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 401–450. 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
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	199	$2,736	About average	$2,155	$20,049
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	25	$2,737	About average	$2,181	$12,430
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	86	$2,737	About average	$2,176	$42,923
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	51	$2,738	About average	$2,175	$24,203
Lexington Medical CenterWest Columbia, SC · CCN 420073	103	$2,738	About average	$2,171	$22,737
Grace Surgical HospitalLubbock, TX · CCN 450162 · +$1,232 outlier payments per case	56	$2,739	About average	$2,173	$30,641
Ecu Health Medical CenterGreenville, NC · CCN 340040	65	$2,739	About average	$2,175	$16,901
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	22	$2,739	About average	$2,182	$20,208
Piedmont Augusta HospitalAugusta, GA · CCN 110028	15	$2,739	About average	$2,182	$22,457
University McDuffie County Regional Medical CenterThomson, GA · CCN 110111	11	$2,739	About average	$2,182	$13,154
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	259	$2,740	About average	$2,171	$10,242
Blount Memorial HospitalMaryville, TN · CCN 440011	93	$2,740	About average	$2,163	$18,454
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	66	$2,740	About average	$2,176	$28,338
Carilion Medical CenterRoanoke, VA · CCN 490024	120	$2,741	About average	$2,177	$21,790
Dublin Methodist HospitalDublin, OH · CCN 360348	30	$2,741	About average	$2,152	$32,334
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	52	$2,741	About average	$2,156	$41,141
Lovelace Regional Hospital - RoswellRoswell, NM · CCN 320086	28	$2,741	About average	$2,165	$40,404
UPMC EastMonroeville, PA · CCN 390328	25	$2,741	About average	$2,165	$32,900
Our Lady Of The Lake Surgical HospitalSlidell, LA · CCN 190270	19	$2,742	About average	$2,184	$34,871
St Tammany Parish HospitalCovington, LA · CCN 190045	43	$2,742	About average	$2,184	$22,039
AvalaCovington, LA · CCN 190267	65	$2,742	About average	$2,183	$23,987
Sterling Surgical HospitalSlidell, LA · CCN 190256	34	$2,742	About average	$2,181	$17,830
Ochsner Medical Center-KennerKenner, LA · CCN 190274	22	$2,742	About average	$2,173	$22,036
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	12	$2,742	About average	$2,185	$32,638
AllianceHealth DurantDurant, OK · CCN 370014	35	$2,742	About average	$2,172	$67,460
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	45	$2,743	About average	$2,175	$22,610
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	55	$2,743	About average	$2,175	$20,703
Beckley ARH HospitalBeckley, WV · CCN 510062	19	$2,744	About average	$2,186	$18,914
Community Hospital, LLCOklahoma City, OK · CCN 370203	300	$2,744	About average	$2,177	$27,971
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	16	$2,745	About average	$2,187	$19,323
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	56	$2,745	About average	$2,179	$61,034
Nkc HealthNorth Kansas City, MO · CCN 260096	53	$2,745	About average	$2,164	$19,311
Cache Valley HospitalNorth Logan, UT · CCN 460054	15	$2,746	About average	$2,156	$18,317
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	33	$2,746	About average	$2,159	$24,384
Norton Hospitals, IncLouisville, KY · CCN 180088	298	$2,746	About average	$2,179	$20,223
Finley HospitalDubuque, IA · CCN 160117	97	$2,746	About average	$2,181	$13,995
Trident Medical CenterCharleston, SC · CCN 420079	48	$2,746	About average	$2,179	$41,194
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	48	$2,746	About average	$2,159	$17,959
Cornerstone Regional HospitalEdinburg, TX · CCN 450825	24	$2,747	About average	$2,176	$40,485
Lewisgale Medical CenterSalem, VA · CCN 490048	35	$2,747	About average	$2,187	$74,234
West Penn HospitalPittsburgh, PA · CCN 390090	16	$2,747	About average	$2,159	$17,735
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	52	$2,749	About average	$2,190	$21,084
St Mary's Regional Medical CenterEnid, OK · CCN 370026	22	$2,749	About average	$2,188	$24,732
Shands JacksonvilleJacksonville, FL · CCN 100001	38	$2,749	About average	$2,150	$44,879
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	11	$2,749	About average	$2,190	$16,378
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	56	$2,749	About average	$2,180	$14,374
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	392	$2,749	About average	$2,182	$15,723
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	35	$2,749	About average	$2,164	$13,820
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	25	$2,750	About average	$2,185	$45,066
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	117	$2,751	About average	$2,177	$16,576

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.