Level 5 Musculoskeletal Procedures
In 2024, Medicare and patients paid an average of $12,402 per procedure at 2,213 hospitals. Half of hospitals averaged between $11,345 and $12,814.
Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery
National figures, 2024
- Average payment per case
- $12,402
- Typical range (middle half of hospitals)
- $11,345–$12,814
- Medicare’s share
- $10,772
- Average billed charge
- $72,739
- Hospitals reporting
- 2,213
Compare hospitals
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.
2,207 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Upper Valley Medical Center | 17 | $11,242 | About average | $9,610 | $74,940 |
| Kettering Health Dayton | 337 | $11,242 | About average | $9,610 | $87,357 |
| St Lukes Hospital | 319 | $11,245 | About average | $9,612 | $45,361 |
| Christus Santa Rosa Medical Center | 425 | $11,245 | About average | $9,612 | $104,013 |
| Lakes Regional Healthcare | 66 | $11,245 | About average | $9,613 | $39,672 |
| Wooster Community Hospital | 48 | $11,245 | About average | $9,613 | $33,222 |
| Mercy Health - Tiffin Hospital | 59 | $11,245 | About average | $9,612 | $76,479 |
| Johnson City Medical Center | 55 | $11,248 | About average | $9,611 | $84,286 |
| Lewisgale Hospital Montgomery | 121 | $11,251 | About average | $9,619 | $201,236 |
| West Chester Hospital | 110 | $11,254 | About average | $9,621 | $60,724 |
| McLaren Port Huron | 118 | $11,255 | About average | $9,623 | $38,187 |
| CJW Medical Center | 633 | $11,256 | About average | $9,624 | $290,537 |
| Christus Mother Frances Hospital | 425 | $11,257 | About average | $9,623 | $135,463 |
| The Medical Center (Bowling Green) | 97 | $11,257 | About average | $9,625 | $73,721 |
| Caldwell Memorial Hospital | 54 | $11,257 | About average | $9,625 | $44,602 |
| ProMedica Toledo Hospital | 746 | $11,258 | About average | $9,625 | $60,949 |
| Aiken Regional Medical Center | 35 | $11,259 | About average | $9,627 | $112,330 |
| MUSC Health Florence Medical Center | 39 | $11,259 | About average | $9,627 | $102,371 |
| Tidelands Waccamaw Community Hospital | 180 | $11,259 | About average | $9,626 | $48,426 |
| Novant Health Rowan Medical Center | 37 | $11,260 | About average | $9,628 | $75,764 |
| Saint Joseph Hospital | 165 | $11,266 | About average | $9,633 | $33,341 |
| HCA Houston Healthcare Conroe | 46 | $11,269 | About average | $9,637 | $175,878 |
| Archbold Memorial Hospital | 18 | $11,269 | About average | $9,637 | $50,713 |
| Quail Creek Surgical Hospital | 719 | $11,270 | About average | $9,637 | $53,644 |
| The Physicians Centre | 55 | $11,270 | About average | $9,637 | $34,726 |
| Panola Medical Center | 56 | $11,272 | About average | $9,640 | $40,339 |
| Grady Memorial Hospital | 21 | $11,272 | About average | $9,640 | $72,083 |
| Tristar Greenview Regional Hospital | 226 | $11,272 | About average | $9,639 | $74,716 |
| Henry Ford Macomb Hospital | 319 | $11,273 | About average | $9,641 | $42,883 |
| Sentara Princess Anne Hospital | 294 | $11,275 | About average | $9,647 | $43,593 |
| Hillcrest Hospital Pryor | 12 | $11,277 | About average | $9,645 | $45,342 |
| St Lukes Regional Medical Center | 17 | $11,278 | About average | $9,646 | $51,961 |
| Cary Medical Center | 21 | $11,280 | About average | $9,647 | $45,921 |
| Northern Light A R Gould Hospital | 32 | $11,280 | About average | $9,640 | $61,641 |
| Overland Park Regional Medical Center | 99 | $11,281 | About average | $9,649 | $90,116 |
| Broadlawns Medical Center | 23 | $11,283 | About average | $9,651 | $28,694 |
| Grinnell Regional Medical Center | 19 | $11,283 | About average | $9,651 | $50,188 |
| MercyOne Newton Medical Center | 16 | $11,283 | About average | $9,651 | $45,054 |
| Memorial Mission Hospital And Asheville Surgery Ce | 441 | $11,284 | About average | $9,649 | $88,901 |
