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

Compare hospitals

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.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,951–2,000. 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
Auburn Community HospitalAuburn, NY · CCN 330235	23	$3,676	23% above the national average	$2,920	$8,104
Mount Sinai HospitalNew York, NY · CCN 330024	30	$3,683	23% above the national average	$2,935	$21,359
St Joseph's Medical CenterYonkers, NY · CCN 330006	38	$3,683	23% above the national average	$2,935	$8,311
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	22	$3,683	23% above the national average	$2,935	$47,363
Holy Name Medical CenterTeaneck, NJ · CCN 310008	99	$3,683	23% above the national average	$2,935	$16,115
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	11	$3,683	23% above the national average	$2,935	$6,524
Jersey City Medical CenterJersey City, NJ · CCN 310074	12	$3,683	23% above the national average	$2,935	$17,732
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	24	$3,683	23% above the national average	$2,935	$19,265
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	15	$3,683	23% above the national average	$2,935	$17,503
St Barnabas HospitalBronx, NY · CCN 330399	13	$3,683	23% above the national average	$2,935	$9,570
St John's Riverside HospitalYonkers, NY · CCN 330208	16	$3,683	23% above the national average	$2,935	$9,377
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	14	$3,683	23% above the national average	$2,935	$12,934
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019	16	$3,683	23% above the national average	$2,934	$15,057
Valley HospitalParamus, NJ · CCN 310012	93	$3,683	23% above the national average	$2,933	$19,495
New York-Presbyterian/QueensFlushing, NY · CCN 330055	33	$3,683	23% above the national average	$2,930	$18,559
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	11	$3,683	23% above the national average	$2,927	$9,261
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	20	$3,683	23% above the national average	$2,925	$17,633
Northeastern Nevada Regional HospitalElko, NV · CCN 290008	27	$3,713	24% above the national average	$2,947	$20,755
Pali Momi Medical CenterAiea, HI · CCN 120026	17	$3,723	24% above the national average	$2,966	$12,327
Sharon HospitalSharon, CT · CCN 070004	22	$3,727	24% above the national average	$2,933	$7,831
Memorial Hospital Los BanosLos Banos, CA · CCN 050528	13	$3,740	25% above the national average	$2,870	$24,386
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	13	$3,748	25% above the national average	$2,982	$19,135
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	16	$3,782	26% above the national average	$2,961	$30,632
Uci Health-OrangeOrange, CA · CCN 050348	37	$3,808	27% above the national average	$2,999	$36,271
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	40	$3,826	28% above the national average	$3,014	$21,670
Mercy Medical Center ReddingRedding, CA · CCN 050280	81	$3,862	29% above the national average	$3,051	$28,757
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	27	$3,862	29% above the national average	$3,041	$46,283
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	85	$3,868	29% above the national average	$3,059	$22,796
Mercy HospitalBakersfield, CA · CCN 050295	30	$3,874	29% above the national average	$3,062	$30,258
Doctors Medical CenterModesto, CA · CCN 050464	32	$3,880	30% above the national average	$3,072	$63,976
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	62	$3,880	30% above the national average	$3,060	$27,155
Scripps Green HospitalLa Jolla, CA · CCN 050424	33	$3,883	30% above the national average	$3,075	$50,480
Keck Hospital Of USCLos Angeles, CA · CCN 050696	110	$3,895	30% above the national average	$3,080	$22,913
St Johns Regional Medical CenterOxnard, CA · CCN 050082	38	$3,896	30% above the national average	$3,087	$31,837
Woodland Memorial HospitalWoodland, CA · CCN 050127	28	$3,899	30% above the national average	$3,058	$21,813
Wilcox Memorial HospitalLihue, HI · CCN 120014	29	$3,899	30% above the national average	$3,089	$12,690
Shasta Regional Medical CenterRedding, CA · CCN 050764	81	$3,901	30% above the national average	$3,091	$44,314
Patients' Hospital Of ReddingRedding, CA · CCN 050697	72	$3,902	30% above the national average	$3,105	$15,700
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	41	$3,907	30% above the national average	$3,093	$21,383
University Of California Davis Medical CenterSacramento, CA · CCN 050599 · +$1,305 outlier payments per case	190	$3,908	30% above the national average	$3,100	$49,390
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	85	$3,908	31% above the national average	$3,098	$25,611
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	35	$3,911	31% above the national average	$3,116	$42,342
Enloe HealthChico, CA · CCN 050039	32	$3,917	31% above the national average	$3,121	$46,176
Kaweah Health Medical CenterVisalia, CA · CCN 050057	57	$3,924	31% above the national average	$3,115	$15,011
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	59	$3,927	31% above the national average	$3,115	$33,144
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	18	$3,930	31% above the national average	$3,131	$15,930
Northern Nevada Medical CenterSparks, NV · CCN 290032	29	$3,930	31% above the national average	$3,131	$50,982
Providence Medford Medical CenterMedford, OR · CCN 380075	23	$3,930	31% above the national average	$3,131	$19,699
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	73	$3,936	31% above the national average	$3,127	$44,985
Mercy Medical CenterMerced, CA · CCN 050444	54	$3,943	32% above the national average	$3,125	$25,444

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.