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 Georgia

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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Georgia

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Average payment across these 61 hospitals: $2,719National $2,995 · Georgia $2,723
Median hospital: $2,832
Lowest to highest: $1,878–$3,043
Medicare procedures: 2,453

61 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
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	111	$1,878	37% below the national average	$1,481	$18,007
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	90	$2,152	28% below the national average	$1,698	$34,767
Piedmont Hospital, IncAtlanta, GA · CCN 110083	69	$2,212	26% below the national average	$1,758	$38,959
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	23	$2,273	24% below the national average	$1,769	$30,630
Northside Hospital CherokeeCanton, GA · CCN 110008	106	$2,296	23% below the national average	$1,824	$30,153
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	15	$2,371	21% below the national average	$1,889	$25,719
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	35	$2,425	19% below the national average	$1,870	$35,626
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	70	$2,533	15% below the national average	$1,991	$23,386
Burke Medical CenterWaynesboro, GA · CCN 110113	44	$2,581	14% below the national average	$2,037	$24,533
Candler HospitalSavannah, GA · CCN 110024	29	$2,586	14% below the national average	$2,026	$18,192
Piedmont Macon North HospitalMacon, GA · CCN 110201	17	$2,649	12% below the national average	$2,084	$35,633
Doctors HospitalAugusta, GA · CCN 110177	43	$2,653	11% below the national average	$2,096	$71,031
SGMC HealthValdosta, GA · CCN 110122	33	$2,670	11% below the national average	$2,114	$25,260
AdventHealth GordonCalhoun, GA · CCN 110023	16	$2,673	11% below the national average	$2,072	$45,728
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	52	$2,680	11% below the national average	$2,117	$16,169
Southwell Medical, A Campus Of The Regional Medical CenterAdel, GA · CCN 110101	44	$2,686	10% below the national average	$2,130	$17,831
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	37	$2,736	About average	$2,173	$31,434
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
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	11	$2,749	About average	$2,190	$16,378
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	19	$2,752	About average	$2,141	$38,016
Piedmont Walton HospitalMonroe, GA · CCN 110046	20	$2,765	About average	$2,154	$26,617
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	18	$2,766	About average	$2,178	$24,074
Tift Regional Medical CenterTifton, GA · CCN 110095	21	$2,774	About average	$2,209	$15,089
Archbold Memorial HospitalThomasville, GA · CCN 110038	13	$2,775	About average	$2,211	$15,822
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	58	$2,800	About average	$2,184	$35,210
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	92	$2,809	About average	$2,220	$34,045
Emory University Hospital MidtownAtlanta, GA · CCN 110078	13	$2,820	About average	$2,209	$19,911
Northside HospitalAtlanta, GA · CCN 110161	83	$2,830	About average	$2,250	$30,209
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	79	$2,832	About average	$2,227	$39,998
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	37	$2,846	About average	$2,252	$19,560
Union General HospitalBlairsville, GA · CCN 110051	60	$2,852	About average	$2,255	$16,195
Blue Ridge Medical CenterBlue Ridge, GA · CCN 110780	28	$2,872	About average	$2,316	$56,818
Northeast Georgia Medical Center LumpkinDahlonega, GA · CCN 110237	25	$2,874	About average	$2,290	$26,925
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	117	$2,891	About average	$2,291	$38,021
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	23	$2,900	About average	$2,265	$41,088
Emory Hillandale HospitalLithonia, GA · CCN 110226	24	$2,904	About average	$2,294	$17,065
Emory Decatur HospitalDecatur, GA · CCN 110076	49	$2,906	About average	$2,296	$16,931
Piedmont Newton HospitalCovington, GA · CCN 110018	28	$2,918	About average	$2,308	$32,407
St Mary's HospitalAthens, GA · CCN 110006	78	$2,921	About average	$2,321	$28,091
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	37	$2,923	About average	$2,323	$38,575
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	31	$2,927	About average	$2,305	$15,851
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	24	$2,930	About average	$2,335	$30,948
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	30	$2,930	About average	$2,335	$40,874
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	19	$2,930	About average	$2,328	$14,178
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	16	$2,930	About average	$2,323	$16,810
Northside Hospital DuluthDuluth, GA · CCN 110252	101	$2,934	About average	$2,318	$27,112
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	84	$2,943	About average	$2,337	$10,184
AdventHealth RedmondRome, GA · CCN 110168	26	$2,951	About average	$2,351	$37,637

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.