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
Hospitals in Oregon
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.
- Average payment across these 29 hospitals
- $7,605
- Median hospital
- $7,436
- Lowest to highest
- $6,638–$9,298
- Medicare procedures
- 1,729
29 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Samaritan Albany General Hospital | 15 | $6,638 | About average | $5,129 | $35,339 |
| Saint Alphonsus Medical Center Ontario | 18 | $6,720 | About average | $5,348 | $32,111 |
| Asante Three Rivers Medical Center | 31 | $6,877 | About average | $5,441 | $31,161 |
| Legacy Silverton Medical Center | 20 | $6,879 | About average | $5,423 | $32,347 |
| Santiam Hospital & Clinics | 23 | $6,916 | About average | $5,460 | $29,655 |
| Legacy Good Samaritan Medical Center | 53 | $7,139 | About average | $5,642 | $29,470 |
| McKenzie-Willamette Medical Center | 35 | $7,272 | About average | $5,754 | $49,395 |
| Legacy Meridian Park Medical Center | 55 | $7,289 | About average | $5,763 | $29,135 |
| Good Samaritan Regional Medical Center | 139 | $7,343 | About average | $5,832 | $24,745 |
| Legacy Emanuel Medical Center | 39 | $7,353 | About average | $5,827 | $39,659 |
| Sacred Heart Medical Center - Riverbend | 107 | $7,386 | 10% above the national average | $5,873 | $34,542 |
| Providence Portland Medical Center | 52 | $7,392 | 10% above the national average | $5,863 | $32,829 |
| Adventist Health Portland | 35 | $7,404 | 10% above the national average | $5,879 | $51,032 |
| Mercy Medical Center | 63 | $7,421 | 11% above the national average | $5,830 | $31,022 |
| OHSU Hospital And Clinics | 109 | $7,436 | 11% above the national average | $5,910 | $39,258 |
| St Charles Medical Center - Bend | 226 | $7,479 | 12% above the national average | $5,942 | $31,291 |
| Hillsboro Medical Center | 42 | $7,507 | 12% above the national average | $5,981 | $39,933 |
| Legacy Mount Hood Medical Center | 21 | $7,507 | 12% above the national average | $5,981 | $30,416 |
| Providence Newberg Medical Center | 21 | $7,507 | 12% above the national average | $5,981 | $23,559 |
| Providence St Vincent Medical Center | 97 | $7,507 | 12% above the national average | $5,981 | $32,719 |
| Willamette Valley Medical Center | 29 | $7,507 | 12% above the national average | $5,981 | $59,954 |
| Providence Willamette Falls Medical Center | 39 | $7,507 | 12% above the national average | $5,975 | $28,374 |
| Providence Milwaukie Hospital | 12 | $7,507 | 12% above the national average | $5,970 | $33,495 |
| Salem Hospital | 134 | $7,671 | 14% above the national average | $6,053 | $37,132 |
| Bay Area Hospital | 58 | $7,712 | 15% above the national average | $6,113 | $36,449 |
| Mid-Columbia Medical Center | 26 | $7,955 | 19% above the national average | $6,331 | $27,285 |
| Asante Rogue Regional Medical Center | 77 | $8,592 | 28% above the national average | $6,957 | $36,136 |
| Providence Medford Medical Center | 81 | $8,683 | 29% above the national average | $7,051 | $32,279 |
| Sky Lakes Medical Center | 72 | $9,298 | 39% above the national average | $7,659 | $25,296 |
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.