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 Wisconsin

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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Wisconsin

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Average payment across these 54 hospitals: $2,921National $2,995 · Wisconsin $2,921
Median hospital: $2,946
Lowest to highest: $2,729–$3,148
Medicare procedures: 2,612

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
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	74	$2,729	About average	$2,135	$11,628
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	49	$2,735	About average	$2,170	$19,424
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	13	$2,768	About average	$2,169	$24,618
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	84	$2,773	About average	$2,192	$19,361
The Monroe ClinicMonroe, WI · CCN 520028	29	$2,773	About average	$2,152	$18,817
Mercy Health System CorpJanesville, WI · CCN 520066	83	$2,786	About average	$2,204	$15,723
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	15	$2,795	About average	$2,195	$31,382
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$549 outlier payments per case	119	$2,798	About average	$2,225	$17,800
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	17	$2,811	About average	$2,210	$24,184
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 520205	56	$2,823	About average	$2,214	$24,563
Aspirus Wausau HospitalWausau, WI · CCN 520030	44	$2,844	About average	$2,255	$13,997
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	25	$2,857	About average	$2,257	$11,762
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	54	$2,866	About average	$2,271	$10,489
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	59	$2,872	About average	$2,280	$20,359
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	110	$2,872	About average	$2,280	$16,569
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	17	$2,891	About average	$2,266	$16,595
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	131	$2,909	About average	$2,316	$14,707
Holy Family MemorialManitowoc, WI · CCN 520107	28	$2,911	About average	$2,319	$17,599
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	36	$2,914	About average	$2,322	$16,284
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	35	$2,914	About average	$2,322	$12,181
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	62	$2,914	About average	$2,309	$13,171
West Allis Memorial HospitalWest Allis, WI · CCN 520139	21	$2,921	About average	$2,313	$22,750
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	40	$2,923	About average	$2,303	$29,881
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	106	$2,927	About average	$2,327	$18,924
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	46	$2,940	About average	$2,321	$35,822
Aurora Medical CenterGrafton, WI · CCN 520207	78	$2,944	About average	$2,341	$27,882
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	36	$2,946	About average	$2,342	$16,058
St Nicholas HospitalSheboygan, WI · CCN 520044	14	$2,946	About average	$2,348	$16,984
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	21	$2,949	About average	$2,349	$20,425
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	54	$2,949	About average	$2,349	$20,938
Watertown Memorial HospitalWatertown, WI · CCN 520116	26	$2,949	About average	$2,348	$17,249
Orthopaedic Hospital Of WisconsinGlendale, WI · CCN 520194	90	$2,949	About average	$2,346	$15,951
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	31	$2,949	About average	$2,343	$21,893
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	22	$2,951	About average	$2,351	$15,556
Aurora Medical Center - SummitSummit, WI · CCN 520206	26	$2,951	About average	$2,344	$14,299
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	26	$2,952	About average	$2,333	$12,293
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	17	$2,970	About average	$2,337	$19,252
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	86	$2,985	About average	$2,361	$11,541
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	59	$2,988	About average	$2,365	$27,475
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	163	$2,994	About average	$2,373	$18,079
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	49	$2,995	About average	$2,373	$22,694
Mile Bluff Medical CenterMauston, WI · CCN 520109	26	$3,007	About average	$2,376	$12,408
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	66	$3,013	About average	$2,393	$11,577
Marshfield Medical CenterMarshfield, WI · CCN 520037	58	$3,019	About average	$2,383	$12,377
UnityPoint Health - MeriterMadison, WI · CCN 520089	67	$3,022	About average	$2,406	$16,145
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	41	$3,038	About average	$2,396	$13,337
Froedtert South Inc.Kenosha, WI · CCN 520021	38	$3,044	About average	$2,425	$16,117
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	13	$3,044	About average	$2,425	$19,674
Ascension All Saints HospitalRacine, WI · CCN 520096	17	$3,046	About average	$2,427	$27,239
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	45	$3,046	About average	$2,425	$22,447

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.