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Outpatient procedure · APC 5114 · Surgery or procedure

Level 4 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $6,708 per procedure at 2,236 hospitals. Half of hospitals averaged between $6,160 and $6,976.

Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery

National figures, 2024

Average payment per case
$6,708
Typical range (middle half of hospitals)
$6,160–$6,976
Medicare’s share
$5,33980% of the payment
Average billed charge
$46,846
Hospitals reporting
2,236166,476 procedures

Hospitals in Florida

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.

Location
Florida
Specific hospitals up to 10
Average payment across these 129 hospitals
$6,397National $6,708 · Florida $6,397
Median hospital
$6,480
Lowest to highest
$5,185–$6,940
Medicare procedures
9,949

129 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–129. Download as CSV

Medicare payments per case for Level 4 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
HCA Florida Memorial HospitalJacksonville, FL · CCN 10017917$6,480About average$5,162$131,260
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 10022328$6,480About average$5,162$157,933
HCA Florida North Florida HospitalGainesville, FL · CCN 100204113$6,480About average$5,162$142,736
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044145$6,480About average$5,161$51,217
Baptist Medical Center - NassauFernandina Beach, FL · CCN 10014038$6,480About average$5,161$50,283
Ascension Sacred Heart BayPanama City, FL · CCN 10002627$6,480About average$5,161$70,434
Holmes Regional Medical CenterMelbourne, FL · CCN 100019 · +$905 outlier payments per case106$6,480About average$5,161$71,303
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307117$6,480About average$5,161$74,773
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 10022079$6,480About average$5,161$58,265
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 10024971$6,480About average$5,161$96,205
HCA Florida Blake HospitalBradenton, FL · CCN 10021331$6,480About average$5,160$82,419
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 10031964$6,480About average$5,160$96,172
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 10023818$6,480About average$5,159$135,992
AdventHealth Palm CoastPalm Coast, FL · CCN 10011843$6,480About average$5,159$61,224
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 10016678$6,480About average$5,158$112,043
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068102$6,480About average$5,156$50,494
Wellington Regional Medical CenterWellington, FL · CCN 10027529$6,480About average$5,156$88,043
Orlando Health Melbourne HospitalMelbourne, FL · CCN 10029181$6,480About average$5,154$143,509
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 10029252$6,480About average$5,154$46,188
Broward Health Medical CenterFort Lauderdale, FL · CCN 10003924$6,481About average$5,152$33,766
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 10003489$6,481About average$5,151$33,200
HCA Florida Englewood HospitalEnglewood, FL · CCN 10026721$6,481About average$5,151$167,910
HCA Florida South Shore HospitalSun City Center, FL · CCN 10025915$6,481About average$5,151$94,462
North Shore Medical CenterMiami, FL · CCN 10002913$6,481About average$5,149$125,391
Broward Health Coral SpringsCoral Springs, FL · CCN 10027613$6,481About average$5,145$35,299
Tampa General HospitalTampa, FL · CCN 100128 · +$1,679 outlier payments per case120$6,506About average$5,186$111,334
Lower Keys Medical CenterKey West, FL · CCN 10015025$6,719About average$5,301$87,549
Flagler HospitalSaint Augustine, FL · CCN 100090219$6,915About average$5,499$27,338
HCA Florida Lake City HospitalLake City, FL · CCN 10015659$6,940About average$5,528$78,158

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 185,926 procedures at 2,416 hospitals · 2021: 195,670 procedures at 2,445 hospitals · 2022: 186,999 procedures at 2,389 hospitals · 2023: 171,396 procedures at 2,317 hospitals · 2024: 166,476 procedures at 2,236 hospitals
View data as a table
National average payment and billed charge for Level 4 Musculoskeletal Procedures
Year of careAverage paymentAverage billed charge
2020$5,850$36K
2021$6,173$38K
2022$6,265$41K
2023$6,439$43K
2024$6,708$47K

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 4 Musculoskeletal Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont6406$3,797$3,255–$3,916
Alabama403,199$5,780$5,631–$5,969
Mississippi271,649$5,823$5,775–$5,941
Tennessee513,601$5,874$5,762–$6,061
Louisiana442,934$5,934$5,870–$6,009
South Carolina424,711$5,959$5,941–$6,150
West Virginia191,042$6,000$5,847–$6,062
Oklahoma474,231$6,079$5,978–$6,242
Ohio976,480$6,094$6,004–$6,255
Kentucky382,604$6,103$5,904–$6,196
Arkansas273,228$6,128$5,995–$6,357
Kansas373,194$6,178$6,076–$6,414
Missouri544,429$6,179$6,129–$6,357
Michigan733,919$6,197$6,092–$6,411
Iowa261,799$6,231$6,040–$6,446
Georgia734,396$6,231$6,047–$6,499
Texas18814,876$6,317$6,207–$6,467
Virginia564,434$6,335$6,122–$6,565
North Carolina655,586$6,354$6,226–$6,437
Indiana654,325$6,361$6,324–$6,467
Utah311,792$6,374$6,159–$6,409
Florida13110,094$6,397$6,364–$6,480
Nebraska231,952$6,401$6,280–$6,540
New Mexico17768$6,455$6,082–$6,447
Maine13897$6,469$6,139–$6,618
Idaho151,643$6,476$6,438–$6,749
Wisconsin543,455$6,482$6,373–$6,665
Pennsylvania1057,105$6,566$6,340–$6,811
Illinois835,712$6,652$6,540–$6,792
South Dakota131,994$6,722$6,636–$7,053
Montana9943$6,754$6,664–$7,044
North Dakota6913$6,773$6,707–$6,936
Colorado463,137$6,822$6,747–$6,810
New Hampshire12886$6,863$6,697–$6,917
Minnesota412,455$6,909$6,681–$6,908
Wyoming10395$6,970$6,897–$7,183
Arizona463,573$7,012$6,879–$6,976
Rhode Island7391$7,123$7,191–$7,260
Delaware6568$7,128$7,114–$7,167
District of Columbia4325$7,212$7,161–$7,276
Washington433,552$7,247$7,117–$7,445
Nevada181,135$7,592$7,431–$7,662
New Jersey503,791$7,592$7,398–$7,661
Massachusetts495,761$7,605$7,565–$7,683
Oregon291,729$7,605$7,289–$7,507
Alaska6341$7,642$7,412–$7,862
New York936,933$7,713$7,585–$8,061
Connecticut211,133$7,916$7,863–$8,026
Hawaii10419$8,172$8,004–$8,526
California17011,641$9,047$8,737–$9,368

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.