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 701–750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Josephs Hospital | 17 | $11,528 | About average | $9,896 | $53,475 |
| Atrium Health Floyd Medical Center | 114 | $11,529 | About average | $9,897 | $122,101 |
| Mary Lanning Healthcare | 83 | $11,530 | About average | $9,897 | $40,077 |
| DeKalb Regional Medical Center | 14 | $11,531 | About average | $9,899 | $158,440 |
| Lehigh Valley Hospital - Dickson City | 405 | $11,531 | About average | $9,899 | $75,059 |
| HCA Florida Aventura Hospital | 27 | $11,532 | About average | $9,893 | $142,900 |
| Bellin Memorial Hospital | 243 | $11,533 | About average | $9,914 | $55,833 |
| Mercy Health System Corp | 47 | $11,534 | About average | $9,902 | $81,624 |
| University Of Iowa Hospital & Clinics | 344 | $11,534 | About average | $9,902 | $59,924 |
| Catawba Valley Medical Center | 223 | $11,534 | About average | $9,902 | $41,834 |
| Great Plains Regional Medical Center | 120 | $11,539 | About average | $9,912 | $41,500 |
| Barnes-Jewish St Peters Hospital | 129 | $11,542 | About average | $9,908 | $42,601 |
| Fairfield Medical Center | 48 | $11,543 | About average | $9,909 | $48,314 |
| Magnolia Hospital | 31 | $11,543 | About average | $9,911 | $25,578 |
| WakeMed, Raleigh Campus | 141 | $11,546 | About average | $9,910 | $69,572 |
| Ascension Seton Medical Center Austin | 257 | $11,547 | About average | $9,918 | $178,010 |
| Baylor Scott And White Medical Center McKinney | 146 | $11,549 | About average | $9,915 | $53,362 |
| LDS Hospital | 284 | $11,550 | About average | $9,916 | $42,087 |
| Beaumont Hospital - Farmington Hills | 55 | $11,553 | About average | $9,921 | $62,475 |
| Intermountain Health Alta View Hospital | 90 | $11,554 | About average | $9,916 | $39,498 |
| Progress West Hospital | 140 | $11,554 | About average | $9,922 | $40,348 |
| Indiana University Health Arnett Hospital | 122 | $11,554 | About average | $9,920 | $123,007 |
| Ascension Providence Rochester Hospital | 190 | $11,556 | About average | $9,923 | $50,278 |
| Duke Health Raleigh Hospital | 111 | $11,558 | About average | $9,926 | $60,571 |
| St Elizabeth Dearborn Hospital | 128 | $11,559 | About average | $9,920 | $50,032 |
| Orlando Health-Health Central Hospital | 30 | $11,563 | About average | $9,931 | $130,106 |
| Corewell Health Wayne Hospital | 13 | $11,564 | About average | $9,932 | $86,814 |
| Memorial Hospital And Health Care Center | 133 | $11,565 | About average | $9,933 | $44,355 |
| Thedacare Regional Medical Center - Appleton Inc | 220 | $11,568 | About average | $9,934 | $24,979 |
| Shands Jacksonville | 61 | $11,569 | About average | $9,931 | $94,372 |
| Jackson County Memorial Hospital Authority | 46 | $11,569 | About average | $9,937 | $36,483 |
| Ascension Seton Northwest | 123 | $11,570 | About average | $9,938 | $194,711 |
| Baylor Scott & White Medical Center Pflugerville | 45 | $11,570 | About average | $9,938 | $57,168 |
| Dell Seton Medical Center At The University Of Tx | 24 | $11,570 | About average | $9,938 | $142,843 |
| Northwest Hills Surgical Hospital | 48 | $11,570 | About average | $9,938 | $67,771 |
| The Nebraska Medical Center | 112 | $11,570 | About average | $9,938 | $42,432 |
| CHI Health St. Elizabeth | 115 | $11,571 | About average | $9,931 | $38,465 |
| FirstHealth Moore Regional Hospital | 479 | $11,572 | About average | $9,939 | $49,432 |
| University Hospital And Medical Center | 31 | $11,574 | About average | $9,942 | $109,337 |
| Park City Hospital | 152 | $11,575 | About average | $9,942 | $40,424 |
| Wellstar Spalding Medical Center | 17 | $11,576 | About average | $9,933 | $76,115 |
| Northwest Health - Porter | 136 | $11,576 | About average | $9,944 | $149,670 |
| Straith Hospital For Special Surgery | 17 | $11,577 | About average | $9,945 | $26,605 |
| Lake Huron Medical Center | 21 | $11,577 | About average | $9,945 | $120,010 |
| Deaconess Henderson Hospital | 16 | $11,578 | About average | $9,946 | $38,293 |
| Cullman Regional Medical Center | 70 | $11,579 | About average | $9,947 | $61,926 |
| Berger Hospital | 58 | $11,579 | About average | $9,943 | $68,621 |
| Wellstar Cobb Medical Center | 75 | $11,579 | About average | $9,965 | $99,544 |
| Holy Cross Hospital - Salt Lake | 52 | $11,580 | About average | $9,948 | $52,670 |
| Mercy Hospital Washington | 92 | $11,588 | About average | $9,956 | $35,872 |
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.