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 Oregon

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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Oregon

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Year of care

Average payment across these 30 hospitals: $3,424National $2,995 · Oregon $3,424
Median hospital: $3,394
Lowest to highest: $2,909–$4,093
Medicare procedures: 1,006

30 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
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	32	$2,909	About average	$2,283	$13,687
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	22	$3,078	About average	$2,429	$13,527
Santiam Hospital & ClinicsStayton, OR · CCN 380056	40	$3,177	About average	$2,513	$21,358
Asante Ashland Community HospitalAshland, OR · CCN 380005	13	$3,193	About average	$2,544	$14,169
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	51	$3,203	About average	$2,515	$12,773
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 380020	17	$3,209	About average	$2,525	$29,008
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	22	$3,241	About average	$2,583	$17,176
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	26	$3,265	About average	$2,565	$21,872
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	19	$3,297	10% above the national average	$2,562	$9,031
Providence Newberg Medical CenterNewberg, OR · CCN 380037	30	$3,306	10% above the national average	$2,615	$12,349
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	41	$3,313	11% above the national average	$2,640	$16,240
Samaritan Albany General HospitalAlbany, OR · CCN 380022	18	$3,360	12% above the national average	$2,677	$10,943
OHSU Hospital And ClinicsPortland, OR · CCN 380009	99	$3,362	12% above the national average	$2,677	$19,128
St Charles Medical Center - BendBend, OR · CCN 380047	48	$3,363	12% above the national average	$2,668	$21,713
Mercy Medical CenterRoseburg, OR · CCN 380027	58	$3,392	13% above the national average	$2,662	$17,188
Adventist Health PortlandPortland, OR · CCN 380060	20	$3,396	13% above the national average	$2,706	$39,618
Hillsboro Medical CenterHillsboro, OR · CCN 380021	17	$3,396	13% above the national average	$2,706	$17,116
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	12	$3,396	13% above the national average	$2,706	$18,901
Providence Portland Medical CenterPortland, OR · CCN 380061	20	$3,396	13% above the national average	$2,706	$18,037
Providence St Vincent Medical CenterPortland, OR · CCN 380004	11	$3,396	13% above the national average	$2,706	$17,903
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	23	$3,396	13% above the national average	$2,706	$15,915
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	45	$3,396	13% above the national average	$2,706	$33,713
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	17	$3,396	13% above the national average	$2,703	$20,422
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	13	$3,397	13% above the national average	$2,695	$17,518
Saint Alphonsus Medical Center OntarioOntario, OR · CCN 380052	27	$3,420	14% above the national average	$2,724	$13,695
Salem HospitalSalem, OR · CCN 380051	113	$3,472	16% above the national average	$2,736	$17,515
Bay Area HospitalCoos Bay, OR · CCN 380090	24	$3,536	18% above the national average	$2,817	$21,105
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	18	$3,930	31% above the national average	$3,131	$15,930
Providence Medford Medical CenterMedford, OR · CCN 380075	23	$3,930	31% above the national average	$3,131	$19,699
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	87	$4,093	37% above the national average	$3,238	$12,131

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.