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 Tennessee

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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Tennessee

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Average payment across these 49 hospitals: $2,620National $2,995 · Tennessee $2,620
Median hospital: $2,683
Lowest to highest: $2,007–$2,969
Medicare procedures: 2,127

49 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
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	29	$2,007	33% below the national average	$1,597	$12,716
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$206 outlier payments per case	236	$2,017	33% below the national average	$1,595	$29,056
Tristar Summit Medical CenterHermitage, TN · CCN 440150	32	$2,144	28% below the national average	$1,694	$42,842
Greeneville Community HospitalGreeneville, TN · CCN 440050	12	$2,333	22% below the national average	$1,790	$18,189
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	32	$2,381	20% below the national average	$1,839	$9,179
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	15	$2,452	18% below the national average	$1,887	$21,769
St Francis HospitalMemphis, TN · CCN 440183	29	$2,509	16% below the national average	$1,949	$42,269
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	18	$2,525	16% below the national average	$1,962	$34,157
Physicians Regional Medical CenterPowell, TN · CCN 440120	79	$2,541	15% below the national average	$2,017	$18,390
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	19	$2,566	14% below the national average	$2,024	$5,940
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	53	$2,611	13% below the national average	$2,051	$36,167
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	26	$2,618	13% below the national average	$2,051	$24,438
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	68	$2,638	12% below the national average	$2,093	$10,950
University Health System, IncKnoxville, TN · CCN 440015	70	$2,639	12% below the national average	$2,090	$11,324
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	68	$2,662	11% below the national average	$2,101	$18,357
Maury Regional HospitalColumbia, TN · CCN 440073	32	$2,667	11% below the national average	$2,105	$16,594
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	30	$2,669	11% below the national average	$2,127	$13,096
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	16	$2,669	11% below the national average	$2,127	$5,274
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 440056	23	$2,669	11% below the national average	$2,127	$28,343
Parkwest Medical CenterKnoxville, TN · CCN 440173	53	$2,670	11% below the national average	$2,117	$14,509
Starr Regional Medical Center AthensAthens, TN · CCN 440068	14	$2,675	11% below the national average	$2,131	$28,237
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	16	$2,678	11% below the national average	$2,111	$31,533
Sycamore Shoals HospitalElizabethton, TN · CCN 440018	13	$2,678	11% below the national average	$2,134	$20,906
Tristar Horizon Medical CenterDickson, TN · CCN 440046	21	$2,683	10% below the national average	$2,116	$30,785
Tristar Skyline Medical CenterNashville, TN · CCN 440006	21	$2,683	10% below the national average	$2,116	$65,622
Erlanger Medical CenterChattanooga, TN · CCN 440104	131	$2,685	10% below the national average	$2,123	$16,450
Parkridge Medical CenterChattanooga, TN · CCN 440156	98	$2,701	About average	$2,139	$27,821
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	11	$2,715	About average	$2,158	$10,971
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	76	$2,718	About average	$2,159	$20,799
Baptist Memorial HospitalMemphis, TN · CCN 440048	19	$2,735	About average	$2,179	$14,288
Blount Memorial HospitalMaryville, TN · CCN 440011	93	$2,740	About average	$2,163	$18,454
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	27	$2,758	About average	$2,198	$49,298
Cumberland Medical CenterCrossville, TN · CCN 440009	32	$2,770	About average	$2,206	$6,123
Saint Thomas River Park HospitalMcminnville, TN · CCN 440151	17	$2,772	About average	$2,209	$26,039
Saint Thomas Highlands HospitalSparta, TN · CCN 440192	19	$2,772	About average	$2,206	$17,632
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	34	$2,772	About average	$2,203	$22,490
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	16	$2,781	About average	$2,216	$19,583
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	39	$2,789	About average	$2,222	$18,186
Tristar Centennial Medical CenterNashville, TN · CCN 440161	16	$2,789	About average	$2,222	$41,029
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	21	$2,789	About average	$2,222	$36,871
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	33	$2,789	About average	$2,222	$21,698
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	13	$2,789	About average	$2,222	$24,189
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	11	$2,789	About average	$2,222	$57,398
Williamson Medical CenterFranklin, TN · CCN 440029	71	$2,789	About average	$2,222	$20,639
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	31	$2,789	About average	$2,216	$28,808
Jackson-Madison County General HospitalJackson, TN · CCN 440002	121	$2,845	About average	$2,253	$15,473
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	13	$2,859	About average	$2,278	$14,655
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	63	$2,932	About average	$2,327	$34,346
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	97	$2,969	About average	$2,361	$14,703

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.