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 New Jersey

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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New Jersey

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Average payment across these 48 hospitals: $3,401National $2,995 · New Jersey $3,401
Median hospital: $3,389
Lowest to highest: $2,331–$3,683
Medicare procedures: 2,146

48 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
Cooper University HospitalCamden, NJ · CCN 310014	63	$2,331	22% below the national average	$1,837	$15,803
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	47	$3,057	About average	$2,413	$16,913
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	28	$3,147	About average	$2,500	$36,969
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	37	$3,172	About average	$2,512	$18,943
Ocean Medical CenterBrick, NJ · CCN 310052	32	$3,177	About average	$2,531	$21,561
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	19	$3,247	About average	$2,558	$22,541
Hunterdon Medical CenterFlemington, NJ · CCN 310005	41	$3,265	About average	$2,601	$16,161
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 310084	22	$3,266	About average	$2,577	$18,411
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	47	$3,317	11% above the national average	$2,641	$27,358
Newton Medical CenterNewton, NJ · CCN 310028	39	$3,319	11% above the national average	$2,631	$35,380
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	54	$3,339	11% above the national average	$2,650	$33,613
Inspira Medical Center VinelandVineland, NJ · CCN 310032	68	$3,339	11% above the national average	$2,659	$18,233
Community Medical CenterToms River, NJ · CCN 310041	57	$3,341	12% above the national average	$2,653	$12,541
Clara Maass Medical CenterBelleville, NJ · CCN 310009	18	$3,348	12% above the national average	$2,641	$14,965
Monmouth Medical CenterLong Branch, NJ · CCN 310075	33	$3,348	12% above the national average	$2,648	$19,571
JFK University Medical CenterEdison, NJ · CCN 310108	44	$3,356	12% above the national average	$2,674	$16,906
Morristown Medical CenterMorristown, NJ · CCN 310015	229	$3,365	12% above the national average	$2,673	$20,619
Riverview Medical CenterRed Bank, NJ · CCN 310034	55	$3,381	13% above the national average	$2,679	$17,161
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	31	$3,389	13% above the national average	$2,700	$45,431
West Jersey HospitalVoorhees, NJ · CCN 310022	39	$3,389	13% above the national average	$2,700	$46,198
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	21	$3,389	13% above the national average	$2,700	$14,487
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	22	$3,389	13% above the national average	$2,700	$92,229
Ahs Hospital CorpHackettstown, NJ · CCN 310115	29	$3,389	13% above the national average	$2,697	$16,966
Jefferson Stratford HospitalStratford, NJ · CCN 310086	45	$3,389	13% above the national average	$2,695	$31,025
Shore Medical CenterSomers Point, NJ · CCN 310047	34	$3,389	13% above the national average	$2,694	$31,007
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	31	$3,389	13% above the national average	$2,688	$22,901
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	12	$3,389	13% above the national average	$2,684	$21,153
Hudson Regional HospitalSecaucus, NJ · CCN 310118	25	$3,419	14% above the national average	$2,697	$64,515
Bayshore Medical CenterHolmdel, NJ · CCN 310112	20	$3,431	15% above the national average	$2,734	$16,365
CentraState Medical CenterFreehold, NJ · CCN 310111	23	$3,431	15% above the national average	$2,729	$13,108
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	110	$3,434	15% above the national average	$2,736	$22,638
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	26	$3,434	15% above the national average	$2,736	$15,115
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	35	$3,473	16% above the national average	$2,767	$26,364
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	25	$3,477	16% above the national average	$2,767	$19,265
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	34	$3,477	16% above the national average	$2,767	$14,299
Overlook Medical CenterSummit, NJ · CCN 310051	47	$3,503	17% above the national average	$2,779	$21,868
St Mary's General HospitalPassaic, NJ · CCN 310006	17	$3,511	17% above the national average	$2,762	$38,527
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	35	$3,560	19% above the national average	$2,816	$30,805
Hackensack University Medical CenterHackensack, NJ · CCN 310001	155	$3,573	19% above the national average	$2,842	$20,619
Chilton Medical CenterPompton Plains, NJ · CCN 310017	52	$3,587	20% above the national average	$2,836	$19,918
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	31	$3,589	20% above the national average	$2,839	$21,250
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	12	$3,643	22% above the national average	$2,902	$16,880
The University HospitalNewark, NJ · CCN 310119	11	$3,643	22% above the national average	$2,901	$26,817
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	72	$3,645	22% above the national average	$2,893	$39,914
Holy Name Medical CenterTeaneck, NJ · CCN 310008	99	$3,683	23% above the national average	$2,935	$16,115
Jersey City Medical CenterJersey City, NJ · CCN 310074	12	$3,683	23% above the national average	$2,935	$17,732
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	15	$3,683	23% above the national average	$2,935	$17,503
Valley HospitalParamus, NJ · CCN 310012	93	$3,683	23% above the national average	$2,933	$19,495

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.