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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Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–200. 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
Raleigh General HospitalBeckley, WV · CCN 510070	16	$2,607	13% below the national average	$2,050	$25,180
Taylor Regional HospitalCampbellsville, KY · CCN 180087	20	$2,607	13% below the national average	$2,055	$17,138
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	23	$2,610	13% below the national average	$2,018	$22,210
George Regional Health SystemLucedale, MS · CCN 250036	20	$2,610	13% below the national average	$2,034	$9,800
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	22	$2,611	13% below the national average	$2,033	$28,370
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	53	$2,611	13% below the national average	$2,051	$36,167
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	19	$2,615	13% below the national average	$2,064	$16,215
Huntsville HospitalHuntsville, AL · CCN 010039	218	$2,615	13% below the national average	$2,056	$16,796
Grand Lake Health SystemSaint Marys, OH · CCN 360032	29	$2,616	13% below the national average	$2,053	$12,831
Clark Regional Medical CenterWinchester, KY · CCN 180092	12	$2,617	13% below the national average	$2,047	$22,293
Magnolia Regional Health CenterCorinth, MS · CCN 250009	88	$2,617	13% below the national average	$2,075	$13,949
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	26	$2,618	13% below the national average	$2,051	$24,438
Elmore Community HospitalWetumpka, AL · CCN 010097	21	$2,622	12% below the national average	$2,069	$16,009
Grandview Medical CenterBirmingham, AL · CCN 010104	144	$2,623	12% below the national average	$2,073	$102,253
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	31	$2,624	12% below the national average	$2,077	$15,798
Progress West HospitalOfallon, MO · CCN 260219	35	$2,624	12% below the national average	$2,033	$16,343
Glenwood Regional Medical CenterWest Monroe, LA · CCN 190160	32	$2,624	12% below the national average	$2,071	$22,452
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	26	$2,625	12% below the national average	$2,052	$23,071
Plains Regional Medical CenterClovis, NM · CCN 320022	16	$2,627	12% below the national average	$2,056	$15,080
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	49	$2,627	12% below the national average	$2,068	$8,956
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	26	$2,627	12% below the national average	$2,069	$14,273
St Vincent's BirminghamBirmingham, AL · CCN 010056	142	$2,629	12% below the national average	$2,078	$26,980
Baldwin HealthFoley, AL · CCN 010083	63	$2,629	12% below the national average	$2,082	$65,063
Arkansas Methodist Medical CenterParagould, AR · CCN 040039	22	$2,630	12% below the national average	$2,075	$12,874
Wooster Community HospitalWooster, OH · CCN 360036	16	$2,631	12% below the national average	$2,068	$7,959
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	180	$2,631	12% below the national average	$2,079	$18,679
UH Cleveland Medical CenterCleveland, OH · CCN 360137	31	$2,632	12% below the national average	$2,070	$18,016
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 170196	13	$2,634	12% below the national average	$2,072	$11,902
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036 · +$1,363 outlier payments per case	150	$2,634	12% below the national average	$2,086	$42,724
Baptist Health LagrangeLa Grange, KY · CCN 180138	14	$2,634	12% below the national average	$2,063	$33,245
Wayne HospitalGreenville, OH · CCN 360044	16	$2,635	12% below the national average	$2,072	$15,142
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	59	$2,636	12% below the national average	$2,058	$43,232
University Of Michigan Health - WestWyoming, MI · CCN 230236	34	$2,636	12% below the national average	$2,073	$10,585
Bailey Medical Center, LLCOwasso, OK · CCN 370228	39	$2,636	12% below the national average	$2,075	$22,702
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	68	$2,638	12% below the national average	$2,093	$10,950
Pinnacle HospitalCrown Point, IN · CCN 150166	30	$2,638	12% below the national average	$2,098	$37,926
Sierra Medical CenterEl Paso, TX · CCN 450668	21	$2,639	12% below the national average	$2,065	$61,188
University Health System, IncKnoxville, TN · CCN 440015	70	$2,639	12% below the national average	$2,090	$11,324
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	45	$2,640	12% below the national average	$2,084	$17,275
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	22	$2,641	12% below the national average	$2,104	$16,443
Mon Health Medical CenterMorgantown, WV · CCN 510024	22	$2,642	12% below the national average	$2,085	$22,540
McLeod Health CherawCheraw, SC · CCN 420107	15	$2,642	12% below the national average	$2,075	$23,041
North Mississippi Medical Center-Gilmore AmoryAmory, MS · CCN 250025	26	$2,643	12% below the national average	$2,106	$15,960
Singing River GulfportGulfport, MS · CCN 250123	19	$2,643	12% below the national average	$2,106	$65,585
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	14	$2,643	12% below the national average	$2,106	$7,351
Trinity - BettendorfBettendorf, IA · CCN 160104	17	$2,643	12% below the national average	$2,080	$12,427
Baptist Memorial Hospital BoonevilleBooneville, MS · CCN 250044	30	$2,643	12% below the national average	$2,102	$8,680
Baptist Memorial Hospital-Oktibbeha CountyStarkville, MS · CCN 250050	14	$2,643	12% below the national average	$2,099	$8,652
Logan Regional Medical CenterLogan, WV · CCN 510048	12	$2,644	12% below the national average	$2,069	$30,422
Reynolds Memorial Hospital, IncGlen Dale, WV · CCN 510013	14	$2,645	12% below the national average	$2,107	$14,083

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.