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 751–800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Halifax Health /UF Health Medical Center Of Delton | 27 | $11,591 | About average | $9,993 | $75,078 |
| South Arkansas Regional Hospital LLC | 36 | $11,592 | About average | $9,957 | $65,488 |
| Baylor Scott And White Medical Center Uptown | 328 | $11,595 | About average | $9,959 | $48,903 |
| Hancock Regional Hospital | 37 | $11,595 | About average | $9,949 | $46,933 |
| UPMC Presbyterian Shadyside | 213 | $11,598 | About average | $9,964 | $96,644 |
| Baptist Health Medical Center-Stuttgart | 13 | $11,602 | About average | $9,970 | $42,574 |
| Licking Memorial Hospital | 67 | $11,603 | About average | $9,971 | $53,911 |
| Methodist Richardson Medical Center | 69 | $11,603 | About average | $9,971 | $52,936 |
| Jackson-Madison County General Hospital | 423 | $11,604 | About average | $9,972 | $56,014 |
| Novant Health Forsyth Medical Center | 193 | $11,605 | About average | $9,973 | $52,054 |
| Henry Ford Allegiance Health | 77 | $11,606 | About average | $9,973 | $44,721 |
| Hamilton Medical Center | 110 | $11,607 | About average | $9,975 | $71,885 |
| Southern Ohio Medical Center | 112 | $11,609 | About average | $9,977 | $71,932 |
| Physicians' Medical Center LLC | 95 | $11,610 | About average | $9,978 | $39,417 |
| St Lukes Hospital | 326 | $11,611 | About average | $9,978 | $37,239 |
| North Carolina Baptist Hospital | 299 | $11,611 | About average | $9,978 | $82,517 |
| Onslow Memorial Hospital | 50 | $11,612 | About average | $9,980 | $53,864 |
| University Of Iowa Health Care Medical Center Down | 683 | $11,613 | About average | $9,980 | $52,045 |
| North Central Surgical Center LLP | 575 | $11,616 | About average | $9,979 | $43,223 |
| Deaconess Hospital Inc | 517 | $11,619 | About average | $9,986 | $32,093 |
| Baptist Health Floyd | 99 | $11,619 | About average | $9,987 | $111,437 |
| Ascension Sacred Heart Bay | 57 | $11,621 | About average | $10,003 | $87,348 |
| Good Samaritan Hospital | 156 | $11,622 | About average | $9,990 | $44,702 |
| Aurora Medical Center Oshkosh | 96 | $11,622 | About average | $9,988 | $43,802 |
| Lakeland Regional Medical Center | 181 | $11,622 | About average | $9,988 | $72,191 |
| Franciscan Health Michigan City | 108 | $11,623 | About average | $9,991 | $78,600 |
| Huron Valley-Sinai Hospital | 113 | $11,626 | About average | $9,994 | $112,640 |
| Excela Health Westmoreland Regional Hospital | 89 | $11,626 | About average | $9,992 | $32,599 |
| McLaren Bay Region | 114 | $11,626 | About average | $9,994 | $53,068 |
| Penn State Health Holy Spirit Medical Center | 188 | $11,627 | About average | $9,995 | $117,322 |
| Ohio Valley Surgical Hospital | 172 | $11,627 | About average | $9,994 | $40,240 |
| Longview Regional Medical Center | 148 | $11,628 | About average | $9,992 | $169,290 |
| Geisinger-Community Medical Center | 277 | $11,630 | About average | $9,998 | $111,320 |
| WakeMed, Cary Hospital | 151 | $11,631 | About average | $9,998 | $65,685 |
| St Marys Hospital Medical Center | 161 | $11,631 | About average | $9,997 | $46,917 |
| Aurora BayCare Medical Center | 194 | $11,632 | About average | $9,999 | $44,254 |
| Wyandotte Hospital And Medical Center | 83 | $11,634 | About average | $10,014 | $44,513 |
| Ahn Wexford Hospital | 289 | $11,635 | About average | $10,001 | $51,229 |
| Intermountain Health McKay-Dee Hospital | 218 | $11,635 | About average | $10,001 | $49,718 |
| Franciscan Health Lafayette | 390 | $11,639 | About average | $10,005 | $120,550 |
| Broward Health North | 276 | $11,639 | About average | $10,003 | $43,100 |
| Texas Health Harris Methodist Fort Worth | 54 | $11,640 | About average | $10,007 | $58,217 |
| Intermountain Health Utah Valley Hospital | 151 | $11,640 | About average | $10,008 | $53,882 |
| Norton Clark Hospital | 133 | $11,640 | About average | $10,008 | $66,522 |
| Geisinger Wyoming Valley Medical Center | 305 | $11,640 | About average | $10,007 | $113,596 |
| Community Hospital East | 93 | $11,642 | About average | $10,010 | $84,650 |
| Beaumont Hospital Royal Oak | 563 | $11,643 | About average | $10,011 | $56,868 |
| Mercy St Vincent Medical Center | 312 | $11,645 | About average | $10,007 | $100,174 |
| Javon Bea Hospital | 42 | $11,645 | About average | $10,013 | $91,624 |
| Christus Spohn Hospital Corpus Christi | 298 | $11,646 | About average | $10,017 | $100,196 |
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.