| Mercy Medical Center - Cedar Rapids | 386 | $11,286 | About average | $9,654 | $42,241 |
| Coliseum Medical Centers | 26 | $11,286 | About average | $9,654 | $92,023 |
| Texas Health Hospital Frisco | 56 | $11,286 | About average | $9,650 | $63,539 |
| Lone Peak Hospital | 218 | $11,288 | About average | $9,724 | $109,095 |
| Beaumont Hospital - Grosse Pointe | 109 | $11,290 | About average | $9,656 | $60,717 |
| Aspirus Stevens Point Hospital & Clinics, Inc. | 43 | $11,292 | About average | $9,658 | $38,513 |
| Pelham Medical Center | 142 | $11,292 | About average | $9,660 | $57,092 |
| Princeton Community Hospital Assn Inc | 198 | $11,294 | About average | $9,660 | $55,398 |
| Christ Hospital | 1,069 | $11,295 | About average | $9,662 | $40,170 |
| Prisma Health Richland Hospital | 25 | $11,296 | About average | $9,664 | $81,200 |
| Willis Knighton Medical Center | 406 | $11,297 | About average | $9,664 | $70,473 |
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 | $12K | $61K |
| 2021 | $12K | $66K |
| 2022 | $12K | $68K |
| 2023 | $13K | $71K |
| 2024 | $12K | $73K |
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 | 927 | $6,642 | $5,710–$7,857 |
| Alabama | 36 | 5,517 | $10,733 | $10,538–$10,928 |
| Mississippi | 25 | 1,977 | $10,843 | $10,672–$11,006 |
| Tennessee | 47 | 8,201 | $10,865 | $10,654–$11,195 |
| Louisiana | 44 | 5,417 | $10,909 | $10,733–$11,044 |
| West Virginia | 19 | 2,033 | $11,015 | $10,538–$11,114 |
| Ohio | 104 | 15,215 | $11,123 | $11,029–$11,497 |
| Oklahoma | 42 | 7,005 | $11,159 | $11,026–$11,326 |
| Arkansas | 28 | 5,195 | $11,206 | $11,043–$11,679 |
| South Carolina | 43 | 9,015 | $11,244 | $11,083–$11,366 |
| Kentucky | 42 | 5,097 | $11,263 | $10,995–$11,552 |
| Kansas | 34 | 6,049 | $11,345 | $11,166–$11,885 |
| Iowa | 29 | 5,825 | $11,405 | $11,208–$11,925 |
| Missouri | 53 | 8,629 | $11,419 | $11,333–$11,837 |
| Virginia | 55 | 13,156 | $11,531 | $11,183–$12,118 |
| Michigan | 73 | 8,557 | $11,535 | $11,319–$11,944 |
| Texas | 188 | 27,220 | $11,614 | $11,350–$11,866 |
| Georgia | 71 | 9,007 | $11,645 | $11,145–$12,011 |
| North Carolina | 65 | 11,812 | $11,652 | $11,347–$11,739 |
| New Mexico | 16 | 2,050 | $11,704 | $11,270–$12,005 |
| Utah | 32 | 3,863 | $11,712 | $11,479–$11,775 |
| Indiana | 64 | 9,630 | $11,754 | $11,642–$11,909 |
| Nebraska | 21 | 4,927 | $11,799 | $11,652–$12,128 |
| Florida | 133 | 23,438 | $11,799 | $11,730–$11,906 |
| Idaho | 15 | 2,954 | $11,894 | $11,784–$12,386 |
| Wisconsin | 56 | 7,721 | $11,921 | $11,695–$12,134 |
| Maine | 14 | 1,590 | $12,045 | $11,422–$12,212 |
| Pennsylvania | 105 | 17,854 | $12,207 | $11,693–$12,571 |
| Montana | 10 | 2,257 | $12,302 | $12,157–$12,991 |
| Illinois | 82 | 14,943 | $12,334 | $12,119–$12,518 |
| South Dakota | 13 | 3,867 | $12,387 | $12,258–$13,048 |
| North Dakota | 6 | 1,935 | $12,448 | $12,260–$12,787 |
| Colorado | 47 | 8,262 | $12,564 | $12,388–$12,511 |
| New Hampshire | 11 | 2,199 | $12,713 | $12,410–$12,672 |
| Minnesota | 42 | 6,532 | $12,735 | $12,361–$12,965 |
| Arizona | 47 | 9,066 | $12,802 | $12,653–$12,814 |
| Wyoming | 10 | 919 | $12,806 | $12,962–$13,194 |
| Delaware | 6 | 2,342 | $13,085 | $13,029–$13,172 |
| District of Columbia | 4 | 774 | $13,274 | $13,278–$13,444 |
| Rhode Island | 8 | 825 | $13,278 | $13,310–$13,335 |
| Washington | 43 | 7,875 | $13,453 | $13,133–$13,721 |
| Alaska | 6 | 992 | $13,858 | $13,747–$14,483 |
| Oregon | 29 | 3,599 | $13,939 | $13,452–$13,786 |
| Nevada | 16 | 2,147 | $13,956 | $13,488–$13,899 |
| Massachusetts | 43 | 9,382 | $13,997 | $13,872–$14,027 |
| New Jersey | 43 | 10,137 | $14,069 | $13,614–$14,536 |
| New York | 91 | 13,630 | $14,226 | $13,725–$14,676 |
| Connecticut | 23 | 3,597 | $14,579 | $14,481–$14,714 |
| Hawaii | 9 | 682 | $14,923 | $14,484–$15,494 |
| California | 164 | 27,002 | $16,486 | $15,996–$16,675 |
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.