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 1,801–1,850. 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
Tufts Medical CenterBoston, MA · CCN 220116	57	$3,404	14% above the national average	$2,695	$15,025
Samaritan HospitalMoses Lake, WA · CCN 500033	40	$3,410	14% above the national average	$2,703	$21,110
Bridgeport HospitalBridgeport, CT · CCN 070010	24	$3,411	14% above the national average	$2,661	$18,032
UPMC HamotErie, PA · CCN 390063	17	$3,412	14% above the national average	$2,707	$31,576
Brigham And Women's HospitalBoston, MA · CCN 220110	165	$3,416	14% above the national average	$2,710	$24,914
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	48	$3,419	14% above the national average	$2,712	$18,146
Hudson Regional HospitalSecaucus, NJ · CCN 310118	25	$3,419	14% above the national average	$2,697	$64,515
St Anthony Community HospitalWarwick, NY · CCN 330205	13	$3,419	14% above the national average	$2,679	$43,353
Saint Alphonsus Medical Center OntarioOntario, OR · CCN 380052	27	$3,420	14% above the national average	$2,724	$13,695
Day Kimball HospitalPutnam, CT · CCN 070003	19	$3,421	14% above the national average	$2,725	$8,154
Southcoast Hospitals GroupFall River, MA · CCN 220074	140	$3,422	14% above the national average	$2,716	$13,200
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	54	$3,425	14% above the national average	$2,718	$15,468
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	37	$3,426	14% above the national average	$2,693	$33,821
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	170	$3,427	14% above the national average	$2,721	$8,171
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	26	$3,429	15% above the national average	$2,711	$12,936
Massachusetts General HospitalBoston, MA · CCN 220071 · +$324 outlier payments per case	406	$3,430	15% above the national average	$2,727	$27,092
Bayshore Medical CenterHolmdel, NJ · CCN 310112	20	$3,431	15% above the national average	$2,734	$16,365
CentraState Medical CenterFreehold, NJ · CCN 310111	23	$3,431	15% above the national average	$2,729	$13,108
St Marys HealthcareAmsterdam, NY · CCN 330047	19	$3,432	15% above the national average	$2,734	$8,932
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	43	$3,432	15% above the national average	$2,734	$18,492
UPMC ChautauquaJamestown, NY · CCN 330239	21	$3,432	15% above the national average	$2,734	$15,154
Oswego HospitalOswego, NY · CCN 330218	11	$3,432	15% above the national average	$2,734	$10,164
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	12	$3,432	15% above the national average	$2,734	$8,699
Kenmore Mercy HospitalKenmore, NY · CCN 330102	14	$3,432	15% above the national average	$2,733	$11,158
Newark-Wayne Community HospitalNewark, NY · CCN 330030	17	$3,432	15% above the national average	$2,733	$9,762
Ellis HospitalSchenectady, NY · CCN 330153	29	$3,432	15% above the national average	$2,732	$13,644
Highland HospitalRochester, NY · CCN 330164	13	$3,432	15% above the national average	$2,731	$16,777
Erie County Medical CenterBuffalo, NY · CCN 330219	49	$3,432	15% above the national average	$2,729	$7,926
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	20	$3,432	15% above the national average	$2,720	$12,396
Northern Westchester HospitalMount Kisco, NY · CCN 330162	42	$3,432	15% above the national average	$2,681	$18,903
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	110	$3,434	15% above the national average	$2,736	$22,638
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	26	$3,434	15% above the national average	$2,736	$15,115
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	63	$3,435	15% above the national average	$2,727	$22,012
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	51	$3,436	15% above the national average	$2,724	$29,573
Saint Anne's HospitalFall River, MA · CCN 220020	152	$3,440	15% above the national average	$2,731	$9,696
Emerson Hospital -W Concord, MA · CCN 220084	77	$3,440	15% above the national average	$2,731	$10,077
South Shore HospitalSouth Weymouth, MA · CCN 220100	233	$3,441	15% above the national average	$2,734	$4,761
Winchester HospitalWinchester, MA · CCN 220105	85	$3,444	15% above the national average	$2,737	$9,282
William W Backus HospitalNorwich, CT · CCN 070024	35	$3,447	15% above the national average	$2,712	$12,724
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	19	$3,448	15% above the national average	$2,717	$27,673
Putnam Hospital CenterCarmel, NY · CCN 330273	25	$3,448	15% above the national average	$2,700	$18,737
Mount Auburn HospitalCambridge, MA · CCN 220002	90	$3,452	15% above the national average	$2,746	$4,947
Milford Regional Medical CenterMilford, MA · CCN 220090	72	$3,452	15% above the national average	$2,750	$6,231
Olympic Medical CenterPort Angeles, WA · CCN 500072	103	$3,456	15% above the national average	$2,749	$7,513
Newton-Wellesley HospitalNewton, MA · CCN 220101	291	$3,457	15% above the national average	$2,750	$12,899
Plainview HospitalPlainview, NY · CCN 330331	53	$3,461	16% above the national average	$2,719	$12,196
Central Peninsula General HospitalSoldotna, AK · CCN 020024	87	$3,461	16% above the national average	$2,744	$15,972
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	18	$3,467	16% above the national average	$2,762	$47,406
Valley Hospital Medical CenterLas Vegas, NV · CCN 290021	40	$3,467	16% above the national average	$2,762	$72,231
Swedish Medical CenterSeattle, WA · CCN 500027	53	$3,468	16% above the national average	$2,762	$23,056

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.