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 Ohio

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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Ohio

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Average payment across these 98 hospitals: $2,715National $2,995 · Ohio $2,715
Median hospital: $2,754
Lowest to highest: $1,419–$2,950
Medicare procedures: 4,734

98 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
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	102	$1,419	53% below the national average	$1,117	$13,553
MetroHealth SystemCleveland, OH · CCN 360059	69	$1,908	36% below the national average	$1,371	$12,784
Marietta Memorial HospitalMarietta, OH · CCN 360147	19	$2,013	33% below the national average	$1,548	$9,541
Memorial HospitalFremont, OH · CCN 360156	23	$2,475	17% below the national average	$1,914	$14,215
Lake HealthConcord, OH · CCN 360098	22	$2,518	16% below the national average	$1,968	$21,934
Fairview HospitalCleveland, OH · CCN 360077	35	$2,524	16% below the national average	$1,962	$12,289
Blanchard Valley HospitalFindlay, OH · CCN 360095	23	$2,571	14% below the national average	$2,009	$12,835
Genesis HospitalZanesville, OH · CCN 360039	68	$2,583	14% below the national average	$2,026	$12,877
Fisher-Titus HospitalNorwalk, OH · CCN 360065	13	$2,599	13% below the national average	$2,024	$11,260
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	22	$2,611	13% below the national average	$2,033	$28,370
Grand Lake Health SystemSaint Marys, OH · CCN 360032	29	$2,616	13% below the national average	$2,053	$12,831
Wooster Community HospitalWooster, OH · CCN 360036	16	$2,631	12% below the national average	$2,068	$7,959
UH Cleveland Medical CenterCleveland, OH · CCN 360137	31	$2,632	12% below the national average	$2,070	$18,016
Wayne HospitalGreenville, OH · CCN 360044	16	$2,635	12% below the national average	$2,072	$15,142
Parma Community General HospitalParma, OH · CCN 360041	44	$2,649	12% below the national average	$2,087	$19,418
Summa Health SystemAkron, OH · CCN 360020	42	$2,650	12% below the national average	$2,090	$21,014
Bellevue HospitalBellevue, OH · CCN 360107	13	$2,654	11% below the national average	$2,115	$24,120
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 360276	23	$2,659	11% below the national average	$2,099	$18,282
Firelands Regional Medical CenterSandusky, OH · CCN 360025	25	$2,667	11% below the national average	$2,107	$11,021
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	25	$2,667	11% below the national average	$2,104	$10,509
UH Regional HospitalsChardon, OH · CCN 360075	30	$2,672	11% below the national average	$2,108	$15,195
Mercy Regional Medical CenterLorain, OH · CCN 360172	26	$2,679	11% below the national average	$2,114	$17,481
Medina HospitalMedina, OH · CCN 360091	56	$2,685	10% below the national average	$2,120	$16,320
Mount Carmel East & WestColumbus, OH · CCN 360035	11	$2,685	10% below the national average	$2,097	$28,294
UH St John Medical CenterWestlake, OH · CCN 360123	65	$2,701	About average	$2,139	$17,857
Atrium Medical CenterFranklin, OH · CCN 360076	43	$2,703	About average	$2,130	$22,764
Holzer Medical CenterGallipolis, OH · CCN 360054	45	$2,706	About average	$2,146	$14,824
West Chester HospitalWest Chester, OH · CCN 360354	62	$2,706	About average	$2,134	$25,063
Bay Park Community HospitalOregon, OH · CCN 360259	42	$2,710	About average	$2,145	$21,041
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	44	$2,713	About average	$2,141	$25,795
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	45	$2,714	About average	$2,152	$20,360
Cleveland ClinicCleveland, OH · CCN 360180	208	$2,721	About average	$2,164	$14,760
Lake Health Beachwood Medical CenterBeachwood, OH · CCN 360367	55	$2,723	About average	$2,162	$18,344
Institute For Orthopaedic SurgeryLima, OH · CCN 360263	209	$2,728	About average	$2,168	$13,859
University Of Toledo Medical CenterToledo, OH · CCN 360048	84	$2,731	About average	$2,150	$20,015
Marymount HospitalGarfield Heights, OH · CCN 360143	70	$2,732	About average	$2,170	$16,535
Miami Valley HospitalDayton, OH · CCN 360051	135	$2,734	About average	$2,150	$29,059
Crystal Clinic Orthopaedic CenterAkron, OH · CCN 360351	297	$2,735	About average	$2,165	$15,910
Dublin Methodist HospitalDublin, OH · CCN 360348	30	$2,741	About average	$2,152	$32,334
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	36	$2,753	About average	$2,168	$32,428
Akron General Medical CenterAkron, OH · CCN 360027	17	$2,754	About average	$2,194	$16,821
Alliance Community HospitalAlliance, OH · CCN 360131	34	$2,754	About average	$2,194	$12,909
East Ohio Regional HospitalMartins Ferry, OH · CCN 360080	14	$2,754	About average	$2,194	$9,656
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	11	$2,754	About average	$2,194	$23,961
Salem Regional Medical CenterSalem, OH · CCN 360185	12	$2,754	About average	$2,194	$15,777
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	34	$2,754	About average	$2,194	$15,071
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	13	$2,754	About average	$2,194	$14,424
Union HospitalDover, OH · CCN 360010	18	$2,754	About average	$2,194	$15,498
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	36	$2,754	About average	$2,194	$27,398
MH St Joseph Warren HospitalWarren, OH · CCN 360161	32	$2,754	About average	$2,189	$18,074

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.