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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Year of care

2,119 hospitals reported at least 11 Medicare procedures for this in 2024; showing 301–350. 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
Riverside Regional Medical CenterNewport News, VA · CCN 490052	24	$2,694	10% below the national average	$2,128	$15,428
Sinai-Grace HospitalDetroit, MI · CCN 230024	23	$2,695	10% below the national average	$2,103	$34,932
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	114	$2,696	About average	$2,131	$24,673
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	43	$2,698	About average	$2,139	$20,974
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	27	$2,698	About average	$2,122	$26,901
St Lukes HospitalChesterfield, MO · CCN 260179	51	$2,701	About average	$2,115	$11,789
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	43	$2,701	About average	$2,131	$10,322
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	46	$2,701	About average	$2,140	$21,066
UH St John Medical CenterWestlake, OH · CCN 360123	65	$2,701	About average	$2,139	$17,857
Parkridge Medical CenterChattanooga, TN · CCN 440156	98	$2,701	About average	$2,139	$27,821
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	15	$2,702	About average	$2,119	$17,728
Siloam Springs Regional HospitalSiloam Springs, AR · CCN 040001	78	$2,702	About average	$2,147	$19,891
Advocate Sherman HospitalElgin, IL · CCN 140030	33	$2,702	About average	$2,135	$16,303
Atrium Medical CenterFranklin, OH · CCN 360076	43	$2,703	About average	$2,130	$22,764
Spectrum Health United HospitalGreenville, MI · CCN 230035	18	$2,705	About average	$2,132	$9,702
Holzer Medical CenterGallipolis, OH · CCN 360054	45	$2,706	About average	$2,146	$14,824
AdventHealth OttawaOttawa, KS · CCN 170014	15	$2,706	About average	$2,090	$35,358
Garden City HospitalGarden City, MI · CCN 230244	16	$2,706	About average	$2,115	$21,401
Saint Joseph HospitalLexington, KY · CCN 180010	30	$2,706	About average	$2,130	$19,201
St Bernards Medical CenterJonesboro, AR · CCN 040020	27	$2,706	About average	$2,151	$6,841
West Chester HospitalWest Chester, OH · CCN 360354	62	$2,706	About average	$2,134	$25,063
Arkansas Surgical HospitalNo Little Rock, AR · CCN 040147	238	$2,708	About average	$2,144	$8,383
Weirton Medical Center, IncWeirton, WV · CCN 510023	26	$2,708	About average	$2,156	$21,735
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	121	$2,708	About average	$2,143	$29,029
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	271	$2,708	About average	$2,140	$13,632
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	14	$2,708	About average	$2,153	$14,465
ACMH HospitalKittanning, PA · CCN 390163	12	$2,709	About average	$2,108	$17,991
Saint Francis Hospital, IncTulsa, OK · CCN 370091	106	$2,709	About average	$2,149	$22,745
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	51	$2,710	About average	$2,157	$15,215
Bay Park Community HospitalOregon, OH · CCN 360259	42	$2,710	About average	$2,145	$21,041
University Of Mississippi Medical CenterJackson, MS · CCN 250001	64	$2,710	About average	$2,153	$20,709
Baptist Health LexingtonLexington, KY · CCN 180103	24	$2,710	About average	$2,140	$51,923
Medical Center HospitalOdessa, TX · CCN 450132	22	$2,711	About average	$2,131	$13,620
Baptist Health LouisvilleLouisville, KY · CCN 180130	109	$2,711	About average	$2,144	$26,721
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	33	$2,712	About average	$2,117	$18,209
McLeod Loris HospitalLoris, SC · CCN 420105	107	$2,712	About average	$2,147	$24,796
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	30	$2,713	About average	$2,146	$30,522
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	44	$2,713	About average	$2,141	$25,795
Mary Greeley Medical CenterAmes, IA · CCN 160030	127	$2,713	About average	$2,146	$14,197
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	29	$2,713	About average	$2,146	$64,065
Regional Hospital Of ScrantonScranton, PA · CCN 390237	39	$2,714	About average	$2,126	$35,040
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	45	$2,714	About average	$2,152	$20,360
Baptist Health Medical Center- ConwayConway, AR · CCN 040154	64	$2,714	About average	$2,150	$22,296
Edward W Sparrow HospitalLansing, MI · CCN 230230	64	$2,715	About average	$2,139	$14,478
Willis Knighton Medical CenterShreveport, LA · CCN 190111	97	$2,715	About average	$2,139	$24,710
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	11	$2,715	About average	$2,158	$10,971
Murray-Calloway County HospitalMurray, KY · CCN 180027	21	$2,716	About average	$2,164	$17,752
Spring View HospitalLebanon, KY · CCN 180024	15	$2,716	About average	$2,164	$33,666
Saint Joseph LondonLondon, KY · CCN 180011	14	$2,716	About average	$2,161	$21,177
Opelousas General Health SystemOpelousas, LA · CCN 190017	26	$2,716	About average	$2,164	$12,805

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.