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 2,001–2,050. 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
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$2,841 outlier payments per case	32	$3,944	32% above the national average	$3,140	$12,776
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625 · +$253 outlier payments per case	188	$3,946	32% above the national average	$3,135	$79,407
Memorial Medical CenterModesto, CA · CCN 050557	104	$3,949	32% above the national average	$3,139	$21,625
Adventist Health TulareTulare, CA · CCN 050784	84	$3,956	32% above the national average	$3,149	$19,891
Fresno Surgical HospitalFresno, CA · CCN 050708	151	$3,959	32% above the national average	$3,150	$17,438
Mercy General HospitalSacramento, CA · CCN 050017	58	$3,964	32% above the national average	$3,122	$24,873
Clovis Community Medical CenterClovis, CA · CCN 050492	269	$3,969	33% above the national average	$3,159	$17,887
Adventist Health BakersfieldBakersfield, CA · CCN 050455	34	$3,980	33% above the national average	$3,171	$39,827
Adventist Health DelanoDelano, CA · CCN 050608	24	$3,980	33% above the national average	$3,171	$10,968
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	14	$3,980	33% above the national average	$3,171	$47,000
Antelope Valley HospitalLancaster, CA · CCN 050056	14	$3,980	33% above the national average	$3,171	$24,056
Barstow Community HospitalBarstow, CA · CCN 050298	11	$3,980	33% above the national average	$3,171	$103,237
Chapman Global Medical CenterOrange, CA · CCN 050745	19	$3,980	33% above the national average	$3,171	$24,108
Community Regional Medical CenterFresno, CA · CCN 050060	13	$3,980	33% above the national average	$3,171	$19,483
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	15	$3,980	33% above the national average	$3,171	$20,622
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	19	$3,980	33% above the national average	$3,171	$36,983
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	12	$3,980	33% above the national average	$3,171	$22,373
Huntington HospitalPasadena, CA · CCN 050438	29	$3,980	33% above the national average	$3,171	$30,000
John F Kennedy Memorial HospitalIndio, CA · CCN 050534	19	$3,980	33% above the national average	$3,171	$85,274
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	30	$3,980	33% above the national average	$3,171	$37,537
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	14	$3,980	33% above the national average	$3,171	$13,187
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	22	$3,980	33% above the national average	$3,171	$63,644
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	11	$3,980	33% above the national average	$3,171	$40,002
Mission Community HospitalPanorama City, CA · CCN 050704	14	$3,980	33% above the national average	$3,171	$31,133
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	14	$3,980	33% above the national average	$3,171	$51,089
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	22	$3,980	33% above the national average	$3,171	$102,581
Providence Mission HospitalMission Viejo, CA · CCN 050567	35	$3,980	33% above the national average	$3,171	$37,060
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	21	$3,980	33% above the national average	$3,171	$27,453
Providence St. Joseph HospitalOrange, CA · CCN 050069	12	$3,980	33% above the national average	$3,171	$36,193
Redlands Community HospitalRedlands, CA · CCN 050272	11	$3,980	33% above the national average	$3,171	$24,009
Riverside Community HospitalRiverside, CA · CCN 050022	13	$3,980	33% above the national average	$3,171	$73,392
Saint Agnes Medical CenterFresno, CA · CCN 050093	43	$3,980	33% above the national average	$3,171	$23,719
Saint John's Health CenterSanta Monica, CA · CCN 050290	13	$3,980	33% above the national average	$3,171	$19,155
San Antonio Regional HospitalUpland, CA · CCN 050099	22	$3,980	33% above the national average	$3,171	$41,387
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	12	$3,980	33% above the national average	$3,171	$25,701
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	14	$3,980	33% above the national average	$3,171	$42,569
Tri-City Medical CenterOceanside, CA · CCN 050128	18	$3,980	33% above the national average	$3,171	$25,277
Uci Health-LakewoodLakewood, CA · CCN 050581	11	$3,980	33% above the national average	$3,171	$55,487
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	92	$3,980	33% above the national average	$3,171	$31,953
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	20	$3,980	33% above the national average	$3,171	$17,131
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	23	$3,980	33% above the national average	$3,171	$18,678
Victor Valley Global Medical CenterVictorville, CA · CCN 050517	11	$3,980	33% above the national average	$3,171	$17,214
Sharp Memorial HospitalSan Diego, CA · CCN 050100	36	$3,980	33% above the national average	$3,170	$29,541
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	12	$3,980	33% above the national average	$3,170	$29,119
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	28	$3,980	33% above the national average	$3,170	$49,112
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	19	$3,980	33% above the national average	$3,170	$39,286
Scripps Mercy HospitalSan Diego, CA · CCN 050077	29	$3,980	33% above the national average	$3,170	$60,305
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	272	$3,980	33% above the national average	$3,170	$20,980
Oroville HospitalOroville, CA · CCN 050030	36	$3,980	33% above the national average	$3,169	$12,089
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	14	$3,980	33% above the national average	$3,169	$27,165

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.