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 601–650. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Methodist Hospital Stone Oak | 122 | $11,406 | About average | $9,772 | $128,986 |
| SSM St Joseph Hospital West | 34 | $11,406 | About average | $9,766 | $36,688 |
| Marion General Hospital | 100 | $11,408 | About average | $9,770 | $74,692 |
| Grady Memorial Hospital | 19 | $11,410 | About average | $9,778 | $56,643 |
| St Mary's Regional Medical Center | 33 | $11,412 | About average | $9,780 | $77,015 |
| Miami Valley Hospital | 425 | $11,413 | About average | $9,781 | $74,080 |
| Piedmont Cartersville Medical Center | 54 | $11,414 | About average | $9,782 | $138,776 |
| Menorah Medical Center | 304 | $11,415 | About average | $9,781 | $76,773 |
| Oviedo Medical Center | 63 | $11,417 | About average | $9,783 | $166,758 |
| Vanderbilt Clarksville Hospital | 77 | $11,419 | About average | $9,787 | $90,597 |
| Holy Cross Hospital-Jordan Valley | 138 | $11,421 | About average | $9,784 | $56,280 |
| St Joseph Medical Center | 173 | $11,423 | About average | $9,791 | $102,519 |
| Major Hospital | 46 | $11,427 | About average | $9,790 | $74,921 |
| Cumberland Medical Center | 55 | $11,429 | About average | $9,797 | $33,488 |
| Scotland Memorial Hospital | 39 | $11,430 | About average | $9,798 | $67,364 |
| Springfield Regional Medical Center | 37 | $11,430 | About average | $9,798 | $72,915 |
| Bethesda North | 214 | $11,432 | About average | $9,800 | $40,587 |
| McCullough-Hyde Memorial Hospital | 48 | $11,432 | About average | $9,800 | $50,097 |
| Mercy Health - Clermont Hospital | 20 | $11,432 | About average | $9,800 | $82,064 |
| University Of Cincinnati Medical Center, LLC | 35 | $11,432 | About average | $9,800 | $87,977 |
| Avita Ontario | 219 | $11,432 | About average | $9,799 | $49,894 |
| Georgetown Community Hospital | 32 | $11,432 | About average | $9,790 | $104,595 |
| Baylor Scott And White Orthopedic And Spine Hospi | 118 | $11,432 | About average | $9,800 | $64,474 |
| Baylor Scott & White Medical Center Hillcrest | 213 | $11,435 | About average | $9,803 | $53,238 |
| University Of Kansas Hospital | 287 | $11,435 | About average | $9,803 | $82,637 |
| Barnes-Jewish West County Hospital | 714 | $11,435 | About average | $9,811 | $43,693 |
| Mercy Hospital St Louis | 340 | $11,435 | About average | $9,800 | $31,586 |
| HCA Florida Orange Park Hospital | 22 | $11,439 | About average | $9,807 | $191,192 |
| Ascension Seton Southwest | 76 | $11,439 | About average | $9,807 | $198,666 |
| Hugh Chatham Memorial Hospital | 65 | $11,439 | About average | $9,807 | $40,119 |
| Betsy Johnson Regional Hospital | 11 | $11,439 | About average | $9,807 | $49,269 |
| Vidant Edgecombe Hospital | 32 | $11,439 | About average | $9,807 | $45,887 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 183 | $11,440 | About average | $9,805 | $57,364 |
| The Medical Center Of Southeast Texas | 12 | $11,441 | About average | $9,809 | $80,995 |
| Ascension Seton Hays | 78 | $11,442 | About average | $9,810 | $194,537 |
| Colquitt Regional Medical Center | 38 | $11,444 | About average | $9,861 | $41,808 |
| Baylor Scott And White Surgical Hospital Fortworth | 313 | $11,445 | About average | $9,808 | $52,601 |
| Aspirus Wausau Hospital | 193 | $11,446 | About average | $9,814 | $44,542 |
| Atrium Health Cleveland | 85 | $11,451 | About average | $9,819 | $81,309 |
| Spectrum Health United Hospital | 17 | $11,452 | About average | $9,820 | $34,858 |
| Hillsdale Hospital | 14 | $11,452 | About average | $9,811 | $33,102 |
| Northern Light Eastern Maine Medical Center | 46 | $11,452 | About average | $9,816 | $50,433 |
| Methodist Midlothian Medical Center | 25 | $11,457 | About average | $9,822 | $52,568 |
| Medical City Fort Worth | 25 | $11,457 | About average | $9,817 | $243,870 |
| Harper University Hospital | 72 | $11,458 | About average | $9,824 | $100,248 |
| Memorial Hospital | 69 | $11,461 | About average | $9,829 | $60,943 |
| Orthopaedic Hospital Of Wisconsin | 141 | $11,462 | About average | $9,828 | $70,358 |
| Twin County Regional Hospital | 16 | $11,467 | About average | $9,830 | $106,398 |
| The Orthopedic Specialty Hospital | 33 | $11,467 | About average | $9,835 | $37,384 |
| St Mary's Medical Center | 71 | $11,472 | About average | $9,840 | $182,963 |
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.