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 Virginia

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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Virginia

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Year of care

Average payment across these 54 hospitals: $2,856National $2,995 · Virginia $2,856
Median hospital: $2,817
Lowest to highest: $2,480–$3,141
Medicare procedures: 2,605

54 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
Sentara Obici HospitalSuffolk, VA · CCN 490044	29	$2,480	17% below the national average	$1,960	$20,526
Clinch Valley Medical CenterRichlands, VA · CCN 490060	16	$2,521	16% below the national average	$1,939	$30,152
John Randolph Medical CenterHopewell, VA · CCN 490020	26	$2,558	15% below the national average	$1,972	$79,139
Johnston Memorial HospitalAbingdon, VA · CCN 490053	17	$2,656	11% below the national average	$2,090	$20,800
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	19	$2,670	11% below the national average	$2,103	$24,732
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	236	$2,681	10% below the national average	$2,127	$15,563
Riverside Regional Medical CenterNewport News, VA · CCN 490052	24	$2,694	10% below the national average	$2,128	$15,428
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	30	$2,713	About average	$2,146	$30,522
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	29	$2,713	About average	$2,146	$64,065
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	34	$2,722	About average	$2,150	$20,301
Carilion Medical CenterRoanoke, VA · CCN 490024	120	$2,741	About average	$2,177	$21,790
Lewisgale Medical CenterSalem, VA · CCN 490048	35	$2,747	About average	$2,187	$74,234
CJW Medical CenterRichmond, VA · CCN 490112	91	$2,762	About average	$2,194	$86,377
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	58	$2,776	About average	$2,203	$17,192
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	19	$2,787	About average	$2,220	$23,543
Lewisgale Hospital PulaskiPulaski, VA · CCN 490116	30	$2,787	About average	$2,208	$46,189
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	22	$2,787	About average	$2,220	$15,153
Mary Immaculate HospitalNewport News, VA · CCN 490041	100	$2,787	About average	$2,220	$23,335
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$1,205 outlier payments per case	45	$2,794	About average	$2,223	$32,763
Sentara Leigh HospitalNorfolk, VA · CCN 490046	208	$2,795	About average	$2,220	$18,839
Henrico Doctors' HospitalRichmond, VA · CCN 490118	152	$2,809	About average	$2,233	$87,198
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	91	$2,812	About average	$2,241	$25,299
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	20	$2,816	About average	$2,244	$37,845
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	13	$2,816	About average	$2,244	$24,217
Sentara Careplex HospitalHampton, VA · CCN 490093	32	$2,816	About average	$2,242	$17,281
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	19	$2,816	About average	$2,239	$21,346
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	35	$2,816	About average	$2,239	$21,633
Chesapeake General HospitalChesapeake, VA · CCN 490120	35	$2,817	About average	$2,233	$23,703
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	29	$2,827	About average	$2,205	$32,048
Sovah Health DanvilleDanville, VA · CCN 490075	24	$2,876	About average	$2,284	$33,222
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	20	$2,914	About average	$2,297	$25,703
Inova Fairfax HospitalFalls Church, VA · CCN 490063	55	$2,938	About average	$2,326	$14,689
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	76	$2,943	About average	$2,337	$22,313
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	21	$2,945	About average	$2,322	$15,725
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	90	$2,972	About average	$2,365	$23,934
Stafford Hospital, LLCStafford, VA · CCN 490140	40	$2,975	About average	$2,358	$13,918
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	12	$2,984	About average	$2,375	$12,631
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	45	$2,984	About average	$2,374	$21,488
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	18	$3,016	About average	$2,403	$9,751
Reston Hospital CenterReston, VA · CCN 490107	51	$3,022	About average	$2,398	$30,114
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	23	$3,035	About average	$2,418	$15,036
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	23	$3,035	About average	$2,418	$19,794
Fauquier HospitalWarrenton, VA · CCN 490023	38	$3,035	About average	$2,418	$26,302
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	39	$3,035	About average	$2,418	$17,101
Inova Loudoun HospitalLeesburg, VA · CCN 490043	27	$3,035	About average	$2,418	$15,584
Mary Washington HospitalFredericksburg, VA · CCN 490022	13	$3,035	About average	$2,418	$17,472
Stonesprings Hospital CenterDulles, VA · CCN 490145	12	$3,035	About average	$2,418	$38,832
Warren Memorial HospitalFront Royal, VA · CCN 490033	15	$3,035	About average	$2,418	$8,352
Inova Alexandria HospitalAlexandria, VA · CCN 490040	32	$3,035	About average	$2,416	$15,018
Virginia Hospital CenterArlington, VA · CCN 490050	66	$3,035	About average	$2,413	$14,807

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.