ahs Hospital CorpHackettstown, NJ · CCN 310115	29	$3,389	13% above the national average	$2,697	$16,966
Jefferson Stratford HospitalStratford, NJ · CCN 310086	45	$3,389	13% above the national average	$2,695	$31,025
Shore Medical CenterSomers Point, NJ · CCN 310047	34	$3,389	13% above the national average	$2,694	$31,007
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	31	$3,389	13% above the national average	$2,688	$22,901
Albany Medical Center HospitalAlbany, NY · CCN 330013	48	$3,389	13% above the national average	$2,700	$12,108
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	12	$3,389	13% above the national average	$2,684	$21,153
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	40	$3,389	13% above the national average	$2,687	$7,993
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	27	$3,390	13% above the national average	$2,701	$65,383
Mercy Medical CenterRoseburg, OR · CCN 380027	58	$3,392	13% above the national average	$2,662	$17,188
Confluence Health HospitalWenatchee, WA · CCN 500016 · +$238 outlier payments per case	167	$3,394	13% above the national average	$2,684	$17,137
Heywood Hospital -Gardner, MA · CCN 220095	62	$3,395	13% above the national average	$2,688	$9,287
Saratoga HospitalSaratoga Springs, NY · CCN 330222	74	$3,395	13% above the national average	$2,697	$14,698
Bristol HospitalBristol, CT · CCN 070029	13	$3,396	13% above the national average	$2,656	$19,871
Adventist Health PortlandPortland, OR · CCN 380060	20	$3,396	13% above the national average	$2,706	$39,618
Hillsboro Medical CenterHillsboro, OR · CCN 380021	17	$3,396	13% above the national average	$2,706	$17,116
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	12	$3,396	13% above the national average	$2,706	$18,901
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	14	$3,396	13% above the national average	$2,706	$16,952
Providence Portland Medical CenterPortland, OR · CCN 380061	20	$3,396	13% above the national average	$2,706	$18,037
Providence St Vincent Medical CenterPortland, OR · CCN 380004	11	$3,396	13% above the national average	$2,706	$17,903
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	23	$3,396	13% above the national average	$2,706	$15,915
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	45	$3,396	13% above the national average	$2,706	$33,713
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	17	$3,396	13% above the national average	$2,703	$20,422
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	13	$3,397	13% above the national average	$2,695	$17,518

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.