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 Florida

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.

Location

Florida

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 110 hospitals: $2,883National $2,995 · Florida $2,883
Median hospital: $2,932
Lowest to highest: $1,700–$3,140
Medicare procedures: 4,978

110 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Ed Fraser Memorial HospitalMacclenny, FL · CCN 100134	17	$1,700	43% below the national average	$1,320	$5,005
Lee Memorial HospitalFort Myers, FL · CCN 100012	157	$2,495	17% below the national average	$1,988	$33,781
West Boca Medical CenterBoca Raton, FL · CCN 100268	54	$2,673	11% below the national average	$2,067	$53,834
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	52	$2,741	About average	$2,156	$41,141
Shands JacksonvilleJacksonville, FL · CCN 100001	38	$2,749	About average	$2,150	$44,879
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	13	$2,764	About average	$2,156	$61,340
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	15	$2,776	About average	$2,180	$76,723
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	32	$2,789	About average	$2,182	$31,019
Baptist HospitalPensacola, FL · CCN 100093	37	$2,790	About average	$2,210	$55,813
St Mary's Medical CenterWest Palm Beach, FL · CCN 100288	17	$2,795	About average	$2,188	$79,230
Sacred Heart HospitalPensacola, FL · CCN 100025 · +$741 outlier payments per case	67	$2,795	About average	$2,221	$27,409
Orlando HealthOrlando, FL · CCN 100006	52	$2,800	About average	$2,199	$55,466
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	18	$2,802	About average	$2,206	$72,592
Mayo ClinicJacksonville, FL · CCN 100151	202	$2,804	About average	$2,232	$21,268
Delray Medical CenterDelray Beach, FL · CCN 100258	19	$2,809	About average	$2,213	$76,497
Memorial Regional HospitalHollywood, FL · CCN 100038	19	$2,809	About average	$2,213	$37,932
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	19	$2,809	About average	$2,213	$118,953
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	21	$2,821	About average	$2,197	$58,043
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	25	$2,839	About average	$2,243	$122,328
Doctors HospitalCoral Gables, FL · CCN 100296	32	$2,841	About average	$2,257	$47,203
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	26	$2,842	About average	$2,243	$65,356
St Josephs HospitalTampa, FL · CCN 100075	57	$2,850	About average	$2,254	$27,192
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	68	$2,855	About average	$2,262	$26,126
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	283	$2,857	About average	$2,261	$26,946
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	34	$2,863	About average	$2,260	$54,597
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	35	$2,865	About average	$2,269	$50,580
UF Health Shands HospitalGainesville, FL · CCN 100113	105	$2,865	About average	$2,269	$24,470
AdventHealth TampaTampa, FL · CCN 100173	34	$2,869	About average	$2,267	$57,058
Morton Plant HospitalClearwater, FL · CCN 100127	39	$2,872	About average	$2,270	$26,722
Broward Health NorthDeerfield Beach, FL · CCN 100086	15	$2,875	About average	$2,291	$19,913
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	42	$2,876	About average	$2,276	$22,542
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	42	$2,876	About average	$2,276	$84,918
HCA Florida West HospitalPensacola, FL · CCN 100231	82	$2,877	About average	$2,279	$95,499
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	87	$2,878	About average	$2,280	$44,505
AdventHealth OrlandoOrlando, FL · CCN 100007	235	$2,880	About average	$2,283	$37,823
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	46	$2,881	About average	$2,285	$30,109
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	97	$2,884	About average	$2,287	$59,718
Sarasota Memorial HospitalSarasota, FL · CCN 100087	93	$2,887	About average	$2,291	$25,102
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	53	$2,888	About average	$2,292	$41,697
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	58	$2,895	About average	$2,293	$27,525
Orlando Health South Lake HospitalClermont, FL · CCN 100051	84	$2,904	About average	$2,308	$42,158
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	111	$2,911	About average	$2,315	$23,027
Marion Communtiy HospitalOcala, FL · CCN 100212	146	$2,916	About average	$2,320	$67,387
Jackson Health SystemMiami, FL · CCN 100022	29	$2,930	About average	$2,327	$23,303
AdventHealth CarrollwoodTampa, FL · CCN 100069	17	$2,932	About average	$2,336	$69,026
AdventHealth Fish MemorialOrange City, FL · CCN 100072	15	$2,932	About average	$2,336	$25,232
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	12	$2,932	About average	$2,336	$116,433
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	68	$2,932	About average	$2,336	$20,252
AdventHealth North PinellasTarpon Springs, FL · CCN 100055	19	$2,932	About average	$2,336	$40,521
AdventHealth SebringSebring, FL · CCN 100109	30	$2,932	About average	$2,336	$30,478

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.