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 Michigan

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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Michigan

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Average payment across these 72 hospitals: $2,779National $2,995 · Michigan $2,779
Median hospital: $2,834
Lowest to highest: $1,894–$3,096
Medicare procedures: 2,772

72 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 Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	54	$1,894	37% below the national average	$1,495	$19,076
Henry Ford Health HospitalDetroit, MI · CCN 230053	103	$2,462	18% below the national average	$1,945	$13,077
Corewell Health Watervliet HospitalWatervliet, MI · CCN 230078	33	$2,495	17% below the national average	$1,974	$15,288
Spectrum HealthGrand Rapids, MI · CCN 230038	129	$2,525	16% below the national average	$1,992	$10,836
Southeast Michigan Surgical Hospital LLCWarren, MI · CCN 230264	12	$2,542	15% below the national average	$1,992	$31,161
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	32	$2,599	13% below the national average	$2,050	$27,055
University Of Michigan Health - WestWyoming, MI · CCN 230236	34	$2,636	12% below the national average	$2,073	$10,585
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	50	$2,651	11% below the national average	$2,112	$31,602
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	34	$2,655	11% below the national average	$2,102	$23,317
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	13	$2,658	11% below the national average	$2,082	$12,608
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	97	$2,690	10% below the national average	$2,124	$25,162
Borgess Medical CenterKalamazoo, MI · CCN 230117	33	$2,690	10% below the national average	$2,106	$21,419
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059 · +$1,421 outlier payments per case	36	$2,694	10% below the national average	$2,137	$18,600
Sinai-Grace HospitalDetroit, MI · CCN 230024	23	$2,695	10% below the national average	$2,103	$34,932
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	27	$2,698	About average	$2,122	$26,901
Spectrum Health United HospitalGreenville, MI · CCN 230035	18	$2,705	About average	$2,132	$9,702
Garden City HospitalGarden City, MI · CCN 230244	16	$2,706	About average	$2,115	$21,401
Edward W Sparrow HospitalLansing, MI · CCN 230230	64	$2,715	About average	$2,139	$14,478
McLaren OaklandPontiac, MI · CCN 230207	18	$2,725	About average	$2,141	$16,304
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	29	$2,726	About average	$2,147	$13,326
McLaren Port HuronPort Huron, MI · CCN 230216	37	$2,730	About average	$2,137	$7,812
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	48	$2,746	About average	$2,159	$17,959
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	36	$2,753	About average	$2,169	$24,797
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	97	$2,762	About average	$2,177	$25,507
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	40	$2,764	About average	$2,177	$11,884
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	29	$2,769	About average	$2,191	$27,408
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	35	$2,770	About average	$2,193	$9,327
McLaren MacombMount Clemens, MI · CCN 230227	28	$2,770	About average	$2,190	$22,887
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	73	$2,770	About average	$2,193	$8,898
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	29	$2,778	About average	$2,186	$13,718
Covenant Medical CenterSaginaw, MI · CCN 230070	47	$2,787	About average	$2,183	$15,653
Surgeons Choice Medical CenterSouthfield, MI · CCN 230301	143	$2,810	About average	$2,228	$13,695
Holland HospitalHolland, MI · CCN 230072	31	$2,820	About average	$2,246	$11,828
Oaklawn HospitalMarshall, MI · CCN 230217	17	$2,824	About average	$2,250	$23,502
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	39	$2,831	About average	$2,237	$32,299
Corewell Health Ludington HospitalLudington, MI · CCN 230110	14	$2,834	About average	$2,258	$9,696
Memorial HealthcareOwosso, MI · CCN 230121	16	$2,834	About average	$2,258	$19,689
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	14	$2,834	About average	$2,258	$8,591
McLaren Central MichiganMount Pleasant, MI · CCN 230080	24	$2,838	About average	$2,261	$12,963
Beaumont Hospital, TroyTroy, MI · CCN 230269	80	$2,842	About average	$2,253	$23,188
Corewell Health Wayne HospitalWayne, MI · CCN 230142	25	$2,848	About average	$2,256	$27,320
Lake Huron Medical CenterPort Huron, MI · CCN 230031	11	$2,851	About average	$2,271	$18,824
McLaren Greater LansingLansing, MI · CCN 230167	60	$2,852	About average	$2,261	$10,632
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	33	$2,857	About average	$2,262	$11,279
Henry Ford Allegiance HealthJackson, MI · CCN 230092	58	$2,863	About average	$2,272	$12,278
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	31	$2,865	About average	$2,248	$8,453
Trinity Health Livingston HospitalHowell, MI · CCN 230069	28	$2,876	About average	$2,271	$24,089
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	26	$2,885	About average	$2,298	$24,148
McLaren Lapeer RegionLapeer, MI · CCN 230193	11	$2,885	About average	$2,298	$7,933
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	15	$2,885	About average	$2,298	$21,754

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.