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 351–400. 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
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	243	$2,717	About average	$2,155	$6,664
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	124	$2,717	About average	$2,145	$25,036
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	205	$2,718	About average	$2,157	$16,420
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	76	$2,718	About average	$2,159	$20,799
Troy Regional Medical CenterTroy, AL · CCN 010126	22	$2,718	About average	$2,165	$12,080
St Marys Medical CenterHuntington, WV · CCN 510007	52	$2,718	About average	$2,154	$13,536
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	13	$2,718	About average	$2,166	$10,300
Thibodaux Regional Medical CenterThibodaux, LA · CCN 190004	16	$2,718	About average	$2,164	$19,889
Christus Ochsner Lake Area HospitalLake Charles, LA · CCN 190201	16	$2,719	About average	$2,166	$55,529
Cleveland ClinicCleveland, OH · CCN 360180	208	$2,721	About average	$2,164	$14,760
Integris Health Edmond HospitalEdmond, OK · CCN 370236	61	$2,721	About average	$2,152	$30,353
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	34	$2,722	About average	$2,150	$20,301
Mercy Hospital JoplinJoplin, MO · CCN 260001	36	$2,722	About average	$2,168	$14,089
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	28	$2,722	About average	$2,166	$14,728
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	13	$2,722	About average	$2,118	$16,556
Lake Health Beachwood Medical CenterBeachwood, OH · CCN 360367	55	$2,723	About average	$2,162	$18,344
Northern Light A R Gould HospitalPresque Isle, ME · CCN 200018	38	$2,724	About average	$2,155	$21,440
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	24	$2,724	About average	$2,152	$9,875
Baptist Health HardinElizabethtown, KY · CCN 180012	69	$2,724	About average	$2,156	$21,510
McLaren OaklandPontiac, MI · CCN 230207	18	$2,725	About average	$2,141	$16,304
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	27	$2,726	About average	$2,155	$46,435
Roper HospitalCharleston, SC · CCN 420087	329	$2,726	About average	$2,155	$16,887
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	29	$2,726	About average	$2,147	$13,326
Prisma Health Patewood HospitalGreenville, SC · CCN 420102	102	$2,727	About average	$2,159	$26,576
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	101	$2,727	About average	$2,158	$19,624
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	77	$2,728	About average	$2,157	$21,212
Institute For Orthopaedic SurgeryLima, OH · CCN 360263	209	$2,728	About average	$2,168	$13,859
OneCore HealthOklahoma City, OK · CCN 370220	37	$2,729	About average	$2,162	$28,016
Northwest Surgical HospitalOklahoma City, OK · CCN 370192	37	$2,729	About average	$2,160	$35,784
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	74	$2,729	About average	$2,135	$11,628
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	23	$2,729	About average	$2,154	$28,715
McLaren Port HuronPort Huron, MI · CCN 230216	37	$2,730	About average	$2,137	$7,812
Washington Regional Medical CenterFayetteville, AR · CCN 040004	13	$2,730	About average	$2,175	$19,736
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	76	$2,730	About average	$2,174	$11,551
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	67	$2,730	About average	$2,168	$10,814
Kansas Surgery & Recovery CenterWichita, KS · CCN 170183	171	$2,731	About average	$2,164	$11,364
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	50	$2,731	About average	$2,157	$16,877
De Tar Hospital NavarroVictoria, TX · CCN 450147	48	$2,731	About average	$2,154	$42,986
University Of Toledo Medical CenterToledo, OH · CCN 360048	84	$2,731	About average	$2,150	$20,015
Marymount HospitalGarfield Heights, OH · CCN 360143	70	$2,732	About average	$2,170	$16,535
Midland Memorial HospitalMidland, TX · CCN 450133	59	$2,733	About average	$2,158	$18,124
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222	241	$2,734	About average	$2,166	$8,558
Miami Valley HospitalDayton, OH · CCN 360051	135	$2,734	About average	$2,150	$29,059
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	56	$2,734	About average	$2,163	$15,151
Baptist Memorial HospitalMemphis, TN · CCN 440048	19	$2,735	About average	$2,179	$14,288
Crystal Clinic Orthopaedic CenterAkron, OH · CCN 360351	297	$2,735	About average	$2,165	$15,910
St Elizabeth FlorenceFlorence, KY · CCN 180045	56	$2,735	About average	$2,158	$15,462
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	49	$2,735	About average	$2,170	$19,424
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	37	$2,736	About average	$2,173	$31,434
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	31	$2,736	About average	$2,166	$67,479

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.