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 Illinois

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 81 hospitals: $2,967National $2,995 · Illinois $2,967
Median hospital: $2,991
Lowest to highest: $2,049–$3,204
Medicare procedures: 3,523

81 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
Saint Anthony HospitalChicago, IL · CCN 140095	12	$2,049	32% below the national average	$1,632	$12,633
Javon Bea HospitalRockford, IL · CCN 140239	21	$2,433	19% below the national average	$1,929	$17,818
FHN Memorial HospitalFreeport, IL · CCN 140160	25	$2,467	18% below the national average	$1,873	$19,655
Jersey Community HospitalJerseyville, IL · CCN 140059	15	$2,593	13% below the national average	$2,066	$8,556
Carle Foundation HospitalUrbana, IL · CCN 140091	34	$2,594	13% below the national average	$2,061	$15,058
Advocate Sherman HospitalElgin, IL · CCN 140030	33	$2,702	About average	$2,135	$16,303
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	12	$2,742	About average	$2,185	$32,638
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	29	$2,806	About average	$2,235	$18,754
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	67	$2,815	About average	$2,225	$15,411
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	27	$2,815	About average	$2,207	$32,147
Northwestern Memorial HospitalChicago, IL · CCN 140281	155	$2,836	About average	$2,249	$30,020
Riverside Medical CenterKankakee, IL · CCN 140186	39	$2,858	About average	$2,238	$31,021
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	12	$2,869	About average	$2,244	$22,357
Uw HealthRockford, IL · CCN 140228	44	$2,891	About average	$2,292	$41,499
St Johns HospitalSpringfield, IL · CCN 140053	74	$2,895	About average	$2,285	$24,862
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	20	$2,897	About average	$2,257	$29,331
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	75	$2,897	About average	$2,288	$19,898
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	95	$2,899	About average	$2,293	$28,608
Saint Francis Medical CenterPeoria, IL · CCN 140067	64	$2,907	About average	$2,306	$30,244
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	64	$2,911	About average	$2,320	$31,321
Herrin HospitalHerrin, IL · CCN 140011	33	$2,919	About average	$2,311	$37,325
Advocate Trinity HospitalChicago, IL · CCN 140048	33	$2,925	About average	$2,300	$17,597
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	37	$2,927	About average	$2,319	$22,585
Anderson HospitalMaryville, IL · CCN 140289	45	$2,938	About average	$2,328	$13,450
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	19	$2,944	About average	$2,320	$16,544
Alton Memorial HospitalAlton, IL · CCN 140002	51	$2,945	About average	$2,337	$19,504
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	88	$2,950	About average	$2,351	$12,999
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	20	$2,951	About average	$2,326	$25,036
Memorial Medical CenterSpringfield, IL · CCN 140148	99	$2,952	About average	$2,337	$18,816
Carle Health Proctor HospitalPeoria, IL · CCN 140013	127	$2,954	About average	$2,344	$32,061
Memorial HospitalBelleville, IL · CCN 140185	64	$2,954	About average	$2,346	$20,733
MacNeal HospitalBerwyn, IL · CCN 140054	25	$2,955	About average	$2,307	$29,492
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	28	$2,969	About average	$2,329	$22,118
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	35	$2,985	About average	$2,334	$12,443
Loyola University Medical CenterMaywood, IL · CCN 140276	47	$2,988	About average	$2,348	$16,155
CGH Medical CenterSterling, IL · CCN 140043	22	$2,991	About average	$2,383	$27,378
Decatur Memorial HospitalDecatur, IL · CCN 140135	108	$2,991	About average	$2,383	$19,403
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	14	$2,991	About average	$2,383	$25,518
St Josephs HospitalBreese, IL · CCN 140145	20	$2,991	About average	$2,383	$17,327
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	24	$2,991	About average	$2,383	$24,889
Heartland Regional Medical CenterMarion, IL · CCN 140184	41	$2,991	About average	$2,383	$42,082
St Marys HospitalDecatur, IL · CCN 140166	28	$2,991	About average	$2,383	$21,349
Trinity Rock IslandRock Island, IL · CCN 140280	33	$2,991	About average	$2,383	$12,888
Carle Bromenn Medical CenterNormal, IL · CCN 140127	24	$2,992	About average	$2,376	$13,840
Carle Health Pekin HospitalPekin, IL · CCN 140120	22	$2,992	About average	$2,375	$30,829
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	189	$2,997	About average	$2,383	$19,605
Palos Community HospitalPalos Heights, IL · CCN 140062	69	$3,002	About average	$2,378	$26,378
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	106	$3,004	About average	$2,383	$19,215
Swedish HospitalChicago, IL · CCN 140114	38	$3,009	About average	$2,380	$22,624
West Suburban Medical CenterOak Park, IL · CCN 140049	12	$3,013	About average	$2,401	$26,223

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.