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

Hospitals in Alabama

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.

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Alabama

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Year of care

Average payment across these 39 hospitals: $2,552National $2,995 · Alabama $2,552
Median hospital: $2,627
Lowest to highest: $1,599–$2,884
Medicare procedures: 1,853

39 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Athens Limestone HospitalAthens, AL · CCN 010079	131	$1,599	47% below the national average	$1,265	$21,263
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	15	$2,272	24% below the national average	$1,714	$40,591
North Alabama Medical CenterFlorence, AL · CCN 010006	28	$2,273	24% below the national average	$1,803	$16,376
Medical Center EnterpriseEnterprise, AL · CCN 010049	19	$2,328	22% below the national average	$1,779	$84,448
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	25	$2,365	21% below the national average	$1,816	$60,711
Baptist Medical Center EastMontgomery, AL · CCN 010149	16	$2,459	18% below the national average	$1,895	$10,758
Mizell Memorial HospitalOpp, AL · CCN 010007	16	$2,486	17% below the national average	$1,980	$5,999
North Baldwin InfirmaryBay Minette, AL · CCN 010129	22	$2,492	17% below the national average	$1,946	$6,977
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	12	$2,505	16% below the national average	$1,960	$20,348
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	23	$2,515	16% below the national average	$1,953	$18,192
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	32	$2,550	15% below the national average	$2,003	$5,790
Callahan Eye HospitalBirmingham, AL · CCN 010018	15	$2,558	15% below the national average	$2,009	$16,148
University Of Alabama HospitalBirmingham, AL · CCN 010033	82	$2,567	14% below the national average	$2,023	$32,431
Flowers HospitalDothan, AL · CCN 010055	56	$2,588	14% below the national average	$2,018	$45,147
Riverview Regional Medical CenterGadsden, AL · CCN 010046	51	$2,602	13% below the national average	$2,057	$49,928
Walker Baptist Medical CenterJasper, AL · CCN 010089	41	$2,603	13% below the national average	$2,019	$36,069
Huntsville HospitalHuntsville, AL · CCN 010039	218	$2,615	13% below the national average	$2,056	$16,796
Elmore Community HospitalWetumpka, AL · CCN 010097	21	$2,622	12% below the national average	$2,069	$16,009
Grandview Medical CenterBirmingham, AL · CCN 010104	144	$2,623	12% below the national average	$2,073	$102,253
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	49	$2,627	12% below the national average	$2,068	$8,956
St Vincent's BirminghamBirmingham, AL · CCN 010056	142	$2,629	12% below the national average	$2,078	$26,980
Baldwin HealthFoley, AL · CCN 010083	63	$2,629	12% below the national average	$2,082	$65,063
Thomas HospitalFairhope, AL · CCN 010100	49	$2,645	12% below the national average	$2,094	$12,180
Russellville HospitalRussellville, AL · CCN 010158	18	$2,651	11% below the national average	$2,112	$12,808
Marshall Medical CentersBoaz, AL · CCN 010005	68	$2,652	11% below the national average	$2,107	$7,723
Andalusia HealthAndalusia, AL · CCN 010036	20	$2,665	11% below the national average	$2,092	$19,132
Cullman Regional Medical CenterCullman, AL · CCN 010035	50	$2,667	11% below the national average	$2,096	$9,819
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	32	$2,669	11% below the national average	$2,111	$17,626
Russell Medical CenterAlexander City, AL · CCN 010065	30	$2,677	11% below the national average	$2,133	$8,787
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
Crestwood Medical CenterHuntsville, AL · CCN 010131	128	$2,694	10% below the national average	$2,137	$54,133
Troy Regional Medical CenterTroy, AL · CCN 010126	22	$2,718	About average	$2,165	$12,080
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	35	$2,818	About average	$2,217	$39,481
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	48	$2,864	About average	$2,278	$8,698
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	33	$2,884	About average	$2,285	$13,827

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.