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 Utah

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 30 hospitals: $2,882National $2,995 · Utah $2,882
Median hospital: $2,900
Lowest to highest: $2,418–$3,106
Medicare procedures: 1,037

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
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	24	$2,418	19% below the national average	$1,821	$8,806
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	13	$2,722	About average	$2,118	$16,556
Cache Valley HospitalNorth Logan, UT · CCN 460054	15	$2,746	About average	$2,156	$18,317
Lone Peak HospitalDraper, UT · CCN 460060	16	$2,755	About average	$2,166	$27,596
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	33	$2,760	About average	$2,165	$10,104
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	149	$2,803	About average	$2,213	$10,545
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	26	$2,811	About average	$2,221	$16,210
Ogden Regional Medical CenterOgden, UT · CCN 460005	33	$2,832	About average	$2,240	$33,391
Park City HospitalPark City, UT · CCN 460057	41	$2,843	About average	$2,252	$13,631
Intermountain Medical CenterMurray, UT · CCN 460010	69	$2,850	About average	$2,260	$12,252
Holy Cross Hospital-DavisLayton, UT · CCN 460041	55	$2,858	About average	$2,268	$12,032
Intermountain Health Layton HospitalLayton, UT · CCN 460061	39	$2,900	About average	$2,310	$11,194
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	21	$2,900	About average	$2,310	$15,990
Intermountain Health Spanish Fork HospitalSpanish Fork, UT · CCN 460062	16	$2,900	About average	$2,310	$13,063
St Mark's HospitalSalt Lake City, UT · CCN 460047	36	$2,900	About average	$2,310	$23,183
American Fork HospitalAmerican Fork, UT · CCN 460023	52	$2,900	About average	$2,309	$11,210
Holy Cross Hospital - Salt LakeSalt Lake City, UT · CCN 460003	26	$2,900	About average	$2,308	$13,743
Mountain West Medical CenterTooele, UT · CCN 460014	15	$2,900	About average	$2,307	$25,636
Lakeview HospitalBountiful, UT · CCN 460042	21	$2,900	About average	$2,304	$26,800
Brigham City Community HospitalBrigham City, UT · CCN 460017	28	$2,900	About average	$2,304	$31,826
Orem Community HospitalOrem, UT · CCN 460043	27	$2,900	About average	$2,302	$12,807
LDS HospitalSalt Lake City, UT · CCN 460006	20	$2,900	About average	$2,301	$12,689
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	14	$2,900	About average	$2,297	$11,351
The Orthopedic Specialty HospitalMurray, UT · CCN 460049	19	$2,900	About average	$2,288	$9,977
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	42	$2,988	About average	$2,355	$10,116
Ashley Regional Medical CenterVernal, UT · CCN 460030	30	$3,023	About average	$2,391	$21,886
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	36	$3,037	About average	$2,403	$9,003
St. George Regional HospitalSt George, UT · CCN 460021	76	$3,040	About average	$2,409	$13,745
Uintah Basin Medical CenterRoosevelt, UT · CCN 460019	22	$3,105	About average	$2,474	$9,484
Castleview HospitalPrice, UT · CCN 460011	23	$3,106	About average	$2,469	$16,969

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.