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 Texas

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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Average payment across these 173 hospitals: $2,828National $2,995 · Texas $2,828
Median hospital: $2,847
Lowest to highest: $1,335–$3,214
Medicare procedures: 9,016

173 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
University Medical Center Of El PasoEl Paso, TX · CCN 450024	53	$1,335	55% below the national average	$1,060	$16,525
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006	23	$1,822	39% below the national average	$1,452	$40,723
Townsen Memorial HospitalHumble, TX · CCN 670266	38	$2,006	33% below the national average	$1,598	$51,019
Hendrick Medical CenterAbilene, TX · CCN 450229	52	$2,443	18% below the national average	$1,937	$39,672
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	49	$2,463	18% below the national average	$1,952	$38,573
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	51	$2,480	17% below the national average	$1,966	$10,367
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	16	$2,549	15% below the national average	$2,031	$26,827
Legent Orthopedic HospitalGrapevine, TX · CCN 670265	17	$2,590	14% below the national average	$2,055	$29,503
Freestone Medical CenterFairfield, TX · CCN 450658	11	$2,605	13% below the national average	$2,034	$13,905
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	23	$2,610	13% below the national average	$2,018	$22,210
Sierra Medical CenterEl Paso, TX · CCN 450668	21	$2,639	12% below the national average	$2,065	$61,188
Connally Memorial Medical CenterFloresville, TX · CCN 450108	14	$2,649	12% below the national average	$2,078	$12,318
Citizens Medical CenterVictoria, TX · CCN 450023	32	$2,652	11% below the national average	$2,071	$14,169
Baylor University Medical CenterDallas, TX · CCN 450021	24	$2,672	11% below the national average	$2,090	$23,637
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	20	$2,681	10% below the national average	$2,089	$15,765
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	93	$2,682	10% below the national average	$2,116	$39,858
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 450874	23	$2,685	10% below the national average	$2,119	$15,063
Odessa Regional Medical CenterOdessa, TX · CCN 450661	19	$2,691	10% below the national average	$2,120	$22,791
Medical Center HospitalOdessa, TX · CCN 450132	22	$2,711	About average	$2,131	$13,620
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	33	$2,712	About average	$2,117	$18,209
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	27	$2,726	About average	$2,155	$46,435
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	77	$2,728	About average	$2,157	$21,212
De Tar Hospital NavarroVictoria, TX · CCN 450147	48	$2,731	About average	$2,154	$42,986
Midland Memorial HospitalMidland, TX · CCN 450133	59	$2,733	About average	$2,158	$18,124
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	31	$2,736	About average	$2,166	$67,479
Grace Surgical HospitalLubbock, TX · CCN 450162 · +$1,232 outlier payments per case	56	$2,739	About average	$2,173	$30,641
Cornerstone Regional HospitalEdinburg, TX · CCN 450825	24	$2,747	About average	$2,176	$40,485
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	117	$2,751	About average	$2,177	$16,576
The Physicians CentreBryan, TX · CCN 450834	59	$2,752	About average	$2,176	$12,300
Christus Mother Frances HospitalTyler, TX · CCN 450102	174	$2,754	About average	$2,186	$45,985
Lake Granbury Medical CenterGranbury, TX · CCN 450596	28	$2,756	About average	$2,159	$78,506
Texas Health Hospital FriscoFrisco, TX · CCN 670260	15	$2,758	About average	$2,154	$23,430
Laredo Medical CenterLaredo, TX · CCN 450029	34	$2,758	About average	$2,181	$66,070
JPS Health NetworkFort Worth, TX · CCN 450039	28	$2,759	About average	$2,165	$26,563
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	383	$2,762	About average	$2,190	$22,114
University Medical CenterLubbock, TX · CCN 450686	48	$2,762	About average	$2,187	$31,713
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	85	$2,765	About average	$2,196	$21,768
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	172	$2,765	About average	$2,189	$13,945
Kell West Regional HospitalWichita Falls, TX · CCN 450827	14	$2,767	About average	$2,204	$6,858
Methodist HospitalSan Antonio, TX · CCN 450388	55	$2,768	About average	$2,197	$32,560
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 450856	15	$2,768	About average	$2,197	$13,767
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	91	$2,769	About average	$2,198	$28,254
Resolute Health HospitalNew Braunfels, TX · CCN 670098	50	$2,770	About average	$2,194	$28,452
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	169	$2,772	About average	$2,179	$14,723
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	49	$2,772	About average	$2,190	$17,290
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	76	$2,773	About average	$2,199	$13,436
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	46	$2,773	About average	$2,195	$50,164
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	104	$2,776	About average	$2,207	$25,400
Longview Regional Medical CenterLongview, TX · CCN 450702	91	$2,778	About average	$2,189	$53,645
Baptist Medical CenterSan Antonio, TX · CCN 450058	72	$2,781	About average	$2,201	$66,097

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.