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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

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 201–250. Download as CSV

Medicare payments per case for Level 3 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UNC RockinghamEden, NC · CCN 34006013$2,64512% below the national average$2,072$8,354
Thomas HospitalFairhope, AL · CCN 01010049$2,64512% below the national average$2,094$12,180
Coastal Carolina HospitalHardeeville, SC · CCN 42010135$2,64612% below the national average$2,083$45,040
Hillcrest Hospital SouthTulsa, OK · CCN 37020245$2,64712% below the national average$2,080$24,955
Ochsner Rush HospitalMeridian, MS · CCN 25006970$2,64812% below the national average$2,103$12,668
KershawHealthCamden, SC · CCN 42004816$2,64812% below the national average$2,083$17,255
Piedmont Macon North HospitalMacon, GA · CCN 11020117$2,64912% below the national average$2,084$35,633
Connally Memorial Medical CenterFloresville, TX · CCN 45010814$2,64912% below the national average$2,078$12,318
Parma Community General HospitalParma, OH · CCN 36004144$2,64912% below the national average$2,087$19,418
Summa Health SystemAkron, OH · CCN 36002042$2,65012% below the national average$2,090$21,014
Integris Canadian Valley HospitalYukon, OK · CCN 37021116$2,65012% below the national average$2,083$41,129
Henry Ford Health Warren HospitalWarren, MI · CCN 23019550$2,65111% below the national average$2,112$31,602
Russellville HospitalRussellville, AL · CCN 01015818$2,65111% below the national average$2,112$12,808
Citizens Medical CenterVictoria, TX · CCN 45002332$2,65211% below the national average$2,071$14,169
Marshall Medical CentersBoaz, AL · CCN 01000568$2,65211% below the national average$2,107$7,723
Doctors HospitalAugusta, GA · CCN 11017743$2,65311% below the national average$2,096$71,031
Bellevue HospitalBellevue, OH · CCN 36010713$2,65411% below the national average$2,115$24,120
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 23015134$2,65511% below the national average$2,102$23,317
Lexington Memorial Hospital IncLexington, NC · CCN 34009623$2,65511% below the national average$2,054$21,536
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020023$2,65611% below the national average$2,096$14,728
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 26009126$2,65611% below the national average$2,081$19,192
Johnston Memorial HospitalAbingdon, VA · CCN 49005317$2,65611% below the national average$2,090$20,800
St Elizabeth EdgewoodEdgewood, KY · CCN 180035130$2,65711% below the national average$2,099$14,758
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 23002213$2,65811% below the national average$2,082$12,608
Memorial Hospital Of South BendSouth Bend, IN · CCN 15005840$2,65911% below the national average$2,094$16,900
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 36027623$2,65911% below the national average$2,099$18,282
Baptist Health - Fort SmithFort Smith, AR · CCN 04005547$2,66011% below the national average$2,100$27,071
Surgical Specialty Center Of Baton RougeBaton Rouge, LA · CCN 19025154$2,66011% below the national average$2,104$7,780
Memorial Healthcare System, IncChattanooga, TN · CCN 44009168$2,66211% below the national average$2,101$18,357
Singing River Health SystemPascagoula, MS · CCN 25004024$2,66411% below the national average$2,122$30,260
Andalusia HealthAndalusia, AL · CCN 01003620$2,66511% below the national average$2,092$19,132
Cabell Huntington Hospital, IncHuntington, WV · CCN 51005548$2,66611% below the national average$2,104$25,378
Omega Hospital, LLCMetairie, LA · CCN 190302 · +$5,929 outlier payments per case96$2,66611% below the national average$2,117$25,994
Firelands Regional Medical CenterSandusky, OH · CCN 36002525$2,66711% below the national average$2,107$11,021
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 36021125$2,66711% below the national average$2,104$10,509
Maury Regional HospitalColumbia, TN · CCN 44007332$2,66711% below the national average$2,105$16,594
Cullman Regional Medical CenterCullman, AL · CCN 01003550$2,66711% below the national average$2,096$9,819
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 01008532$2,66911% below the national average$2,111$17,626
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 19000292$2,66911% below the national average$2,115$17,908
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 44012530$2,66911% below the national average$2,127$13,096
Fort Loudoun Medical CenterLenoir City, TN · CCN 44011016$2,66911% below the national average$2,127$5,274
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 44005623$2,66911% below the national average$2,127$28,343
Parkwest Medical CenterKnoxville, TN · CCN 44017353$2,67011% below the national average$2,117$14,509
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 49004219$2,67011% below the national average$2,103$24,732
SGMC HealthValdosta, GA · CCN 11012233$2,67011% below the national average$2,114$25,260
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 34006430$2,67011% below the national average$2,093$24,122
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210224$2,67011% below the national average$2,115$12,289
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 16004045$2,67111% below the national average$2,108$26,148
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 16007937$2,67111% below the national average$2,104$14,429
Mississippi Baptist Medical CenterJackson, MS · CCN 25010257$2,67211% below the national average$2,121$23,830

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6413$1,583$1,314–$1,899
Mississippi28947$2,519$2,601–$2,686
Alabama391,853$2,552$2,533–$2,680
Tennessee492,127$2,620$2,638–$2,781
Louisiana391,910$2,668$2,629–$2,719
West Virginia20804$2,683$2,599–$2,724
South Carolina422,831$2,688$2,716–$2,802
Ohio984,734$2,715$2,702–$2,815
Georgia622,484$2,723$2,699–$2,930
Kentucky371,726$2,727$2,706–$2,851
Oklahoma473,250$2,735$2,692–$2,841
Arkansas272,136$2,751$2,707–$2,897
Kansas321,981$2,754$2,752–$2,852
Missouri532,474$2,773$2,722–$2,915
Michigan722,772$2,779$2,722–$2,890
Iowa251,094$2,782$2,708–$2,900
Nebraska191,210$2,813$2,834–$2,917
Texas1749,030$2,828$2,772–$2,922
North Carolina652,991$2,846$2,785–$2,890
Virginia542,605$2,856$2,778–$3,032
Indiana562,731$2,859$2,854–$2,950
Idaho14939$2,879$2,864–$3,061
Utah301,037$2,882$2,835–$2,900
Florida1115,022$2,883$2,871–$2,932
New Mexico17564$2,895$2,752–$2,910
Maine14591$2,895$2,738–$2,941
Pennsylvania985,031$2,901$2,844–$3,083
Wisconsin542,612$2,921$2,872–$2,995
Illinois813,523$2,967$2,919–$3,073
Minnesota431,776$2,975$2,937–$3,094
Montana9456$3,003$2,951–$3,187
South Dakota131,592$3,054$3,014–$3,211
North Dakota6723$3,059$3,035–$3,078
Colorado431,532$3,070$3,025–$3,081
New Hampshire12560$3,114$3,084–$3,162
Arizona442,123$3,136$3,072–$3,156
Wyoming10243$3,183$3,156–$3,250
Delaware6415$3,203$3,186–$3,238
District of Columbia4160$3,234$3,218–$3,312
Rhode Island7372$3,249$3,230–$3,285
Washington411,980$3,260$3,204–$3,335
Nevada16646$3,395$3,325–$3,399
New Jersey482,146$3,401$3,341–$3,505
Massachusetts484,090$3,414$3,413–$3,476
Alaska6236$3,415$3,300–$3,453
Oregon301,006$3,424$3,273–$3,396
New York944,940$3,442$3,389–$3,647
Connecticut25750$3,562$3,515–$3,611
Hawaii5168$3,666$3,617–$3,899
California1506,667$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.