Skip to main content
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 New York

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
New York
Specific hospitals up to 10
Average payment across these 92 hospitals
$7,709National $6,708 · New York $7,713
Median hospital
$7,864
Lowest to highest
$5,151–$8,140
Medicare procedures
6,838

92 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 4 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Strong Memorial HospitalRochester, NY · CCN 330285146$5,15123% below the national average$4,087$22,872
White Plains Hospital CenterWhite Plains, NY · CCN 330304190$5,77014% below the national average$4,602$49,373
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185145$6,779About average$5,154$32,386
Mercy Hospital Of BuffaloBuffalo, NY · CCN 33027915$6,779About average$5,238$19,599
Crouse HospitalSyracuse, NY · CCN 330203114$7,001About average$5,513$21,920
Sisters Of Charity HospitalBuffalo, NY · CCN 33007826$7,120About average$5,578$18,898
Kenmore Mercy HospitalKenmore, NY · CCN 33010243$7,166About average$5,622$18,782
F F Thompson HospitalCanandaigua, NY · CCN 33007417$7,230About average$5,674$21,913
Newark-Wayne Community HospitalNewark, NY · CCN 33003018$7,249About average$5,708$18,022
Huntington HospitalHuntington, NY · CCN 33004597$7,278About average$5,671$27,566
Rochester General HospitalRochester, NY · CCN 33012521$7,297About average$5,756$21,767
St Marys HealthcareAmsterdam, NY · CCN 33004730$7,38410% above the national average$5,842$16,924
Albany Medical Center HospitalAlbany, NY · CCN 33001394$7,39210% above the national average$5,850$18,682
Saratoga HospitalSaratoga Springs, NY · CCN 33022263$7,39410% above the national average$5,851$28,509
Erie County Medical CenterBuffalo, NY · CCN 33021962$7,42211% above the national average$5,875$15,493
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001175$7,42411% above the national average$5,879$37,082
United Health Services Hospitals, IncBinghamton, NY · CCN 33039478$7,43011% above the national average$5,888$33,510
Peconic Bay Medical CenterRiverhead, NY · CCN 33010742$7,44011% above the national average$5,832$35,092
St Peter's HospitalAlbany, NY · CCN 33005750$7,46411% above the national average$5,922$23,004
Corning HospitalCorning, NY · CCN 33027762$7,48812% above the national average$5,945$30,711
Nyack HospitalNyack, NY · CCN 33010481$7,51812% above the national average$6,006$37,741
Rome Memorial Hospital, IncRome, NY · CCN 33021517$7,58513% above the national average$6,043$24,137
Columbia Memorial HospitalHudson, NY · CCN 33009427$7,58513% above the national average$6,043$19,076
Ellis HospitalSchenectady, NY · CCN 33015320$7,58513% above the national average$6,043$30,668
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 33023826$7,58513% above the national average$6,043$21,385
St Joseph's Hospital Health CenterSyracuse, NY · CCN 33014041$7,58513% above the national average$6,043$31,930
Unity HospitalRochester, NY · CCN 33022625$7,58513% above the national average$6,043$16,932
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$1,083 outlier payments per case33$7,58513% above the national average$6,043$38,438
Glens Falls HospitalGlens Falls, NY · CCN 33019158$7,58513% above the national average$6,043$21,775
Geneva General HospitalGeneva, NY · CCN 33005825$7,58513% above the national average$6,042$12,153
Arnot Ogden Medical CenterElmira, NY · CCN 33009039$7,58513% above the national average$6,040$22,319
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 33018040$7,58513% above the national average$6,039$15,117
Kaleida HealthBuffalo, NY · CCN 33000544$7,58513% above the national average$6,035$28,024
Wynn HospitalUtica, NY · CCN 33004422$7,58513% above the national average$6,035$26,250
Highland HospitalRochester, NY · CCN 33016434$7,58513% above the national average$6,034$23,901
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 33026512$7,58613% above the national average$6,012$17,882
Northwell Hospital Glen CoveGlen Cove, NY · CCN 33018130$7,67514% above the national average$6,043$21,607
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019593$7,68615% above the national average$6,052$34,851
Southside HospitalBay Shore, NY · CCN 33004336$7,69415% above the national average$6,062$28,714
North Shore University HospitalManhasset, NY · CCN 330106172$7,70015% above the national average$6,068$36,660
Northern Westchester HospitalMount Kisco, NY · CCN 33016286$7,70115% above the national average$6,067$31,268
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 33022428$7,73515% above the national average$6,163$26,859
St Catherine Of Siena HospitalSmithtown, NY · CCN 33040150$7,77616% above the national average$6,150$34,199
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028673$7,81617% above the national average$6,192$33,418
Garnet Health Medical CenterMiddletown, NY · CCN 33012646$7,84217% above the national average$6,210$32,134
Putnam Hospital CenterCarmel, NY · CCN 33027323$7,85717% above the national average$6,222$45,500
Mount Sinai Beth IsraelNew York, NY · CCN 33016977$7,87017% above the national average$6,257$29,657
Long Island Community HospitalPatchogue, NY · CCN 330141 · +$1,008 outlier payments per case60$7,88418% above the national average$6,260$109,387
Northern Dutchess HospitalRhinebeck, NY · CCN 33004942$7,89818% above the national average$6,266$18,561
Hospital For Special SurgeryNew York, NY · CCN 330270 · +$191 outlier payments per case642$7,91618% above the national average$6,286$47,547

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.