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 North Carolina

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

North Carolina

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 65 hospitals: $2,846National $2,995 · North Carolina $2,846
Median hospital: $2,829
Lowest to highest: $2,349–$3,059
Medicare procedures: 2,991

65 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
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	13	$2,349	22% below the national average	$1,764	$19,625
Caldwell Memorial HospitalLenoir, NC · CCN 340041	59	$2,526	16% below the national average	$1,993	$16,809
Carteret General HospitalMorehead City, NC · CCN 340142	28	$2,589	14% below the national average	$2,063	$8,257
UNC RockinghamEden, NC · CCN 340060	13	$2,645	12% below the national average	$2,072	$8,354
Lexington Memorial Hospital IncLexington, NC · CCN 340096	23	$2,655	11% below the national average	$2,054	$21,536
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	30	$2,670	11% below the national average	$2,093	$24,122
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	24	$2,724	About average	$2,152	$9,875
Ecu Health Medical CenterGreenville, NC · CCN 340040	65	$2,739	About average	$2,175	$16,901
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	66	$2,740	About average	$2,176	$28,338
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	15	$2,754	About average	$2,163	$33,543
WakeMed, Cary HospitalCary, NC · CCN 340173	15	$2,759	About average	$2,167	$20,713
Novant Health Mint Hill Medical CenterCharlotte, NC · CCN 340190	29	$2,765	About average	$2,170	$19,605
Northern Regional HospitalMount Airy, NC · CCN 340003	15	$2,772	About average	$2,190	$9,079
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	34	$2,778	About average	$2,181	$17,596
Catawba Valley Medical CenterHickory, NC · CCN 340143	28	$2,779	About average	$2,197	$16,351
Frye Regional Medical CenterHickory, NC · CCN 340116	18	$2,782	About average	$2,217	$36,586
Onslow Memorial HospitalJacksonville, NC · CCN 340042	13	$2,785	About average	$2,219	$15,658
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	108	$2,785	About average	$2,202	$26,337
Johnston HealthSmithfield, NC · CCN 340090	19	$2,790	About average	$2,188	$18,945
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	84	$2,790	About average	$2,212	$16,937
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113 · +$840 outlier payments per case	120	$2,793	About average	$2,201	$37,559
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	64	$2,800	About average	$2,209	$36,540
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	137	$2,800	About average	$2,226	$28,055
Atrium Health ClevelandShelby, NC · CCN 340021	31	$2,804	About average	$2,219	$24,916
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	14	$2,817	About average	$2,244	$20,801
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	39	$2,817	About average	$2,244	$11,308
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	49	$2,817	About average	$2,244	$22,195
Sampson Regional Medical CenterClinton, NC · CCN 340024	12	$2,817	About average	$2,244	$9,572
Harris Regional HospitalSylva, NC · CCN 340016	38	$2,817	About average	$2,244	$23,270
Haywood Regional Medical CenterClyde, NC · CCN 340184	19	$2,817	About average	$2,240	$22,861
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	17	$2,817	About average	$2,236	$33,305
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	13	$2,817	About average	$2,230	$15,439
Atrium Health UnionMonroe, NC · CCN 340130	29	$2,829	About average	$2,231	$27,120
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	33	$2,838	About average	$2,243	$32,122
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	13	$2,841	About average	$2,219	$16,990
Rex HospitalRaleigh, NC · CCN 340114	36	$2,850	About average	$2,257	$15,184
Caromont Regional Medical CenterGastonia, NC · CCN 340032	122	$2,852	About average	$2,257	$16,641
Duke University HospitalDurham, NC · CCN 340030	145	$2,859	About average	$2,270	$18,098
Wilson Medical CenterWilson, NC · CCN 340126	18	$2,862	About average	$2,281	$34,639
UNC Health NashRocky Mount, NC · CCN 340147	47	$2,862	About average	$2,280	$19,508
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	33	$2,862	About average	$2,277	$12,814
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	115	$2,868	About average	$2,277	$12,724
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	70	$2,868	About average	$2,285	$13,897
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	58	$2,869	About average	$2,274	$15,024
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	30	$2,872	About average	$2,272	$12,119
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	93	$2,875	About average	$2,275	$11,296
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	80	$2,875	About average	$2,285	$17,182
The McDowell HospitalMarion, NC · CCN 340087	12	$2,880	About average	$2,294	$28,130
North Carolina Specialty HospitalDurham, NC · CCN 340049	36	$2,890	About average	$2,297	$8,898
UNC HospitalsChapel Hill, NC · CCN 340061	82	$2,898	About average	$2,297	$17,197

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.