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 Oklahoma

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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Oklahoma

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Year of care

Average payment across these 47 hospitals: $2,735National $2,995 · Oklahoma $2,735
Median hospital: $2,740
Lowest to highest: $1,627–$3,006
Medicare procedures: 3,250

47 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
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	24	$1,627	46% below the national average	$1,293	$9,166
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	28	$2,551	15% below the national average	$1,984	$53,795
Southwestern Medical CenterLawton, OK · CCN 370097	19	$2,555	15% below the national average	$1,985	$24,520
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	12	$2,566	14% below the national average	$2,007	$34,177
St John OwassoOwasso, OK · CCN 370227	13	$2,580	14% below the national average	$2,022	$19,956
Hillcrest Medical CenterTulsa, OK · CCN 370001	40	$2,597	13% below the national average	$2,058	$35,003
Memorial HealthLawton, OK · CCN 370056	55	$2,599	13% below the national average	$2,068	$22,473
Bailey Medical Center, LLCOwasso, OK · CCN 370228	39	$2,636	12% below the national average	$2,075	$22,702
Hillcrest Hospital SouthTulsa, OK · CCN 370202	45	$2,647	12% below the national average	$2,080	$24,955
Integris Canadian Valley HospitalYukon, OK · CCN 370211	16	$2,650	12% below the national average	$2,083	$41,129
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	224	$2,670	11% below the national average	$2,115	$12,289
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	125	$2,685	10% below the national average	$2,115	$19,348
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	43	$2,698	About average	$2,139	$20,974
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	46	$2,701	About average	$2,140	$21,066
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	271	$2,708	About average	$2,140	$13,632
Saint Francis Hospital, IncTulsa, OK · CCN 370091	106	$2,709	About average	$2,149	$22,745
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	124	$2,717	About average	$2,145	$25,036
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	205	$2,718	About average	$2,157	$16,420
Integris Health Edmond HospitalEdmond, OK · CCN 370236	61	$2,721	About average	$2,152	$30,353
OneCore HealthOklahoma City, OK · CCN 370220	37	$2,729	About average	$2,162	$28,016
Northwest Surgical HospitalOklahoma City, OK · CCN 370192	37	$2,729	About average	$2,160	$35,784
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222	241	$2,734	About average	$2,166	$8,558
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	86	$2,737	About average	$2,176	$42,923
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	259	$2,740	About average	$2,171	$10,242
AllianceHealth DurantDurant, OK · CCN 370014	35	$2,742	About average	$2,172	$67,460
Community Hospital, LLCOklahoma City, OK · CCN 370203	300	$2,744	About average	$2,177	$27,971
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	52	$2,749	About average	$2,190	$21,084
St Mary's Regional Medical CenterEnid, OK · CCN 370026	22	$2,749	About average	$2,188	$24,732
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	56	$2,749	About average	$2,180	$14,374
Hillcrest Hospital PryorPryor, OK · CCN 370015	11	$2,777	About average	$2,212	$19,511
Norman RegionalNorman, OK · CCN 370008	36	$2,789	About average	$2,222	$28,595
O U Medical CenterOklahoma City, OK · CCN 370093	65	$2,789	About average	$2,218	$51,047
Summit Medical Center, LLCEdmond, OK · CCN 370225	51	$2,789	About average	$2,218	$39,841
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	60	$2,789	About average	$2,217	$46,638
Integris Health Ponca CityPonca City, OK · CCN 370006	18	$2,829	About average	$2,211	$31,858
Grady Memorial HospitalChickasha, OK · CCN 370054	26	$2,854	About average	$2,251	$14,829
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	61	$2,906	About average	$2,308	$19,312
Great Plains Regional Medical CenterElk City, OK · CCN 370019	15	$2,944	About average	$2,345	$11,515
Integris Grove HospitalGrove, OK · CCN 370113	11	$2,944	About average	$2,345	$20,272
Northeastern Health SystemTahlequah, OK · CCN 370089	26	$2,944	About average	$2,345	$7,483
Mcalester Regional Health CenterMcalester, OK · CCN 370034	14	$2,944	About average	$2,341	$6,375
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	47	$2,944	About average	$2,335	$20,376
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	77	$2,975	About average	$2,364	$12,391
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	41	$2,976	About average	$2,364	$11,371
Mercy Hospital AdaAda, OK · CCN 370020	13	$2,987	About average	$2,380	$15,765
Stillwater Medical CenterStillwater, OK · CCN 370049	42	$2,987	About average	$2,379	$20,253
Integris Health Woodward HospitalWoodward, OK · CCN 370002	15	$3,006	About average	$2,395	$41,517

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.