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 801–850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baptist Health Paducah | 110 | $11,647 | About average | $10,008 | $131,947 |
| Mount Carmel New Albany Surgical Hospital | 660 | $11,647 | About average | $10,012 | $68,423 |
| Beaumont Hospital - Dearborn | 113 | $11,648 | About average | $10,016 | $64,417 |
| Beaumont Hospital, Troy | 300 | $11,648 | About average | $10,015 | $53,752 |
| St Luke's Des Peres Hospital | 143 | $11,648 | About average | $10,016 | $46,982 |
| St Mark's Hospital | 243 | $11,650 | About average | $10,015 | $108,042 |
| Ascension Providence Hospital, Southfield And Novi | 351 | $11,651 | About average | $10,019 | $46,137 |
| Wellspan Evangelical Community Hospital | 340 | $11,651 | About average | $10,019 | $64,890 |
| Lincoln Surgical Hospital | 949 | $11,652 | About average | $10,018 | $33,172 |
| Baptist Hospital | 359 | $11,653 | About average | $10,019 | $97,521 |
| Duke Regional Hospital | 252 | $11,653 | About average | $10,021 | $50,843 |
| Texas Health Presbyterian Hospital Rockwall | 118 | $11,658 | About average | $10,024 | $59,406 |
| Community Hospital North | 141 | $11,658 | About average | $10,026 | $84,245 |
| Cleveland Clinic Hospital | 197 | $11,660 | About average | $10,028 | $48,489 |
| Texas Health Harris Methodist Hospital Alliance | 50 | $11,661 | About average | $10,029 | $55,985 |
| IU Health West Hospital | 147 | $11,663 | About average | $10,030 | $111,273 |
| Northeast Georgia Medical Center, Inc | 333 | $11,663 | About average | $10,030 | $106,615 |
| West Allis Memorial Hospital | 85 | $11,663 | About average | $10,031 | $74,078 |
| Geisinger Medical Center | 125 | $11,666 | About average | $10,034 | $149,904 |
| Heritage Valley Sewickley | 136 | $11,666 | About average | $10,034 | $29,718 |
| Blue Ridge Medical Center | 11 | $11,666 | About average | $10,034 | $100,643 |
| Ascension Providence | 123 | $11,667 | About average | $10,035 | $82,715 |
| Novant Health Presbyterian Medical Center | 496 | $11,667 | About average | $10,035 | $68,215 |
| Carolinas Medical Center-Northeast | 214 | $11,668 | About average | $10,036 | $81,689 |
| Forbes Hospital | 141 | $11,668 | About average | $10,034 | $39,951 |
| Jefferson Hospital | 141 | $11,669 | About average | $10,034 | $48,715 |
| The Villages Regional Hospital | 87 | $11,670 | About average | $10,038 | $61,954 |
| North Carolina Specialty Hospital | 415 | $11,671 | About average | $10,039 | $40,601 |
| Ascension Se Wisconsin Hospital | 74 | $11,672 | About average | $10,061 | $49,823 |
| Memorial Hospital West | 44 | $11,672 | About average | $10,040 | $69,929 |
| White River Medical Center | 102 | $11,673 | About average | $10,038 | $44,097 |
| Wilkes-Barre General Hospital | 152 | $11,673 | About average | $10,041 | $128,913 |
| Trinity Health Oakland Hospital | 249 | $11,674 | About average | $10,042 | $49,924 |
| Orthoindy Hospital | 815 | $11,674 | About average | $10,036 | $42,060 |
| Jefferson Regional Medical Center | 61 | $11,675 | About average | $10,043 | $52,454 |
| HCA Florida University Hospital | 45 | $11,677 | About average | $10,045 | $120,611 |
| Duke University Hospital | 518 | $11,678 | About average | $10,046 | $51,180 |
| Ascension St Vincent Evansville | 270 | $11,679 | About average | $10,047 | $90,870 |
| Sovah Health Danville | 63 | $11,679 | About average | $10,047 | $146,715 |
| Texas Health Arlington Memorial Hospital | 55 | $11,680 | About average | $10,048 | $74,359 |
| Baylor Scott & White Medical Center Plano | 138 | $11,681 | About average | $10,049 | $56,395 |
| Eastern Idaho Regional Medical Center | 69 | $11,681 | About average | $10,040 | $107,613 |
| T J Samson Community Hospital | 44 | $11,682 | About average | $10,069 | $45,948 |
| Atrium Health University City | 79 | $11,683 | About average | $10,048 | $85,536 |
| Marshfield Medical Center - Weston | 130 | $11,683 | About average | $10,051 | $45,725 |
| Duke Health Lake Norman Hospital | 160 | $11,683 | About average | $10,051 | $117,096 |
| Magee Womens Hospital Of UPMC Health System | 180 | $11,684 | About average | $10,051 | $51,494 |
| Frye Regional Medical Center | 43 | $11,688 | About average | $10,056 | $103,503 |
| St Anthonys Hospital | 189 | $11,688 | About average | $10,056 | $73,122 |
| Texas Health Harris Methodist Hospital Southwest F | 926 | $11,689 | About average | $10,057 | $56,214 |
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.