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 901–950. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| The Washington Hospital | 25 | $11,740 | About average | $10,108 | $43,612 |
| UPMC Northwest | 21 | $11,740 | About average | $10,108 | $39,192 |
| ACMH Hospital | 46 | $11,740 | About average | $10,108 | $30,384 |
| Allegheny Valley Hospital | 77 | $11,740 | About average | $10,108 | $45,221 |
| Canonsburg General Hospital | 103 | $11,740 | About average | $10,108 | $46,127 |
| Penn Highlands Mon Valley | 32 | $11,740 | About average | $10,108 | $53,204 |
| UPMC East | 103 | $11,740 | About average | $10,108 | $81,658 |
| UPMC Horizon | 79 | $11,740 | About average | $10,108 | $63,444 |
| St Clair Hospital | 197 | $11,740 | About average | $10,108 | $54,240 |
| UPMC Williamsport | 161 | $11,740 | About average | $10,108 | $68,877 |
| Edgewood Surgical Hospital | 233 | $11,740 | About average | $10,107 | $55,533 |
| Independence Health System Butler Memorial Hospita | 108 | $11,740 | About average | $10,107 | $50,537 |
| Lehigh Valley Hospital - Hazleton | 54 | $11,740 | About average | $10,105 | $89,398 |
| Chan Soon- Shiong Medical Center At Windber | 40 | $11,740 | About average | $10,102 | $36,906 |
| AdventHealth Port Charlotte | 124 | $11,740 | About average | $10,107 | $174,580 |
| Methodist Hospital For Surgery | 232 | $11,741 | About average | $10,107 | $42,124 |
| Rex Hospital | 1,077 | $11,741 | About average | $10,109 | $55,586 |
| Sarasota Memorial Hospital | 719 | $11,741 | About average | $10,109 | $91,234 |
| Surgical Institute Of Reading | 338 | $11,741 | About average | $10,108 | $64,016 |
| Community Hospitals And Wellness Centers | 12 | $11,747 | About average | $10,115 | $49,520 |
| Kosciusko Community Hospital | 15 | $11,747 | About average | $10,115 | $126,241 |
| Mercy Health - Defiance Hospital | 22 | $11,747 | About average | $10,115 | $50,405 |
| Parkview Huntington Hospital | 18 | $11,747 | About average | $10,115 | $76,169 |
| Van Wert County Hospital | 14 | $11,747 | About average | $10,115 | $31,053 |
| Baylor Scott & White Medical Center- Waxahachie | 86 | $11,747 | About average | $10,115 | $53,552 |
| Saint Joseph's Hospital Of Atlanta, Inc | 323 | $11,748 | About average | $10,115 | $38,289 |
| Bryan Medical Center | 214 | $11,749 | About average | $10,115 | $49,549 |
| Northeastern Health System | 46 | $11,750 | About average | $10,115 | $40,297 |
| Methodist Jennie Edmundson | 110 | $11,751 | About average | $10,119 | $37,753 |
| HCA Florida North Florida Hospital | 202 | $11,753 | About average | $10,121 | $188,019 |
| The Nebraska Methodist Hospital | 227 | $11,754 | About average | $10,122 | $42,401 |
| Madison Health | 16 | $11,754 | About average | $10,122 | $68,193 |
| Grant Medical Center | 263 | $11,754 | About average | $10,121 | $84,820 |
| Mount Carmel St Ann's | 195 | $11,754 | About average | $10,119 | $69,040 |
| Riverside Methodist Hospital | 379 | $11,754 | About average | $10,119 | $70,757 |
| Doctors Hospital | 540 | $11,754 | About average | $10,120 | $77,317 |
| Medical City Plano | 276 | $11,754 | About average | $10,122 | $255,934 |
| Aurora Medical Center - Summit | 92 | $11,759 | About average | $10,121 | $47,128 |
| Texas Health Presbyterian Hospital Plano | 295 | $11,759 | About average | $10,127 | $65,541 |
| UPMC Pinnacle Hospitals | 578 | $11,761 | About average | $10,129 | $36,989 |
| Thedacare Regional Medical Center - Neenah | 14 | $11,761 | About average | $10,129 | $35,013 |
| HCA Florida Oak Hill Hospital | 141 | $11,762 | About average | $10,124 | $190,480 |
| AdventHealth Ocala | 34 | $11,765 | About average | $10,129 | $201,601 |
| Texas Health Presbyterian Hospital Flower Mound | 304 | $11,766 | About average | $10,133 | $52,574 |
| HCA Florida Highlands Hospital | 74 | $11,767 | About average | $10,135 | $130,993 |
| AdventHealth Wesley Chapel | 223 | $11,768 | About average | $10,133 | $120,937 |
| Aurora Medical Center | 184 | $11,769 | About average | $10,134 | $76,185 |
| University Of Texas Medical Branch Galveston | 81 | $11,770 | About average | $10,162 | $74,987 |
| North Arkansas Regional Medical Center | 98 | $11,770 | About average | $10,136 | $35,238 |
| St Josephs Hospital | 154 | $11,772 | About average | $10,140 | $92,298 |
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.