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 Washington

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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Washington

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Year of care

Average payment across these 41 hospitals: $3,260National $2,995 · Washington $3,260
Median hospital: $3,273
Lowest to highest: $1,490–$3,479
Medicare procedures: 1,980

41 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
Astria Toppenish HospitalToppenish, WA · CCN 500037	41	$1,490	50% below the national average	$1,182	$21,979
Deaconess Medical CenterSpokane, WA · CCN 500044	15	$3,076	About average	$2,416	$19,060
St Clare HospitalLakewood, WA · CCN 500021	33	$3,093	About average	$2,416	$37,009
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	14	$3,118	About average	$2,435	$27,077
St Francis Community HospitalFederal Way, WA · CCN 500141	16	$3,141	About average	$2,451	$48,979
Trios HealthKennewick, WA · CCN 500053	27	$3,153	About average	$2,492	$18,243
Valley Medical CenterRenton, WA · CCN 500088	38	$3,167	About average	$2,495	$18,663
Virginia Mason Medical CenterSeattle, WA · CCN 500005	88	$3,183	About average	$2,523	$19,310
Island HospitalAnacortes, WA · CCN 500007	19	$3,187	About average	$2,539	$19,768
Cascade Valley HospitalArlington, WA · CCN 500060	23	$3,191	About average	$2,519	$15,529
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	71	$3,204	About average	$2,543	$26,177
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	43	$3,211	About average	$2,534	$27,448
Providence Holy Family HospitalSpokane, WA · CCN 500077	80	$3,216	About average	$2,556	$19,320
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	15	$3,216	About average	$2,504	$20,018
University Of Washington Medical CenterSeattle, WA · CCN 500008	88	$3,219	About average	$2,558	$17,599
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	107	$3,225	About average	$2,561	$19,214
St Joseph Medical CenterTacoma, WA · CCN 500108	55	$3,238	About average	$2,558	$37,859
Harborview Medical CenterSeattle, WA · CCN 500064	42	$3,249	About average	$2,588	$21,772
Kadlec Regional Medical CenterRichland, WA · CCN 500058	16	$3,249	About average	$2,588	$14,715
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	43	$3,249	About average	$2,588	$17,268
Providence St Peter HospitalOlympia, WA · CCN 500024	58	$3,273	About average	$2,607	$20,702
Skagit Valley HospitalMount Vernon, WA · CCN 500003	90	$3,273	About average	$2,607	$18,898
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	91	$3,306	10% above the national average	$2,634	$16,394
MultiCare Covington Medical CenterCovington, WA · CCN 500154	12	$3,306	10% above the national average	$2,634	$29,132
Providence Regional Medical Center EverettEverett, WA · CCN 500014	15	$3,306	10% above the national average	$2,634	$28,295
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	11	$3,306	10% above the national average	$2,634	$20,393
Swedish IssaquahIssaquah, WA · CCN 500152	26	$3,306	10% above the national average	$2,633	$23,651
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	33	$3,306	10% above the national average	$2,618	$40,979
Yakima Valley MemorialYakima, WA · CCN 500036	103	$3,317	11% above the national average	$2,635	$14,268
Capital Medical CenterOlympia, WA · CCN 500139	11	$3,335	11% above the national average	$2,657	$25,309
St Anthony HospitalGig Harbor, WA · CCN 500151	23	$3,335	11% above the national average	$2,653	$49,631
St Michael Medical CenterSilverdale, WA · CCN 500039	88	$3,365	12% above the national average	$2,655	$45,250
Confluence Health HospitalWenatchee, WA · CCN 500016 · +$238 outlier payments per case	167	$3,394	13% above the national average	$2,684	$17,137
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	14	$3,396	13% above the national average	$2,706	$16,952
Samaritan HospitalMoses Lake, WA · CCN 500033	40	$3,410	14% above the national average	$2,703	$21,110
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	63	$3,435	15% above the national average	$2,727	$22,012
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	51	$3,436	15% above the national average	$2,724	$29,573
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	19	$3,448	15% above the national average	$2,717	$27,673
Olympic Medical CenterPort Angeles, WA · CCN 500072	103	$3,456	15% above the national average	$2,749	$7,513
Swedish Medical CenterSeattle, WA · CCN 500027	53	$3,468	16% above the national average	$2,762	$23,056
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	35	$3,479	16% above the national average	$2,769	$25,549

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.