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 Pennsylvania

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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Pennsylvania

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Average payment across these 98 hospitals: $2,901National $2,995 · Pennsylvania $2,901
Median hospital: $2,891
Lowest to highest: $1,664–$3,412
Medicare procedures: 5,031

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
Gettysburg HospitalGettysburg, PA · CCN 390065	78	$1,664	44% below the national average	$1,322	$13,212
UPMC MemorialYork, PA · CCN 390101	32	$1,701	43% below the national average	$1,355	$10,607
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	86	$1,957	35% below the national average	$1,552	$44,598
Milton S Hershey Medical CenterHershey, PA · CCN 390256 · +$2,279 outlier payments per case	63	$2,321	22% below the national average	$1,849	$37,599
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	14	$2,445	18% below the national average	$1,948	$40,698
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	31	$2,503	16% below the national average	$1,986	$15,890
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	38	$2,540	15% below the national average	$2,024	$48,738
Crozer Chester Medical CenterUpland, PA · CCN 390180	173	$2,555	15% below the national average	$2,033	$19,263
Heritage Valley BeaverBeaver, PA · CCN 390036	18	$2,570	14% below the national average	$2,047	$6,273
Wayne Memorial HospitalHonesdale, PA · CCN 390125	26	$2,572	14% below the national average	$2,038	$12,598
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	15	$2,702	About average	$2,119	$17,728
ACMH HospitalKittanning, PA · CCN 390163	12	$2,709	About average	$2,108	$17,991
Regional Hospital Of ScrantonScranton, PA · CCN 390237	39	$2,714	About average	$2,126	$35,040
UPMC EastMonroeville, PA · CCN 390328	25	$2,741	About average	$2,165	$32,900
West Penn HospitalPittsburgh, PA · CCN 390090	16	$2,747	About average	$2,159	$17,735
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	11	$2,766	About average	$2,160	$26,701
Robert Packer HospitalSayre, PA · CCN 390079	89	$2,787	About average	$2,182	$15,317
Forbes HospitalMonroeville, PA · CCN 390267	24	$2,797	About average	$2,204	$17,772
Allegheny General HospitalPittsburgh, PA · CCN 390050	29	$2,812	About average	$2,222	$21,860
UPMC WilliamsportWilliamsport, PA · CCN 390045	74	$2,829	About average	$2,240	$22,518
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	78	$2,832	About average	$2,240	$30,857
UPMC St MargaretPittsburgh, PA · CCN 390102	83	$2,839	About average	$2,251	$33,967
Geisinger Medical CenterDanville, PA · CCN 390006	161	$2,840	About average	$2,252	$59,086
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	22	$2,843	About average	$2,244	$32,030
UPMC JamesonNew Castle, PA · CCN 390016	37	$2,844	About average	$2,256	$13,647
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	83	$2,845	About average	$2,250	$43,013
Advanced Surgical HospitalWashington, PA · CCN 390323	62	$2,854	About average	$2,265	$20,125
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	68	$2,857	About average	$2,265	$22,527
UPMC PassavantPittsburgh, PA · CCN 390107	83	$2,863	About average	$2,272	$30,438
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	57	$2,868	About average	$2,267	$39,334
Lancaster General HospitalLancaster, PA · CCN 390100	97	$2,868	About average	$2,275	$18,683
Ahn Wexford HospitalWexford, PA · CCN 390334	17	$2,891	About average	$2,303	$19,489
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	18	$2,891	About average	$2,303	$16,902
Edgewood Surgical HospitalTransfer, PA · CCN 390307	16	$2,891	About average	$2,303	$13,869
Grove City Medical CenterGrove City, PA · CCN 390266	17	$2,891	About average	$2,303	$12,840
St Clair HospitalPittsburgh, PA · CCN 390228	53	$2,891	About average	$2,303	$16,100
UPMC HorizonGreenville, PA · CCN 390178	13	$2,891	About average	$2,303	$31,585
UPMC NorthwestSeneca, PA · CCN 390091	16	$2,891	About average	$2,303	$13,389
Geisinger-Community Medical CenterScranton, PA · CCN 390001	50	$2,891	About average	$2,303	$52,603
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	11	$2,891	About average	$2,303	$11,692
Jefferson HospitalJefferson Hills, PA · CCN 390265	39	$2,891	About average	$2,303	$18,906
The Washington HospitalWashington, PA · CCN 390042	35	$2,891	About average	$2,303	$11,784
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	27	$2,891	About average	$2,303	$21,733
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	12	$2,891	About average	$2,303	$10,432
Uniontown HospitalUniontown, PA · CCN 390041	27	$2,891	About average	$2,303	$5,674
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	119	$2,891	About average	$2,302	$28,554
Allegheny Valley HospitalNatrona, PA · CCN 390032	20	$2,891	About average	$2,294	$13,274
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	24	$2,891	About average	$2,292	$12,400
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	22	$2,891	About average	$2,292	$13,363
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	12	$2,891	About average	$2,288	$11,664

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.