Skip to main content
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 York

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
New York
Specific hospitals up to 10
Average payment across these 93 hospitals
$3,441National $2,995 · New York $3,442
Median hospital
$3,525
Lowest to highest
$1,824–$3,748
Medicare procedures
4,928

93 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Strong Memorial HospitalRochester, NY · CCN 330285114$1,82439% below the national average$1,453$12,195
White Plains Hospital CenterWhite Plains, NY · CCN 330304109$1,92836% below the national average$1,529$24,600
Crouse HospitalSyracuse, NY · CCN 33020380$2,946About average$2,290$9,945
St Joseph's Hospital Health CenterSyracuse, NY · CCN 33014013$3,011About average$2,314$12,343
Southside HospitalBay Shore, NY · CCN 33004325$3,062About average$2,318$15,739
Rochester General HospitalRochester, NY · CCN 33012518$3,089About average$2,430$11,048
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 33024124$3,204About average$2,506$22,506
Wynn HospitalUtica, NY · CCN 33004420$3,226About average$2,570$16,079
Geneva General HospitalGeneva, NY · CCN 33005840$3,227About average$2,512$6,686
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 33023817$3,271About average$2,573$6,435
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001198$3,272About average$2,578$19,926
Unity HospitalRochester, NY · CCN 33022640$3,29510% above the national average$2,595$10,108
Arnot Ogden Medical CenterElmira, NY · CCN 33009041$3,29910% above the national average$2,596$12,020
Kaleida HealthBuffalo, NY · CCN 33000519$3,29910% above the national average$2,591$15,585
Rome Memorial Hospital, IncRome, NY · CCN 33021521$3,30210% above the national average$2,604$15,187
Staten Island University HospitalStaten Island, NY · CCN 330160107$3,30510% above the national average$2,605$17,158
Nyack HospitalNyack, NY · CCN 33010487$3,30810% above the national average$2,632$21,413
Columbia Memorial HospitalHudson, NY · CCN 33009423$3,31311% above the national average$2,615$10,816
United Memorial Medical CenterBatavia, NY · CCN 33007323$3,31311% above the national average$2,615$11,669
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 33018530$3,32711% above the national average$2,591$16,474
St Peter's HospitalAlbany, NY · CCN 33005735$3,35412% above the national average$2,656$14,172
Corning HospitalCorning, NY · CCN 33027748$3,37513% above the national average$2,677$12,480
Glens Falls HospitalGlens Falls, NY · CCN 33019151$3,37813% above the national average$2,677$10,550
Albany Medical Center HospitalAlbany, NY · CCN 33001348$3,38913% above the national average$2,700$12,108
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 33018040$3,38913% above the national average$2,687$7,993
Saratoga HospitalSaratoga Springs, NY · CCN 33022274$3,39513% above the national average$2,697$14,698
St Anthony Community HospitalWarwick, NY · CCN 33020513$3,41914% above the national average$2,679$43,353
St Marys HealthcareAmsterdam, NY · CCN 33004719$3,43215% above the national average$2,734$8,932
United Health Services Hospitals, IncBinghamton, NY · CCN 33039443$3,43215% above the national average$2,734$18,492
UPMC ChautauquaJamestown, NY · CCN 33023921$3,43215% above the national average$2,734$15,154
Oswego HospitalOswego, NY · CCN 33021811$3,43215% above the national average$2,734$10,164
Sisters Of Charity HospitalBuffalo, NY · CCN 33007812$3,43215% above the national average$2,734$8,699
Kenmore Mercy HospitalKenmore, NY · CCN 33010214$3,43215% above the national average$2,733$11,158
Newark-Wayne Community HospitalNewark, NY · CCN 33003017$3,43215% above the national average$2,733$9,762
Ellis HospitalSchenectady, NY · CCN 33015329$3,43215% above the national average$2,732$13,644
Highland HospitalRochester, NY · CCN 33016413$3,43215% above the national average$2,731$16,777
Erie County Medical CenterBuffalo, NY · CCN 33021949$3,43215% above the national average$2,729$7,926
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 33026520$3,43215% above the national average$2,720$12,396
Northern Westchester HospitalMount Kisco, NY · CCN 33016242$3,43215% above the national average$2,681$18,903
Putnam Hospital CenterCarmel, NY · CCN 33027325$3,44815% above the national average$2,700$18,737
Plainview HospitalPlainview, NY · CCN 33033153$3,46116% above the national average$2,719$12,196
Northern Dutchess HospitalRhinebeck, NY · CCN 33004933$3,48416% above the national average$2,744$7,956
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 33022441$3,50017% above the national average$2,789$15,342
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 33002313$3,50917% above the national average$2,760$14,420
Hospital For Special SurgeryNew York, NY · CCN 330270 · +$141 outlier payments per case342$3,51817% above the national average$2,794$29,976
Huntington HospitalHuntington, NY · CCN 33004568$3,52218% above the national average$2,787$16,295
St Charles HospitalPort Jefferson, NY · CCN 33024640$3,52518% above the national average$2,808$20,423
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018230$3,52618% above the national average$2,809$19,481
Canton-Potsdam HospitalPotsdam, NY · CCN 33019746$3,54818% above the national average$2,801$8,101
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019590$3,54818% above the national average$2,811$22,952

