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 Washington

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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Washington

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Year of care

Average payment across these 43 hospitals: $7,247National $6,708 · Washington $7,247
Median hospital: $7,225
Lowest to highest: $3,088–$7,955
Medicare procedures: 3,552

43 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
Astria Toppenish HospitalToppenish, WA · CCN 500037	30	$3,088	54% below the national average	$2,439	$41,672
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	18	$6,013	10% below the national average	$4,517	$59,520
Capital Medical CenterOlympia, WA · CCN 500139	14	$6,952	About average	$5,440	$57,451
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	130	$6,964	About average	$5,466	$54,107
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	89	$6,987	About average	$5,527	$44,121
Highline Medical CenterBurien, WA · CCN 500011 · +$1,367 outlier payments per case	21	$7,029	About average	$5,544	$98,497
Deaconess Medical CenterSpokane, WA · CCN 500044	76	$7,030	About average	$5,570	$39,085
Skagit Valley HospitalMount Vernon, WA · CCN 500003	133	$7,030	About average	$5,558	$38,697
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	88	$7,104	About average	$5,604	$46,907
Virginia Mason Medical CenterSeattle, WA · CCN 500005	200	$7,107	About average	$5,648	$32,805
Island HospitalAnacortes, WA · CCN 500007	46	$7,108	About average	$5,638	$25,652
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	121	$7,126	About average	$5,641	$32,769
University Of Washington Medical CenterSeattle, WA · CCN 500008	224	$7,148	About average	$5,693	$34,620
St Joseph Medical CenterTacoma, WA · CCN 500108	85	$7,164	About average	$5,663	$67,484
Providence Holy Family HospitalSpokane, WA · CCN 500077	83	$7,174	About average	$5,712	$37,664
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	107	$7,180	About average	$5,721	$39,708
Trios HealthKennewick, WA · CCN 500053	40	$7,180	About average	$5,720	$49,667
Kadlec Regional Medical CenterRichland, WA · CCN 500058 · +$1,164 outlier payments per case	152	$7,180	About average	$5,720	$41,854
Harborview Medical CenterSeattle, WA · CCN 500064 · +$1,613 outlier payments per case	98	$7,180	About average	$5,719	$48,084
Cascade Valley HospitalArlington, WA · CCN 500060	49	$7,187	About average	$5,702	$34,551
Providence Regional Medical Center EverettEverett, WA · CCN 500014	63	$7,214	About average	$5,722	$49,597
Providence St Peter HospitalOlympia, WA · CCN 500024	99	$7,225	About average	$5,754	$47,285
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051 · +$727 outlier payments per case	80	$7,233	About average	$5,748	$63,463
Valley Medical CenterRenton, WA · CCN 500088	73	$7,250	About average	$5,763	$51,327
St Anthony HospitalGig Harbor, WA · CCN 500151	49	$7,251	About average	$5,750	$75,031
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	16	$7,306	About average	$5,821	$47,660
St Francis Community HospitalFederal Way, WA · CCN 500141	53	$7,306	About average	$5,821	$84,239
Swedish IssaquahIssaquah, WA · CCN 500152 · +$378 outlier payments per case	98	$7,306	About average	$5,821	$46,011
St Clare HospitalLakewood, WA · CCN 500021	18	$7,371	About average	$5,873	$64,418
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	118	$7,405	10% above the national average	$5,874	$36,830
Samaritan HospitalMoses Lake, WA · CCN 500033	44	$7,411	10% above the national average	$5,848	$56,785
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	68	$7,419	11% above the national average	$5,893	$32,001
Yakima Valley MemorialYakima, WA · CCN 500036	112	$7,472	11% above the national average	$5,908	$25,532
Swedish Medical CenterSeattle, WA · CCN 500027	126	$7,472	11% above the national average	$5,912	$53,777
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	30	$7,509	12% above the national average	$5,940	$80,712
Olympic Medical CenterPort Angeles, WA · CCN 500072	40	$7,537	12% above the national average	$5,974	$21,548
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	50	$7,544	12% above the national average	$5,986	$52,241
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002 · +$1,079 outlier payments per case	71	$7,604	13% above the national average	$6,041	$54,363
St Michael Medical CenterSilverdale, WA · CCN 500039 · +$373 outlier payments per case	170	$7,632	14% above the national average	$6,061	$71,218
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	160	$7,652	14% above the national average	$6,086	$37,128
Confluence Health HospitalWenatchee, WA · CCN 500016 · +$522 outlier payments per case	170	$7,674	14% above the national average	$6,100	$33,968
Providence Centralia HospitalCentralia, WA · CCN 500019	16	$7,894	18% above the national average	$6,290	$48,218
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	24	$7,955	19% above the national average	$6,338	$40,665

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.