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 Utah
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 31 hospitals
- $6,374
- Median hospital
- $6,325
- Lowest to highest
- $5,974–$6,864
- Medicare procedures
- 1,792
31 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 |
|---|---|---|---|---|---|
| Mountain West Medical Center | 47 | $5,974 | 11% below the national average | $4,672 | $42,888 |
| American Fork Hospital | 42 | $6,044 | About average | $4,741 | $24,593 |
| Holy Cross Hospital-Davis | 74 | $6,083 | About average | $4,781 | $26,735 |
| Brigham City Community Hospital | 16 | $6,090 | About average | $4,787 | $78,548 |
| Intermountain Health Utah Valley Hospital | 50 | $6,106 | About average | $4,800 | $33,576 |
| Holy Cross Hospital - Salt Lake | 17 | $6,108 | About average | $4,806 | $24,926 |
| Intermountain Health Alta View Hospital | 52 | $6,114 | About average | $4,812 | $25,418 |
| Orem Community Hospital | 20 | $6,153 | About average | $4,851 | $26,691 |
| Cache Valley Hospital | 21 | $6,166 | About average | $4,862 | $43,839 |
| Ogden Regional Medical Center | 55 | $6,223 | About average | $4,917 | $79,280 |
| Intermountain Health Logan Regional Hospital | 28 | $6,226 | About average | $4,924 | $22,258 |
| Intermountain Health McKay-Dee Hospital | 64 | $6,249 | About average | $4,945 | $32,525 |
| Intermountain Health Spanish Fork Hospital | 33 | $6,254 | About average | $4,951 | $26,062 |
| St Mark's Hospital | 86 | $6,290 | About average | $4,987 | $77,316 |
| Park City Hospital | 54 | $6,314 | About average | $5,012 | $20,413 |
| Intermountain Health Layton Hospital | 59 | $6,325 | About average | $5,016 | $26,776 |
| Mountain View Hospital | 49 | $6,332 | About average | $5,029 | $35,091 |
| University Of Utah Hospital And Clinics | 279 | $6,336 | About average | $5,035 | $22,425 |
| Intermountain Medical Center | 73 | $6,339 | About average | $5,033 | $29,653 |
| Lone Peak Hospital | 69 | $6,409 | About average | $5,106 | $52,002 |
| Intermountain Health Riverton Hospital | 16 | $6,409 | About average | $5,106 | $24,371 |
| Lakeview Hospital | 37 | $6,409 | About average | $5,106 | $67,122 |
| LDS Hospital | 27 | $6,409 | About average | $5,105 | $26,609 |
| Holy Cross Hospital-Jordan Valley | 86 | $6,409 | About average | $5,104 | $35,532 |
| The Orthopedic Specialty Hospital | 13 | $6,409 | About average | $5,096 | $14,891 |
| Intermountain Health Cedar City Hospital | 40 | $6,414 | About average | $5,019 | $20,785 |
| St. George Regional Hospital | 274 | $6,695 | About average | $5,293 | $22,238 |
| Castleview Hospital | 43 | $6,864 | About average | $5,469 | $43,530 |
| Intermountain Health Sevier Valley Hospital | 31 | $6,864 | About average | $5,469 | $22,767 |
| Uintah Basin Medical Center | 13 | $6,864 | About average | $5,469 | $21,780 |
| Ashley Regional Medical Center | 24 | $6,864 | About average | $5,456 | $51,294 |
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.