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

Hospitals in Texas

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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Texas

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Year of care

Average payment across these 173 hospitals: $2,828National $2,995 · Texas $2,828
Median hospital: $2,847
Lowest to highest: $1,335–$3,214
Medicare procedures: 9,016

173 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–173. 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
United Regional Health Care SystemWichita Falls, TX · CCN 450010	85	$2,965	About average	$2,351	$13,041
Texas Orthopedic HospitalHouston, TX · CCN 450804	267	$2,970	About average	$2,359	$37,702
Houston Methodist HospitalHouston, TX · CCN 450358	176	$2,974	About average	$2,364	$41,743
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	77	$2,977	About average	$2,365	$22,335
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	40	$3,001	About average	$2,391	$16,694
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	29	$3,001	About average	$2,391	$66,168
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	54	$3,001	About average	$2,391	$76,004
HCA Houston Healthcare TomballTomball, TX · CCN 450670	39	$3,001	About average	$2,391	$82,222
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	29	$3,001	About average	$2,391	$25,990
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	11	$3,001	About average	$2,391	$25,183
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	13	$3,001	About average	$2,391	$118,152
HCA Houston Healthcare WestHouston, TX · CCN 450644	21	$3,001	About average	$2,391	$87,717
Oakbend Medical CenterRichmond, TX · CCN 450330	17	$3,001	About average	$2,391	$42,946
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	18	$3,001	About average	$2,391	$17,828
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	15	$3,001	About average	$2,391	$26,883
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	57	$3,001	About average	$2,391	$22,748
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	92	$3,001	About average	$2,388	$52,048
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	11	$3,002	About average	$2,357	$50,229
Matagorda Regional Medical CenterBay City, TX · CCN 450465	14	$3,008	About average	$2,391	$12,021
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	26	$3,024	About average	$2,390	$49,392
North Texas Medical CenterGainesville, TX · CCN 450090	13	$3,120	About average	$2,486	$13,200
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	17	$3,130	About average	$2,494	$16,128
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	14	$3,214	About average	$2,561	$25,929

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.