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 651–700. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baylor Scott And White Surgical Hospital At Sherma | 224 | $11,472 | About average | $9,840 | $72,005 |
| St David's Medical Center | 717 | $11,473 | About average | $9,840 | $191,676 |
| Lake Cumberland Regional Hospital | 49 | $11,473 | About average | $9,836 | $135,405 |
| Ogden Regional Medical Center | 169 | $11,474 | About average | $9,842 | $129,888 |
| St David's South Austin Medical Center | 105 | $11,475 | About average | $9,843 | $165,916 |
| Belton Regional Medical Center | 40 | $11,480 | About average | $9,848 | $103,601 |
| Providence Medical Center | 16 | $11,480 | About average | $9,848 | $96,339 |
| Research Medical Center | 17 | $11,480 | About average | $9,848 | $120,705 |
| St Mary's Medical Center | 19 | $11,480 | About average | $9,848 | $116,360 |
| Centerpoint Medical Center | 102 | $11,480 | About average | $9,848 | $115,151 |
| Saint Luke's East Hospital | 193 | $11,480 | About average | $9,848 | $63,220 |
| American Fork Hospital | 69 | $11,481 | About average | $9,849 | $42,064 |
| Excela Health Latrobe Hospital | 39 | $11,481 | About average | $9,849 | $33,567 |
| Heritage Valley Beaver | 39 | $11,481 | About average | $9,849 | $35,220 |
| UNM Hospital | 77 | $11,483 | About average | $9,872 | $32,899 |
| North Austin Medical Center | 344 | $11,483 | About average | $9,851 | $178,599 |
| University Of Utah Hospital And Clinics | 449 | $11,484 | About average | $9,851 | $33,674 |
| Baylor Scott And White Medical Center Sunnyvale | 30 | $11,489 | About average | $9,852 | $142,829 |
| SSM Health St Mary's Hospital - St Louis | 48 | $11,490 | About average | $9,858 | $45,483 |
| Christian Hospital Northeast | 17 | $11,490 | About average | $9,858 | $47,504 |
| Aurora Medical Center Manitowoc County | 76 | $11,493 | About average | $9,861 | $49,224 |
| University Of Toledo Medical Center | 35 | $11,494 | About average | $9,862 | $81,295 |
| Atrium Health Navicent The Medical Center | 197 | $11,495 | About average | $9,863 | $66,447 |
| Bellevue Medical Center | 293 | $11,495 | About average | $9,863 | $44,266 |
| Holy Family Memorial | 62 | $11,496 | About average | $9,860 | $49,813 |
| South Central Regional Medical Center | 18 | $11,496 | About average | $9,864 | $22,613 |
| Mercy Hospital Jefferson | 51 | $11,501 | About average | $9,868 | $37,398 |
| Carolinas Medical Center/Behavioral Health | 427 | $11,505 | About average | $9,875 | $87,927 |
| Carolina Pines Regional Medical Center | 55 | $11,505 | About average | $9,873 | $200,226 |
| Iredell Memorial Hospital Inc | 100 | $11,505 | About average | $9,873 | $99,452 |
| Lima Memorial Health System | 11 | $11,506 | About average | $9,874 | $76,174 |
| MUSC Health Columbia Medical Center Downtown | 276 | $11,506 | About average | $9,874 | $113,295 |
| Fairview Park Hospital | 54 | $11,506 | About average | $9,871 | $123,072 |
| Christus Good Shepherd Medical Center | 216 | $11,507 | About average | $9,874 | $123,306 |
| Conemaugh Nason Medical Center | 87 | $11,508 | About average | $9,876 | $46,780 |
| Caromont Regional Medical Center | 303 | $11,508 | About average | $9,876 | $69,123 |
| Mymichigan Medical Center Alma | 38 | $11,509 | About average | $9,877 | $26,916 |
| Carrollton Regional Medical Center | 33 | $11,509 | About average | $9,872 | $49,056 |
| Hunt Regional Medical Center | 32 | $11,510 | About average | $9,878 | $47,193 |
| Palm Beach Gardens Medical Center | 209 | $11,513 | About average | $9,879 | $174,405 |
| Piedmont Hospital, Inc | 419 | $11,513 | About average | $9,929 | $93,221 |
| Texas Health Harris Methodist Hospital Cleburne | 58 | $11,513 | About average | $9,881 | $58,918 |
| Atrium Health Pineville | 337 | $11,513 | About average | $9,881 | $93,352 |
| Henry Ford Health West Bloomfield Hospital | 318 | $11,515 | About average | $9,883 | $41,814 |
| Baylor Medical Center At Trophy Club | 248 | $11,515 | About average | $9,882 | $48,965 |
| Novant Health Matthews Medical Center | 69 | $11,516 | About average | $9,884 | $79,001 |
| McLaren Greater Lansing | 279 | $11,520 | About average | $9,887 | $52,552 |
| Baylor Scott & White Medical Center Grapevine | 88 | $11,520 | About average | $9,885 | $59,240 |
| Wayne Memorial Hospital | 50 | $11,520 | About average | $9,908 | $76,196 |
| Penn State Health Lancaster Medical Center | 162 | $11,524 | About average | $9,891 | $114,650 |
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.