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
- $5,339
- Average billed charge
- $46,846
- Hospitals reporting
- 2,236
Compare hospitals
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.
2,230 hospitals reported at least 11 Medicare procedures for this in 2024; showing 351–400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baptist Health Medical Center- Conway | 98 | $6,032 | 10% below the national average | $4,786 | $31,455 |
| Mymichigan Medical Center Saginaw | 27 | $6,034 | 10% below the national average | $4,738 | $18,638 |
| Arkansas Methodist Medical Center | 11 | $6,034 | 10% below the national average | $4,808 | $22,253 |
| St Bernards Medical Center | 71 | $6,034 | 10% below the national average | $4,808 | $16,463 |
| Siloam Springs Regional Hospital | 59 | $6,034 | 10% below the national average | $4,807 | $32,028 |
| Oaklawn Hospital | 48 | $6,034 | 10% below the national average | $4,766 | $47,745 |
| St Elizabeth Edgewood | 85 | $6,041 | About average | $4,788 | $31,336 |
| Williamson Medical Center | 135 | $6,043 | About average | $4,790 | $28,265 |
| Decatur Morgan Hospital - Decatur Campus | 38 | $6,043 | About average | $4,815 | $33,635 |
| Fairview Hospital | 76 | $6,043 | About average | $4,802 | $32,395 |
| American Fork Hospital | 42 | $6,044 | About average | $4,741 | $24,593 |
| Princeton Community Hospital Assn Inc | 57 | $6,045 | About average | $4,741 | $36,619 |
| Northeast Georgia Medical Center Habersham | 14 | $6,047 | About average | $4,818 | $77,024 |
| Piedmont Columbus Regional Northside | 33 | $6,047 | About average | $4,817 | $41,898 |
| Savannah Health Services LLC Dba Memorial Health University Medical Center | 58 | $6,047 | About average | $4,809 | $60,307 |
| McBride Orthopedic Hospital | 297 | $6,048 | About average | $4,794 | $16,773 |
| Kansas Spine & Specialty Hospital, LLC | 381 | $6,049 | About average | $4,806 | $21,678 |
| Lane Regional Medical Center | 16 | $6,049 | About average | $4,819 | $35,949 |
| Surgical Specialty Center Of Baton Rouge | 63 | $6,049 | About average | $4,819 | $17,139 |
| Womans Hospital | 12 | $6,049 | About average | $4,819 | $29,428 |
| Ucf Lake Nona Hospital | 12 | $6,050 | About average | $4,733 | $135,007 |
| UNC Health Nash | 72 | $6,052 | About average | $4,779 | $32,820 |
| Baptist Health Medical Center-Little Rock | 246 | $6,053 | About average | $4,806 | $29,502 |
| Methodist Hospital | 64 | $6,053 | About average | $4,791 | $78,025 |
| Ecu Health Medical Center | 144 | $6,053 | About average | $4,787 | $27,346 |
| Wellstar McG Health, Affiliated With Medical Col | 23 | $6,054 | About average | $4,824 | $36,746 |
| Doctors Hospital | 36 | $6,054 | About average | $4,818 | $102,216 |
| Tidelands Georgetown Memorial Hospital | 42 | $6,055 | About average | $4,801 | $31,601 |
| Blount Memorial Hospital | 127 | $6,055 | About average | $4,791 | $32,911 |
| UT Health East Texas Athens Hospital | 13 | $6,057 | About average | $4,735 | $57,559 |
| Mon Health Medical Center | 19 | $6,059 | About average | $4,828 | $60,732 |
| Prisma Health Baptist | 55 | $6,059 | About average | $4,809 | $48,843 |
| Pelham Medical Center | 123 | $6,060 | About average | $4,795 | $37,439 |
| Sterling Surgical Hospital | 37 | $6,060 | About average | $4,828 | $34,760 |
| Touro Infirmary | 29 | $6,060 | About average | $4,828 | $42,182 |
| Avala | 134 | $6,060 | About average | $4,825 | $40,684 |
| Wellmont Bristol Regional Medical Center | 56 | $6,060 | About average | $4,811 | $47,256 |
| West Jefferson Medical Center | 17 | $6,060 | About average | $4,813 | $45,129 |
| Tristar Stonecrest Medical Center | 48 | $6,061 | About average | $4,803 | $58,488 |
