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 851–900. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baxter Health | 271 | $11,691 | About average | $10,059 | $31,907 |
| UPMC St Margaret | 215 | $11,693 | About average | $10,061 | $76,709 |
| UPMC Carlisle | 148 | $11,693 | About average | $10,058 | $33,225 |
| UPMC Passavant | 218 | $11,694 | About average | $10,060 | $77,952 |
| Soin Medical Center | 98 | $11,694 | About average | $10,060 | $91,105 |
| Kettering Health Main Campus | 101 | $11,696 | About average | $10,063 | $86,984 |
| HCA Florida Gulf Coast Hospital | 196 | $11,696 | About average | $10,061 | $171,172 |
| Jennie Stuart Medical Center | 91 | $11,698 | About average | $10,065 | $50,906 |
| St Nicholas Hospital | 38 | $11,698 | About average | $10,060 | $50,796 |
| Dublin Methodist Hospital | 191 | $11,701 | About average | $10,066 | $81,874 |
| Novant Health Huntersville Medical Center | 187 | $11,702 | About average | $10,070 | $83,093 |
| Natchitoches Regional Medical Center | 18 | $11,704 | About average | $10,072 | $53,606 |
| Baptist Health Medical Center - Jacksonville | 766 | $11,705 | About average | $10,072 | $78,221 |
| Baylor Scott & White Medical Center - Centennial | 83 | $11,706 | About average | $10,074 | $50,775 |
| AdventHealth Waterman | 154 | $11,706 | About average | $10,073 | $74,455 |
| Huntsville Memorial Hospital | 22 | $11,707 | About average | $10,075 | $57,362 |
| Delray Medical Center | 52 | $11,708 | About average | $10,076 | $173,397 |
| Orlando Health Bayfront Hospital | 104 | $11,708 | About average | $10,074 | $145,845 |
| Union Hospital Inc | 380 | $11,710 | About average | $10,076 | $69,859 |
| AdventHealth Redmond | 152 | $11,711 | About average | $10,077 | $135,231 |
| Lakeview Hospital | 333 | $11,714 | About average | $10,082 | $88,588 |
| Kettering Health Miamisburg | 247 | $11,714 | About average | $10,081 | $86,684 |
| McLaren Lapeer Region | 37 | $11,715 | About average | $10,083 | $52,190 |
| Mymichigan Medical Center Saginaw | 45 | $11,715 | About average | $10,082 | $35,112 |
| Texas Health Center For Diagnostics & Surgery Plan | 90 | $11,715 | About average | $10,083 | $61,220 |
| HCA Florida Fort Walton-Destin Hospital | 54 | $11,716 | About average | $10,084 | $169,849 |
| Northwest Health-La Porte | 27 | $11,716 | About average | $10,084 | $123,822 |
| Baylor Surgical Hospital At Las Colinas | 91 | $11,716 | About average | $10,084 | $64,927 |
| Memorial Regional Hospital | 53 | $11,716 | About average | $10,080 | $59,367 |
| Riverview Health | 133 | $11,719 | About average | $10,084 | $66,954 |
| Lake Granbury Medical Center | 71 | $11,722 | About average | $10,087 | $186,261 |
| Baptist Beaumont Hospital | 84 | $11,723 | About average | $10,089 | $74,465 |
| Merit Health River Region | 16 | $11,725 | About average | $10,093 | $132,800 |
| Mercy Hospital Southeast | 138 | $11,725 | About average | $10,090 | $77,036 |
| Dch Regional Medical Center | 240 | $11,727 | About average | $10,094 | $53,953 |
| Baylor Scott & White Medical Center - Frisco | 303 | $11,727 | About average | $10,094 | $54,695 |
| Jackson Health System | 99 | $11,730 | About average | $10,095 | $38,902 |
| Treasure Valley Hospital | 312 | $11,730 | About average | $10,097 | $58,282 |
| Mount Sinai Medical Center Of Florida, Inc | 108 | $11,730 | About average | $10,096 | $48,640 |
| Midwest Orthopedic Specialty Hospital | 257 | $11,733 | About average | $10,095 | $50,552 |
| Methodist Dallas Medical Center | 45 | $11,736 | About average | $10,104 | $54,594 |
| Oakleaf Surgical Hospital | 376 | $11,736 | About average | $10,106 | $38,281 |
| Henry Ford Health St John Hospital | 78 | $11,737 | About average | $10,105 | $52,871 |
| Ohio State University State Health System | 171 | $11,737 | About average | $10,104 | $70,152 |
| Baylor Scott And White Medical Center Lake Pointe | 112 | $11,737 | About average | $10,105 | $50,993 |
| Medical Center Of McKinney | 112 | $11,737 | About average | $10,105 | $295,710 |
| Midwest Surgical Hospital LLC | 476 | $11,738 | About average | $10,101 | $52,451 |
| Moses H. Cone The Memorial Hospital | 389 | $11,739 | About average | $10,107 | $44,297 |
| Citizens Memorial Hospital | 104 | $11,739 | About average | $10,107 | $36,721 |
| Geisinger-Bloomsburg Hospital | 16 | $11,740 | About average | $10,108 | $68,708 |
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.