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 251–300. 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
Baylor University Medical CenterDallas, TX · CCN 450021	24	$2,672	11% below the national average	$2,090	$23,637
UH Regional HospitalsChardon, OH · CCN 360075	30	$2,672	11% below the national average	$2,108	$15,195
Salina Surgical HospitalSalina, KS · CCN 170187	85	$2,673	11% below the national average	$2,122	$5,944
West Boca Medical CenterBoca Raton, FL · CCN 100268	54	$2,673	11% below the national average	$2,067	$53,834
Charleston Area Medical CenterCharleston, WV · CCN 510022 · +$525 outlier payments per case	89	$2,673	11% below the national average	$2,106	$25,049
AdventHealth GordonCalhoun, GA · CCN 110023	16	$2,673	11% below the national average	$2,072	$45,728
Starr Regional Medical Center AthensAthens, TN · CCN 440068	14	$2,675	11% below the national average	$2,131	$28,237
Park Place Surgical HospitalLafayette, LA · CCN 190255	196	$2,675	11% below the national average	$2,121	$13,825
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	25	$2,676	11% below the national average	$2,114	$22,468
Russell Medical CenterAlexander City, AL · CCN 010065	30	$2,677	11% below the national average	$2,133	$8,787
Davis Medical CenterElkins, WV · CCN 510030	36	$2,677	11% below the national average	$2,095	$14,649
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	16	$2,678	11% below the national average	$2,111	$31,533
Sycamore Shoals HospitalElizabethton, TN · CCN 440018	13	$2,678	11% below the national average	$2,134	$20,906
Anderson Regional Medical CenterMeridian, MS · CCN 250104	27	$2,678	11% below the national average	$2,134	$9,968
Bmh-Golden TriangleColumbus, MS · CCN 250100	19	$2,678	11% below the national average	$2,134	$12,537
Mercy Regional Medical CenterLorain, OH · CCN 360172	26	$2,679	11% below the national average	$2,114	$17,481
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	52	$2,680	11% below the national average	$2,117	$16,169
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	20	$2,681	10% below the national average	$2,089	$15,765
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	236	$2,681	10% below the national average	$2,127	$15,563
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	93	$2,682	10% below the national average	$2,116	$39,858
Specialists Hospital ShreveportShreveport, LA · CCN 190278	219	$2,683	10% below the national average	$2,125	$14,426
University Of Missouri Health CareColumbia, MO · CCN 260141	169	$2,683	10% below the national average	$2,122	$21,461
Tristar Horizon Medical CenterDickson, TN · CCN 440046	21	$2,683	10% below the national average	$2,116	$30,785
Tristar Skyline Medical CenterNashville, TN · CCN 440006	21	$2,683	10% below the national average	$2,116	$65,622
Coosa Valley Medical CenterSylacauga, AL · CCN 010164	15	$2,684	10% below the national average	$2,136	$10,513
USA Health University HospitalMobile, AL · CCN 010087	12	$2,684	10% below the national average	$2,138	$7,679
Springhill Medical CenterMobile, AL · CCN 010144	27	$2,684	10% below the national average	$2,137	$9,112
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	20	$2,684	10% below the national average	$2,125	$79,044
Southeast Health Medical CenterDothan, AL · CCN 010001	25	$2,684	10% below the national average	$2,121	$29,366
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	48	$2,684	10% below the national average	$2,120	$24,818
Medina HospitalMedina, OH · CCN 360091	56	$2,685	10% below the national average	$2,120	$16,320
Mount Carmel East & WestColumbus, OH · CCN 360035	11	$2,685	10% below the national average	$2,097	$28,294
Northern Light Inland HospitalWaterville, ME · CCN 200041	16	$2,685	10% below the national average	$2,111	$14,900
Erlanger Medical CenterChattanooga, TN · CCN 440104	131	$2,685	10% below the national average	$2,123	$16,450
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 450874	23	$2,685	10% below the national average	$2,119	$15,063
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	125	$2,685	10% below the national average	$2,115	$19,348
Southwell Medical, A Campus Of The Regional Medical CenterAdel, GA · CCN 110101	44	$2,686	10% below the national average	$2,130	$17,831
Cox Medical CentersSpringfield, MO · CCN 260040	151	$2,689	10% below the national average	$2,139	$16,864
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	97	$2,690	10% below the national average	$2,124	$25,162
Borgess Medical CenterKalamazoo, MI · CCN 230117	33	$2,690	10% below the national average	$2,106	$21,419
Odessa Regional Medical CenterOdessa, TX · CCN 450661	19	$2,691	10% below the national average	$2,120	$22,791
Fmol Health St FrancisMonroe, LA · CCN 190125	22	$2,691	10% below the national average	$2,144	$13,408
Monroe Surgical HospitalMonroe, LA · CCN 190245	24	$2,691	10% below the national average	$2,144	$14,063
Northern Louisiana Medical CenterRuston, LA · CCN 190086	24	$2,691	10% below the national average	$2,144	$20,098
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	15	$2,691	10% below the national average	$2,144	$15,001
Iberia Medical CenterNew Iberia, LA · CCN 190054	12	$2,691	10% below the national average	$2,144	$16,456
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	12	$2,691	10% below the national average	$2,144	$19,359
Slidell Memorial HospitalSlidell, LA · CCN 190040	45	$2,693	10% below the national average	$2,135	$20,395
Crestwood Medical CenterHuntsville, AL · CCN 010131	128	$2,694	10% below the national average	$2,137	$54,133
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059 · +$1,421 outlier payments per case	36	$2,694	10% below the national average	$2,137	$18,600

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.