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 Arizona

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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Arizona

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Year of care

Average payment across these 44 hospitals: $3,136National $2,995 · Arizona $3,136
Median hospital: $3,130
Lowest to highest: $2,624–$3,504
Medicare procedures: 2,123

44 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
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	31	$2,624	12% below the national average	$2,077	$15,798
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	12	$2,947	About average	$2,290	$21,108
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	14	$2,977	About average	$2,332	$21,926
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	235	$3,001	About average	$2,386	$18,042
St. Mary's HospitalTucson, AZ · CCN 030010	19	$3,024	About average	$2,378	$39,562
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 030130	20	$3,031	About average	$2,382	$25,158
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	41	$3,034	About average	$2,387	$42,367
Chandler Regional Medical CenterChandler, AZ · CCN 030036	21	$3,037	About average	$2,395	$48,028
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112	53	$3,064	About average	$2,412	$28,603
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	25	$3,067	About average	$2,425	$71,010
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	29	$3,070	About average	$2,428	$22,381
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	60	$3,072	About average	$2,431	$26,107
Yuma Regional Medical CenterYuma, AZ · CCN 030013	66	$3,090	About average	$2,450	$19,738
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	28	$3,090	About average	$2,442	$48,344
St Joseph's HospitalTucson, AZ · CCN 030011	43	$3,098	About average	$2,454	$70,383
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	24	$3,099	About average	$2,469	$17,168
Banner Boswell Medical CenterSun City, AZ · CCN 030061	45	$3,100	About average	$2,459	$22,904
Northwest Medical CenterTucson, AZ · CCN 030085	105	$3,108	About average	$2,466	$44,187
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	55	$3,111	About average	$2,467	$40,755
Oro Valley HospitalOro Valley, AZ · CCN 030114	81	$3,125	About average	$2,481	$46,222
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107	140	$3,127	About average	$2,481	$13,616
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	122	$3,129	About average	$2,486	$19,209
Tucson Medical CenterTucson, AZ · CCN 030006	61	$3,132	About average	$2,489	$12,497
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	30	$3,146	About average	$2,507	$48,227
Abrazo Central CampusPhoenix, AZ · CCN 030030	11	$3,156	About average	$2,515	$34,173
Banner Baywood Medical CenterMesa, AZ · CCN 030088	31	$3,156	About average	$2,515	$20,843
Banner Desert Medical CenterMesa, AZ · CCN 030065	40	$3,156	About average	$2,515	$28,297
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	12	$3,156	About average	$2,515	$28,757
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	44	$3,156	About average	$2,515	$16,022
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	48	$3,156	About average	$2,515	$44,052
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	30	$3,156	About average	$2,515	$33,090
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	16	$3,156	About average	$2,515	$28,119
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	17	$3,156	About average	$2,515	$69,302
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	77	$3,156	About average	$2,514	$40,122
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	66	$3,156	About average	$2,510	$42,639
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 030121	16	$3,157	About average	$2,505	$32,652
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	15	$3,157	About average	$2,502	$60,407
Valley View Medical CenterFort Mohave, AZ · CCN 030117	19	$3,203	About average	$2,547	$52,047
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	74	$3,289	About average	$2,620	$14,458
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	88	$3,350	12% above the national average	$2,659	$13,221
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	21	$3,380	13% above the national average	$2,693	$42,432
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 030016	40	$3,380	13% above the national average	$2,690	$19,409
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	17	$3,381	13% above the national average	$2,688	$15,461
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	81	$3,504	17% above the national average	$2,789	$36,762

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.