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 Kentucky

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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Kentucky

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Average payment across these 37 hospitals: $2,727National $2,995 · Kentucky $2,727
Median hospital: $2,746
Lowest to highest: $2,382–$2,984
Medicare procedures: 1,726

37 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
Baptist Health RichmondRichmond, KY · CCN 180049	11	$2,382	20% below the national average	$1,816	$19,651
University Of Kentucky HospitalLexington, KY · CCN 180067	62	$2,415	19% below the national average	$1,902	$21,612
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	16	$2,492	17% below the national average	$1,929	$10,517
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	237	$2,567	14% below the national average	$2,019	$19,413
Taylor Regional HospitalCampbellsville, KY · CCN 180087	20	$2,607	13% below the national average	$2,055	$17,138
Clark Regional Medical CenterWinchester, KY · CCN 180092	12	$2,617	13% below the national average	$2,047	$22,293
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	26	$2,625	12% below the national average	$2,052	$23,071
Baptist Health LagrangeLa Grange, KY · CCN 180138	14	$2,634	12% below the national average	$2,063	$33,245
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	130	$2,657	11% below the national average	$2,099	$14,758
Saint Joseph HospitalLexington, KY · CCN 180010	30	$2,706	About average	$2,130	$19,201
Baptist Health LexingtonLexington, KY · CCN 180103	24	$2,710	About average	$2,140	$51,923
Baptist Health LouisvilleLouisville, KY · CCN 180130	109	$2,711	About average	$2,144	$26,721
Murray-Calloway County HospitalMurray, KY · CCN 180027	21	$2,716	About average	$2,164	$17,752
Spring View HospitalLebanon, KY · CCN 180024	15	$2,716	About average	$2,164	$33,666
Saint Joseph LondonLondon, KY · CCN 180011	14	$2,716	About average	$2,161	$21,177
Baptist Health HardinElizabethtown, KY · CCN 180012	69	$2,724	About average	$2,156	$21,510
St Elizabeth FlorenceFlorence, KY · CCN 180045	56	$2,735	About average	$2,158	$15,462
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	16	$2,745	About average	$2,187	$19,323
Norton Hospitals, IncLouisville, KY · CCN 180088	298	$2,746	About average	$2,179	$20,223
King's Daughters' Medical CenterAshland, KY · CCN 180009	20	$2,757	About average	$2,187	$25,563
T J Samson Community HospitalGlasgow, KY · CCN 180017	34	$2,760	About average	$2,157	$14,544
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	12	$2,786	About average	$2,220	$10,255
University Of Louisville HospitalLouisville, KY · CCN 180141	12	$2,789	About average	$2,215	$19,072
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	29	$2,797	About average	$2,228	$27,598
Saint Joseph EastLexington, KY · CCN 180143	13	$2,803	About average	$2,233	$14,815
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	62	$2,815	About average	$2,243	$14,396
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	39	$2,849	About average	$2,255	$14,779
Deaconess Henderson HospitalHenderson, KY · CCN 180056	14	$2,851	About average	$2,270	$15,032
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	38	$2,862	About average	$2,269	$26,080
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	30	$2,884	About average	$2,292	$36,984
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	46	$2,891	About average	$2,276	$18,371
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	36	$2,896	About average	$2,294	$38,254
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	14	$2,908	About average	$2,316	$24,334
Pikeville Medical CenterPikeville, KY · CCN 180044	59	$2,940	About average	$2,341	$19,126
Baptist Health PaducahPaducah, KY · CCN 180104	49	$2,962	About average	$2,349	$30,616
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	16	$2,962	About average	$2,340	$23,654
St Claire Regional Medical CenterMorehead, KY · CCN 180018	23	$2,984	About average	$2,377	$12,958

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.