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 Massachusetts

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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Massachusetts

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Average payment across these 49 hospitals: $7,605National $6,708 · Massachusetts $7,605
Median hospital: $7,617
Lowest to highest: $6,366–$8,228
Medicare procedures: 5,761

49 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 4 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Good Samaritan Medical CenterBrockton, MA · CCN 220111	56	$6,366	About average	$5,071	$18,962
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	35	$7,114	About average	$5,597	$25,928
Marlborough HospitalMarlborough, MA · CCN 220049	41	$7,308	About average	$5,823	$36,838
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	66	$7,312	About average	$5,746	$22,853
Heywood Hospital -Gardner, MA · CCN 220095	38	$7,368	About average	$5,801	$17,041
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	70	$7,421	11% above the national average	$5,859	$26,825
Northeast Hospital CorporationBeverly, MA · CCN 220033	149	$7,436	11% above the national average	$5,913	$16,227
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	31	$7,486	12% above the national average	$5,924	$12,278
Brown University Health Morton HospitalTaunton, MA · CCN 220073	63	$7,491	12% above the national average	$5,924	$20,950
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	34	$7,503	12% above the national average	$5,936	$35,656
Saint Anne's HospitalFall River, MA · CCN 220020	143	$7,512	12% above the national average	$5,945	$22,916
New England Baptist HospitalBoston, MA · CCN 220088 · +$111 outlier payments per case	206	$7,543	12% above the national average	$6,004	$20,018
Winchester HospitalWinchester, MA · CCN 220105	104	$7,565	13% above the national average	$6,004	$23,135
Boston Medical CenterBoston, MA · CCN 220031	52	$7,566	13% above the national average	$6,004	$23,287
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	115	$7,577	13% above the national average	$6,015	$21,301
South Shore HospitalSouth Weymouth, MA · CCN 220100	254	$7,588	13% above the national average	$6,023	$11,948
Lowell General HospitalLowell, MA · CCN 220063	128	$7,589	13% above the national average	$6,024	$16,687
Tufts Medical CenterBoston, MA · CCN 220116	66	$7,590	13% above the national average	$6,029	$22,890
Holyoke Medical CenterHolyoke, MA · CCN 220024	68	$7,593	13% above the national average	$6,032	$20,190
North Shore Medical Center -Salem, MA · CCN 220035	139	$7,596	13% above the national average	$6,033	$23,874
Baystate Medical CenterSpringfield, MA · CCN 220077	278	$7,601	13% above the national average	$6,039	$15,192
Southcoast Hospitals GroupFall River, MA · CCN 220074	271	$7,601	13% above the national average	$6,039	$29,317
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	79	$7,606	13% above the national average	$6,044	$17,908
Massachusetts General HospitalBoston, MA · CCN 220071 · +$157 outlier payments per case	650	$7,608	13% above the national average	$6,045	$43,344
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163 · +$386 outlier payments per case	93	$7,617	14% above the national average	$6,056	$37,597
Mercy Medical CenterSpringfield, MA · CCN 220066	95	$7,621	14% above the national average	$6,055	$18,733
Mount Auburn HospitalCambridge, MA · CCN 220002	99	$7,621	14% above the national average	$6,059	$8,560
St Vincent HospitalWorcester, MA · CCN 220176	103	$7,624	14% above the national average	$6,060	$66,219
Brigham And Women's HospitalBoston, MA · CCN 220110 · +$213 outlier payments per case	196	$7,652	14% above the national average	$6,090	$45,153
Newton-Wellesley HospitalNewton, MA · CCN 220101	310	$7,664	14% above the national average	$6,100	$23,945
Baystate Noble HospitalWestfield, MA · CCN 220065	26	$7,683	15% above the national average	$6,122	$15,671
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083 · +$394 outlier payments per case	54	$7,683	15% above the national average	$6,122	$21,877
Cambridge Health AllianceCambridge, MA · CCN 220011	28	$7,683	15% above the national average	$6,122	$10,867
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171 · +$111 outlier payments per case	210	$7,683	15% above the national average	$6,122	$19,482
MelroseWakefield HealthcareMelrose, MA · CCN 220070	58	$7,683	15% above the national average	$6,122	$25,189
MetroWest Medical CenterFramingham, MA · CCN 220175	16	$7,683	15% above the national average	$6,122	$67,831
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	15	$7,683	15% above the national average	$6,122	$12,595
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	167	$7,683	15% above the national average	$6,121	$27,916
Falmouth HospitalFalmouth, MA · CCN 220135	124	$7,683	15% above the national average	$6,121	$21,588
Cape Cod HospitalHyannis, MA · CCN 220012	424	$7,683	15% above the national average	$6,121	$16,983
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	167	$7,683	15% above the national average	$6,121	$23,225
Anna Jaques HospitalNewburyport, MA · CCN 220029	49	$7,683	15% above the national average	$6,120	$16,821
Milford Regional Medical CenterMilford, MA · CCN 220090	79	$7,683	15% above the national average	$6,119	$13,675
Emerson Hospital -W Concord, MA · CCN 220084	100	$7,683	15% above the national average	$6,119	$17,134
Holy Family HospitalMethuen, MA · CCN 220080	31	$7,683	15% above the national average	$6,115	$19,911
Boston Medical Center-BrightonBrighton, MA · CCN 220036	26	$7,683	15% above the national average	$6,112	$18,543
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	18	$7,683	15% above the national average	$6,111	$20,200
Berkshire Medical CenterPittsfield, MA · CCN 220046 · +$245 outlier payments per case	121	$8,069	20% above the national average	$6,437	$29,481
Nantucket Cottage HospitalNantucket, MA · CCN 220177	16	$8,228	23% above the national average	$6,596	$34,461

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 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

Average payment by state for Level 4 Musculoskeletal Procedures, 2024
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.