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 1,901–1,950. 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
Bartlett Regional HospitalJuneau, AK · CCN 020008	28	$3,578	19% above the national average	$2,844	$10,757
Nyu Langone HospitalsNew York, NY · CCN 330214	587	$3,583	20% above the national average	$2,842	$37,928
Chilton Medical CenterPompton Plains, NJ · CCN 310017	52	$3,587	20% above the national average	$2,836	$19,918
North Shore University HospitalManhasset, NY · CCN 330106	126	$3,587	20% above the national average	$2,847	$23,807
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	31	$3,589	20% above the national average	$2,839	$21,250
St Joseph HospitalBethpage, NY · CCN 330332	51	$3,593	20% above the national average	$2,849	$16,620
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	36	$3,594	20% above the national average	$2,854	$20,762
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	37	$3,596	20% above the national average	$2,849	$7,241
Montefiore Medical CenterBronx, NY · CCN 330059	65	$3,602	20% above the national average	$2,860	$32,927
Berkshire Medical CenterPittsfield, MA · CCN 220046	105	$3,604	20% above the national average	$2,862	$14,541
Adventist Health HanfordHanford, CA · CCN 050121	64	$3,607	20% above the national average	$2,868	$20,714
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	35	$3,611	21% above the national average	$2,877	$14,028
Johnson Memorial HospitalStafford Springs, CT · CCN 070008	26	$3,611	21% above the national average	$2,877	$9,574
MidState Medical CenterMeriden, CT · CCN 070017	37	$3,611	21% above the national average	$2,877	$15,348
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	39	$3,611	21% above the national average	$2,877	$23,306
Saint Mary's HospitalWaterbury, CT · CCN 070016	21	$3,611	21% above the national average	$2,877	$18,988
Waterbury HospitalWaterbury, CT · CCN 070005	14	$3,611	21% above the national average	$2,877	$34,157
Windham Community Memorial HospitalWillimantic, CT · CCN 070021	14	$3,611	21% above the national average	$2,877	$13,301
Manchester Memorial HospitalManchester, CT · CCN 070027	17	$3,611	21% above the national average	$2,875	$19,098
Lawrence & Memorial HospitalNew London, CT · CCN 070007	35	$3,611	21% above the national average	$2,875	$15,226
Yale-New Haven HospitalNew Haven, CT · CCN 070022	95	$3,612	21% above the national average	$2,868	$14,701
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	18	$3,615	21% above the national average	$2,874	$16,800
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	53	$3,615	21% above the national average	$2,880	$19,302
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	39	$3,615	21% above the national average	$2,880	$15,613
Long Island Community HospitalPatchogue, NY · CCN 330141	56	$3,615	21% above the national average	$2,878	$36,500
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	25	$3,615	21% above the national average	$2,878	$16,938
Westchester Medical CenterValhalla, NY · CCN 330234	63	$3,617	21% above the national average	$2,871	$41,744
Kuakini Medical CenterHonolulu, HI · CCN 120007	56	$3,617	21% above the national average	$2,860	$6,925
Goleta Valley Cottage HospitalSanta Barbara, CA · CCN 050357	34	$3,628	21% above the national average	$2,891	$20,768
New York-Presbyterian HospitalNew York, NY · CCN 330101	254	$3,638	21% above the national average	$2,886	$25,298
Danbury HospitalDanbury, CT · CCN 070033	46	$3,643	22% above the national average	$2,902	$21,864
Norwalk HospitalNorwalk, CT · CCN 070034	16	$3,643	22% above the national average	$2,902	$27,659
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	12	$3,643	22% above the national average	$2,902	$16,880
The University HospitalNewark, NJ · CCN 310119	11	$3,643	22% above the national average	$2,901	$26,817
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	72	$3,645	22% above the national average	$2,893	$39,914
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	98	$3,646	22% above the national average	$2,899	$9,196
Mount Sinai Beth IsraelNew York, NY · CCN 330169	40	$3,646	22% above the national average	$2,905	$20,691
Mount Sinai WestNew York, NY · CCN 330046	81	$3,646	22% above the national average	$2,905	$18,326
Middlesex HospitalMiddletown, CT · CCN 070020	36	$3,646	22% above the national average	$2,902	$11,541
St Vincent's Medical CenterBridgeport, CT · CCN 070028	26	$3,646	22% above the national average	$2,898	$26,904
Mount Sinai South NassauOceanside, NY · CCN 330198	46	$3,647	22% above the national average	$2,906	$27,294
Nassau University Medical CenterEast Meadow, NY · CCN 330027	15	$3,647	22% above the national average	$2,906	$12,607
Phelps HospitalSleepy Hollow, NY · CCN 330261	38	$3,668	22% above the national average	$2,917	$24,838
Brooks-TLC Hospital System, IncDunkirk, NY · CCN 330229	11	$3,675	23% above the national average	$2,928	$5,904
Jones Memorial HospitalWellsville, NY · CCN 330096	16	$3,675	23% above the national average	$2,928	$7,485
Olean General HospitalOlean, NY · CCN 330103	30	$3,675	23% above the national average	$2,928	$7,276
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	36	$3,676	23% above the national average	$2,927	$10,503
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	94	$3,676	23% above the national average	$2,926	$9,922
Bassett HealthcareCooperstown, NY · CCN 330136	55	$3,676	23% above the national average	$2,925	$10,193
Samaritan Medical CenterWatertown, NY · CCN 330157	18	$3,676	23% above the national average	$2,923	$11,103

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.