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 Missouri

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.

Location

Missouri

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 53 hospitals: $2,773National $2,995 · Missouri $2,773
Median hospital: $2,827
Lowest to highest: $1,936–$3,066
Medicare procedures: 2,474

53 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
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	38	$1,936	35% below the national average	$1,542	$15,260
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	30	$2,420	19% below the national average	$1,928	$17,141
Nevada Regional Medical CenterNevada, MO · CCN 260061	13	$2,466	18% below the national average	$1,965	$15,030
Christian Hospital NortheastSaint Louis, MO · CCN 260180	22	$2,470	18% below the national average	$1,947	$18,343
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	17	$2,496	17% below the national average	$1,989	$19,043
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	17	$2,578	14% below the national average	$2,054	$22,273
Progress West HospitalOfallon, MO · CCN 260219	35	$2,624	12% below the national average	$2,033	$16,343
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	180	$2,631	12% below the national average	$2,079	$18,679
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	23	$2,656	11% below the national average	$2,096	$14,728
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	26	$2,656	11% below the national average	$2,081	$19,192
University Of Missouri Health CareColumbia, MO · CCN 260141	169	$2,683	10% below the national average	$2,122	$21,461
Cox Medical CentersSpringfield, MO · CCN 260040	151	$2,689	10% below the national average	$2,139	$16,864
St Lukes HospitalChesterfield, MO · CCN 260179	51	$2,701	About average	$2,115	$11,789
Mercy Hospital JoplinJoplin, MO · CCN 260001	36	$2,722	About average	$2,168	$14,089
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	28	$2,722	About average	$2,166	$14,728
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	199	$2,736	About average	$2,155	$20,049
Nkc HealthNorth Kansas City, MO · CCN 260096	53	$2,745	About average	$2,164	$19,311
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	35	$2,749	About average	$2,164	$13,820
St Joseph Medical CenterKansas City, MO · CCN 260085	30	$2,752	About average	$2,177	$34,301
Boone Hospital CenterColumbia, MO · CCN 260068	44	$2,754	About average	$2,194	$14,994
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	93	$2,757	About average	$2,170	$12,733
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	39	$2,771	About average	$2,196	$15,380
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	44	$2,775	About average	$2,177	$19,216
Saint Lukes North HospitalKansas City, MO · CCN 260062	45	$2,777	About average	$2,202	$19,510
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	44	$2,778	About average	$2,203	$16,116
Cameron Regional Medical CenterCameron, MO · CCN 260057	15	$2,827	About average	$2,252	$19,876
Centerpoint Medical CenterIndependence, MO · CCN 260095	20	$2,827	About average	$2,252	$40,076
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	17	$2,827	About average	$2,252	$33,312
Liberty HospitalLiberty, MO · CCN 260177	26	$2,827	About average	$2,252	$21,146
Saint Luke's East HospitalLees Summit, MO · CCN 260216	19	$2,827	About average	$2,252	$35,634
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	43	$2,827	About average	$2,252	$30,687
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	26	$2,827	About average	$2,252	$9,844
SSM St Clare Health CenterFenton, MO · CCN 260081	53	$2,829	About average	$2,253	$14,422
Citizens Memorial HospitalBolivar, MO · CCN 260195	29	$2,865	About average	$2,282	$13,334
Mercy Hospital SouthSaint Louis, MO · CCN 260077	68	$2,865	About average	$2,278	$9,962
Parkland Health CenterFarmington, MO · CCN 260163	30	$2,879	About average	$2,294	$17,087
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	52	$2,881	About average	$2,295	$16,847
Mercy Hospital WashingtonWashington, MO · CCN 260052	41	$2,881	About average	$2,286	$11,064
Ozarks HealthcareWest Plains, MO · CCN 260078	29	$2,915	About average	$2,322	$13,207
Cox Medical Center BransonBranson, MO · CCN 260094	18	$2,915	About average	$2,322	$21,388
Mercy Hospital LebanonLebanon, MO · CCN 260059	12	$2,915	About average	$2,322	$6,161
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	33	$2,915	About average	$2,322	$10,810
Lake Regional Health SystemOsage Beach, MO · CCN 260186	72	$2,915	About average	$2,320	$11,381
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	34	$2,915	About average	$2,318	$81,632
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	67	$2,929	About average	$2,323	$21,111
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	15	$2,950	About average	$2,351	$13,070
Phelps County Regional Medical CenterRolla, MO · CCN 260017	59	$2,960	About average	$2,330	$21,186
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	21	$2,961	About average	$2,359	$33,030
Northeast Regional Medical CenterKirksville, MO · CCN 260022	27	$2,965	About average	$2,355	$36,130
Golden Valley Memorial HospitalClinton, MO · CCN 260175	46	$3,027	About average	$2,412	$10,175

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.