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 Indiana

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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Indiana

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Average payment across these 56 hospitals: $2,859National $2,995 · Indiana $2,859
Median hospital: $2,904
Lowest to highest: $2,522–$3,131
Medicare procedures: 2,731

56 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
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	183	$2,522	16% below the national average	$1,997	$31,881
Pinnacle HospitalCrown Point, IN · CCN 150166	30	$2,638	12% below the national average	$2,098	$37,926
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	40	$2,659	11% below the national average	$2,094	$16,900
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	33	$2,746	About average	$2,159	$24,384
Kosciusko Community HospitalWarsaw, IN · CCN 150133	17	$2,757	About average	$2,169	$33,498
Franciscan Health LafayetteLafayette, IN · CCN 150109	39	$2,767	About average	$2,176	$36,082
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	102	$2,774	About average	$2,187	$26,496
Riverview HealthNoblesville, IN · CCN 150059	55	$2,803	About average	$2,209	$17,881
Johnson Memorial HospitalFranklin, IN · CCN 150001	20	$2,807	About average	$2,209	$21,028
Northwest Health - PorterValparaiso, IN · CCN 150035	31	$2,813	About average	$2,226	$33,578
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	75	$2,824	About average	$2,237	$13,097
Orthoindy HospitalIndianapolis, IN · CCN 150160	220	$2,829	About average	$2,224	$16,342
Schneck Medical CenterSeymour, IN · CCN 150065	60	$2,832	About average	$2,232	$23,515
Deaconess Hospital IncEvansville, IN · CCN 150082	85	$2,851	About average	$2,272	$13,942
Hendricks Regional HealthDanville, IN · CCN 150005	34	$2,855	About average	$2,261	$24,151
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	83	$2,858	About average	$2,271	$12,336
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	258	$2,859	About average	$2,270	$32,518
Henry County Memorial HospitalNew Castle, IN · CCN 150030	45	$2,859	About average	$2,277	$15,588
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	25	$2,865	About average	$2,258	$19,966
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	60	$2,866	About average	$2,275	$31,777
Northwest Health-La PorteLa Porte, IN · CCN 150006	39	$2,885	About average	$2,299	$43,176
Norton Clark HospitalJeffersonville, IN · CCN 150009	17	$2,885	About average	$2,299	$22,008
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	21	$2,885	About average	$2,299	$18,434
Good Samaritan HospitalVincennes, IN · CCN 150042	70	$2,885	About average	$2,299	$12,516
Monroe HospitalBloomington, IN · CCN 150183	21	$2,885	About average	$2,298	$15,006
Baptist Health FloydNew Albany, IN · CCN 150044	24	$2,885	About average	$2,291	$26,414
Parkview Huntington HospitalHuntington, IN · CCN 150091	15	$2,893	About average	$2,305	$16,992
Columbus Regional HospitalColumbus, IN · CCN 150112	30	$2,899	About average	$2,287	$16,989
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167	79	$2,910	About average	$2,305	$26,448
Unity Physicians HospitalMishawaka, IN · CCN 150177	14	$2,921	About average	$2,322	$14,076
Ascension St Vincent AndersonAnderson, IN · CCN 150088	25	$2,924	About average	$2,329	$26,393
Ascension St Vincent CarmelCarmel, IN · CCN 150157	12	$2,924	About average	$2,329	$35,429
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	32	$2,924	About average	$2,329	$16,336
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	30	$2,924	About average	$2,329	$31,052
Major HospitalShelbyville, IN · CCN 150097	35	$2,924	About average	$2,329	$28,155
Witham Health ServicesLebanon, IN · CCN 150104	43	$2,924	About average	$2,329	$18,407
Union Hospital IncTerre Haute, IN · CCN 150023	130	$2,924	About average	$2,323	$26,146
IU Health West HospitalAvon, IN · CCN 150158	23	$2,924	About average	$2,320	$32,499
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	41	$2,931	About average	$2,319	$24,084
Dupont Hospital LLCFort Wayne, IN · CCN 150150	19	$2,939	About average	$2,342	$39,563
Parkview Whitley HospitalColumbia City, IN · CCN 150101	19	$2,939	About average	$2,342	$29,774
Indiana University HealthIndianapolis, IN · CCN 150056	38	$2,949	About average	$2,340	$35,960
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	14	$2,950	About average	$2,337	$13,453
Ascension St Vincent KokomoKokomo, IN · CCN 150010	23	$2,959	About average	$2,358	$27,260
Reid HealthRichmond, IN · CCN 150048	65	$2,967	About average	$2,348	$17,679
Franciscan Health Crown PointCrown Point, IN · CCN 150126	33	$2,971	About average	$2,352	$21,352
St Mary Medical Center IncHobart, IN · CCN 150034	40	$2,984	About average	$2,361	$23,227
Elkhart General HospitalElkhart, IN · CCN 150018	28	$2,989	About average	$2,381	$14,542
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	36	$2,989	About average	$2,378	$27,132
Memorial HospitalLogansport, IN · CCN 150072	30	$3,008	About average	$2,379	$19,834

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.