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 1,851–1,900. 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
Salem HospitalSalem, OR · CCN 380051	113	$3,472	16% above the national average	$2,736	$17,515
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	35	$3,473	16% above the national average	$2,767	$26,364
Baystate Medical CenterSpringfield, MA · CCN 220077	86	$3,476	16% above the national average	$2,770	$9,657
Baystate Wing HospitalPalmer, MA · CCN 220030	14	$3,476	16% above the national average	$2,770	$5,843
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	63	$3,476	16% above the national average	$2,770	$10,010
Cape Cod HospitalHyannis, MA · CCN 220012	138	$3,476	16% above the national average	$2,770	$10,000
Anna Jaques HospitalNewburyport, MA · CCN 220029	45	$3,476	16% above the national average	$2,770	$7,906
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	22	$3,476	16% above the national average	$2,770	$8,809
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	47	$3,476	16% above the national average	$2,770	$7,207
Cambridge Health AllianceCambridge, MA · CCN 220011	33	$3,476	16% above the national average	$2,770	$6,123
Holyoke Medical CenterHolyoke, MA · CCN 220024	28	$3,476	16% above the national average	$2,770	$13,126
MelroseWakefield HealthcareMelrose, MA · CCN 220070	35	$3,476	16% above the national average	$2,770	$11,551
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	26	$3,476	16% above the national average	$2,770	$10,312
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	27	$3,476	16% above the national average	$2,770	$8,539
Falmouth HospitalFalmouth, MA · CCN 220135	99	$3,476	16% above the national average	$2,768	$9,920
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	119	$3,476	16% above the national average	$2,768	$12,539
Baystate Noble HospitalWestfield, MA · CCN 220065	27	$3,476	16% above the national average	$2,768	$7,042
Northeast Hospital CorporationBeverly, MA · CCN 220033	74	$3,476	16% above the national average	$2,768	$6,945
North Shore Medical Center -Salem, MA · CCN 220035	38	$3,476	16% above the national average	$2,768	$12,209
Mercy Medical CenterSpringfield, MA · CCN 220066	75	$3,476	16% above the national average	$2,767	$8,660
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	43	$3,476	16% above the national average	$2,767	$9,935
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	56	$3,476	16% above the national average	$2,765	$5,951
St Vincent HospitalWorcester, MA · CCN 220176	99	$3,476	16% above the national average	$2,764	$33,916
Holy Family HospitalMethuen, MA · CCN 220080	20	$3,476	16% above the national average	$2,760	$8,946
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	25	$3,477	16% above the national average	$2,767	$19,265
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	34	$3,477	16% above the national average	$2,767	$14,299
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	35	$3,479	16% above the national average	$2,769	$25,549
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	33	$3,484	16% above the national average	$2,744	$7,956
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	41	$3,500	17% above the national average	$2,789	$15,342
Overlook Medical CenterSummit, NJ · CCN 310051	47	$3,503	17% above the national average	$2,779	$21,868
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	81	$3,504	17% above the national average	$2,789	$36,762
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	13	$3,509	17% above the national average	$2,760	$14,420
The Queens Medical CenterHonolulu, HI · CCN 120001	55	$3,511	17% above the national average	$2,747	$21,229
St Mary's General HospitalPassaic, NJ · CCN 310006	17	$3,511	17% above the national average	$2,762	$38,527
Hartford HospitalHartford, CT · CCN 070025	30	$3,515	17% above the national average	$2,781	$15,808
Hospital For Special SurgeryNew York, NY · CCN 330270 · +$141 outlier payments per case	342	$3,518	17% above the national average	$2,794	$29,976
Huntington HospitalHuntington, NY · CCN 330045	68	$3,522	18% above the national average	$2,787	$16,295
St Charles HospitalPort Jefferson, NY · CCN 330246	40	$3,525	18% above the national average	$2,808	$20,423
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	24	$3,525	18% above the national average	$2,784	$16,922
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	30	$3,526	18% above the national average	$2,809	$19,481
Bay Area HospitalCoos Bay, OR · CCN 380090	24	$3,536	18% above the national average	$2,817	$21,105
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	46	$3,548	18% above the national average	$2,801	$8,101
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	90	$3,548	18% above the national average	$2,811	$22,952
Griffin HospitalDerby, CT · CCN 070031	30	$3,549	19% above the national average	$2,807	$20,483
Stamford HospitalStamford, CT · CCN 070006	67	$3,559	19% above the national average	$2,815	$33,807
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	35	$3,560	19% above the national average	$2,816	$30,805
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	161	$3,562	19% above the national average	$2,826	$24,438
Richmond University Medical CenterStaten Island, NY · CCN 330028	24	$3,569	19% above the national average	$2,812	$16,907
Lenox Hill HospitalNew York, NY · CCN 330119	142	$3,569	19% above the national average	$2,825	$20,749
Hackensack University Medical CenterHackensack, NJ · CCN 310001	155	$3,573	19% above the national average	$2,842	$20,619

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.