| Henry Ford Health Warren Hospital | 51 | $6,062 | About average | $4,794 | $39,619 |
| The Hospital At Westlake Medical Center | 71 | $6,064 | About average | $4,809 | $61,750 |
| Beckley ARH Hospital | 11 | $6,065 | About average | $4,832 | $32,408 |
| Eskenazi Health | 13 | $6,066 | About average | $4,752 | $54,928 |
| Finley Hospital | 92 | $6,067 | About average | $4,822 | $25,283 |
| Oklahoma Heart Hospital South, LLC | 51 | $6,067 | About average | $4,815 | $46,652 |
| Holland Hospital | 29 | $6,068 | About average | $4,794 | $21,609 |
| Springfield Regional Medical Center | 17 | $6,071 | About average | $4,769 | $38,116 |
| Conway Regional Medical Center, Inc | 161 | $6,072 | About average | $4,823 | $26,601 |
| Roper Hospital | 245 | $6,072 | About average | $4,817 | $32,073 |
| Crystal Clinic Orthopaedic Center | 258 | $6,072 | About average | $4,823 | $31,733 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average 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
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 6 | 406 | $3,797 | $3,255–$3,916 |
| Alabama | 40 | 3,199 | $5,780 | $5,631–$5,969 |
| Mississippi | 27 | 1,649 | $5,823 | $5,775–$5,941 |
| Tennessee | 51 | 3,601 | $5,874 | $5,762–$6,061 |
| Louisiana | 44 | 2,934 | $5,934 | $5,870–$6,009 |
| South Carolina | 42 | 4,711 | $5,959 | $5,941–$6,150 |
| West Virginia | 19 | 1,042 | $6,000 | $5,847–$6,062 |
| Oklahoma | 47 | 4,231 | $6,079 | $5,978–$6,242 |
| Ohio | 97 | 6,480 | $6,094 | $6,004–$6,255 |
| Kentucky | 38 | 2,604 | $6,103 | $5,904–$6,196 |
| Arkansas | 27 | 3,228 | $6,128 | $5,995–$6,357 |
| Kansas | 37 | 3,194 | $6,178 | $6,076–$6,414 |
| Missouri | 54 | 4,429 | $6,179 | $6,129–$6,357 |
| Michigan | 73 | 3,919 | $6,197 | $6,092–$6,411 |
| Iowa | 26 | 1,799 | $6,231 | $6,040–$6,446 |
| Georgia | 73 | 4,396 | $6,231 | $6,047–$6,499 |
| Texas | 188 | 14,876 | $6,317 | $6,207–$6,467 |
| Virginia | 56 | 4,434 | $6,335 | $6,122–$6,565 |
| North Carolina | 65 | 5,586 | $6,354 | $6,226–$6,437 |
| Indiana | 65 | 4,325 | $6,361 | $6,324–$6,467 |
| Utah | 31 | 1,792 | $6,374 | $6,159–$6,409 |
| Florida | 131 | 10,094 | $6,397 | $6,364–$6,480 |
| Nebraska | 23 | 1,952 | $6,401 | $6,280–$6,540 |
| New Mexico | 17 | 768 | $6,455 | $6,082–$6,447 |
| Maine | 13 | 897 | $6,469 | $6,139–$6,618 |
| Idaho | 15 | 1,643 | $6,476 | $6,438–$6,749 |
| Wisconsin | 54 | 3,455 | $6,482 | $6,373–$6,665 |
| Pennsylvania | 105 | 7,105 | $6,566 | $6,340–$6,811 |
| Illinois | 83 | 5,712 | $6,652 | $6,540–$6,792 |
| South Dakota | 13 | 1,994 | $6,722 | $6,636–$7,053 |
| Montana | 9 | 943 | $6,754 | $6,664–$7,044 |
| North Dakota | 6 | 913 | $6,773 | $6,707–$6,936 |
| Colorado | 46 | 3,137 | $6,822 | $6,747–$6,810 |
| New Hampshire | 12 | 886 | $6,863 | $6,697–$6,917 |
| Minnesota | 41 | 2,455 | $6,909 | $6,681–$6,908 |
| Wyoming | 10 | 395 | $6,970 | $6,897–$7,183 |
| Arizona | 46 | 3,573 | $7,012 | $6,879–$6,976 |
| Rhode Island | 7 | 391 | $7,123 | $7,191–$7,260 |
| Delaware | 6 | 568 | $7,128 | $7,114–$7,167 |
| District of Columbia | 4 | 325 | $7,212 | $7,161–$7,276 |
| Washington | 43 | 3,552 | $7,247 | $7,117–$7,445 |
| Nevada | 18 | 1,135 | $7,592 | $7,431–$7,662 |
| New Jersey | 50 | 3,791 | $7,592 | $7,398–$7,661 |
| Massachusetts | 49 | 5,761 | $7,605 | $7,565–$7,683 |
| Oregon | 29 | 1,729 | $7,605 | $7,289–$7,507 |
| Alaska | 6 | 341 | $7,642 | $7,412–$7,862 |
| New York | 93 | 6,933 | $7,713 | $7,585–$8,061 |
| Connecticut | 21 | 1,133 | $7,916 | $7,863–$8,026 |
| Hawaii | 10 | 419 | $8,172 | $8,004–$8,526 |
| California | 170 | 11,641 | $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.