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 Iowa

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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Year of care

Average payment across these 25 hospitals: $2,782National $2,995 · Iowa $2,782
Median hospital: $2,769
Lowest to highest: $2,476–$3,138
Medicare procedures: 1,094

25 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
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	14	$2,476	17% below the national average	$1,973	$21,168
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	52	$2,520	16% below the national average	$1,957	$13,536
Trinity - BettendorfBettendorf, IA · CCN 160104	17	$2,643	12% below the national average	$2,080	$12,427
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	45	$2,671	11% below the national average	$2,108	$26,148
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	37	$2,671	11% below the national average	$2,104	$14,429
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	43	$2,701	About average	$2,131	$10,322
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	14	$2,708	About average	$2,153	$14,465
Mary Greeley Medical CenterAmes, IA · CCN 160030	127	$2,713	About average	$2,146	$14,197
Finley HospitalDubuque, IA · CCN 160117	97	$2,746	About average	$2,181	$13,995
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	81	$2,752	About average	$2,187	$17,597
Allen HospitalWaterloo, IA · CCN 160110	33	$2,769	About average	$2,206	$11,135
Lakes Regional HealthcareSpirit Lake, IA · CCN 160124	34	$2,769	About average	$2,206	$8,630
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	69	$2,769	About average	$2,206	$27,676
Spencer Municipal HospitalSpencer, IA · CCN 160112	49	$2,769	About average	$2,206	$12,722
Broadlawns Medical CenterDes Moines, IA · CCN 160101	11	$2,778	About average	$2,213	$15,430
St Lukes HospitalCedar Rapids, IA · CCN 160045	26	$2,791	About average	$2,224	$14,259
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	94	$2,840	About average	$2,253	$22,455
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	31	$2,842	About average	$2,245	$16,366
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	36	$2,900	About average	$2,297	$12,609
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	22	$2,917	About average	$2,315	$32,382
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	58	$2,948	About average	$2,341	$12,226
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	28	$2,952	About average	$2,341	$17,193
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	20	$2,975	About average	$2,371	$10,006
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	12	$2,989	About average	$2,382	$18,759
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064 · +$972 outlier payments per case	44	$3,138	About average	$2,494	$32,598

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.