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6413$1,583$1,314–$1,899
Mississippi28947$2,519$2,601–$2,686
Alabama391,853$2,552$2,533–$2,680
Tennessee492,127$2,620$2,638–$2,781
Louisiana391,910$2,668$2,629–$2,719
West Virginia20804$2,683$2,599–$2,724
South Carolina422,831$2,688$2,716–$2,802
Ohio984,734$2,715$2,702–$2,815
Georgia622,484$2,723$2,699–$2,930
Kentucky371,726$2,727$2,706–$2,851
Oklahoma473,250$2,735$2,692–$2,841
Arkansas272,136$2,751$2,707–$2,897
Kansas321,981$2,754$2,752–$2,852
Missouri532,474$2,773$2,722–$2,915
Michigan722,772$2,779$2,722–$2,890
Iowa251,094$2,782$2,708–$2,900
Nebraska191,210$2,813$2,834–$2,917
Texas1749,030$2,828$2,772–$2,922
North Carolina652,991$2,846$2,785–$2,890
Virginia542,605$2,856$2,778–$3,032
Indiana562,731$2,859$2,854–$2,950
Idaho14939$2,879$2,864–$3,061
Utah301,037$2,882$2,835–$2,900
Florida1115,022$2,883$2,871–$2,932
New Mexico17564$2,895$2,752–$2,910
Maine14591$2,895$2,738–$2,941
Pennsylvania985,031$2,901$2,844–$3,083
Wisconsin542,612$2,921$2,872–$2,995
Illinois813,523$2,967$2,919–$3,073
Minnesota431,776$2,975$2,937–$3,094
Montana9456$3,003$2,951–$3,187
South Dakota131,592$3,054$3,014–$3,211
North Dakota6723$3,059$3,035–$3,078
Colorado431,532$3,070$3,025–$3,081
New Hampshire12560$3,114$3,084–$3,162
Arizona442,123$3,136$3,072–$3,156
Wyoming10243$3,183$3,156–$3,250
Delaware6415$3,203$3,186–$3,238
District of Columbia4160$3,234$3,218–$3,312
Rhode Island7372$3,249$3,230–$3,285
Washington411,980$3,260$3,204–$3,335
Nevada16646$3,395$3,325–$3,399
New Jersey482,146$3,401$3,341–$3,505
Massachusetts484,090$3,414$3,413–$3,476
Alaska6236$3,415$3,300–$3,453
Oregon301,006$3,424$3,273–$3,396
New York944,940$3,442$3,389–$3,647
Connecticut25750$3,562$3,515–$3,611
Hawaii5168$3,666$3,617–$3,899
California1506,667$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.