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Outpatient procedure · APC 5115 · Surgery or procedure

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
$10,77287% of the payment
Average billed charge
$72,739
Hospitals reporting
2,213362,845 procedures

Hospitals in Florida

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.

Location
Florida
Specific hospitals up to 10
Average payment across these 131 hospitals
$11,800National $12,402 · Florida $11,799
Median hospital
$11,844
Lowest to highest
$10,469–$12,749
Medicare procedures
23,257

131 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
AdventHealth TampaTampa, FL · CCN 100173230$11,816About average$10,183$126,663
HCA Florida Capital HospitalTallahassee, FL · CCN 100254116$11,817About average$10,185$133,081
Orlando HealthOrlando, FL · CCN 100006474$11,820About average$10,187$147,473
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040241$11,821About average$10,189$113,505
Cape Coral HospitalCape Coral, FL · CCN 100244123$11,822About average$10,188$93,507
Mayo ClinicJacksonville, FL · CCN 100151862$11,822About average$10,190$47,154
Bartow Regional Medical CenterBartow, FL · CCN 10012163$11,823About average$10,191$68,057
Holy Cross HospitalFt Lauderdale, FL · CCN 100073624$11,823About average$10,190$72,081
Morton Plant HospitalClearwater, FL · CCN 100127876$11,824About average$10,191$73,812
Palm Bay HospitalPalm Bay, FL · CCN 100316131$11,831About average$10,197$101,164
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291164$11,833About average$10,211$172,538
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105280$11,838About average$10,205$57,857
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286611$11,839About average$10,206$149,446
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168 · +$117 outlier payments per case272$11,839About average$10,207$81,297
Mease Dunedin HospitalDunedin, FL · CCN 100043160$11,843About average$10,210$85,061
AdventHealth CarrollwoodTampa, FL · CCN 100069 · +$336 outlier payments per case166$11,844About average$10,212$132,520
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260360$11,849About average$10,216$215,126
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307199$11,854About average$10,217$115,312
Winter Haven HospitalWinter Haven, FL · CCN 100052205$11,856About average$10,224$76,365
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236221$11,859About average$10,226$206,659
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292228$11,861About average$10,228$60,150
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249202$11,863About average$10,236$124,895
Marion Communtiy HospitalOcala, FL · CCN 100212849$11,870About average$10,237$133,641
HCA Florida JFK HospitalAtlantis, FL · CCN 100080284$11,870About average$10,238$151,825
Jupiter Medical CenterJupiter, FL · CCN 100253325$11,872About average$10,240$69,723
Naples Community HospitalNaples, FL · CCN 100018634$11,875About average$10,241$59,053
AdventHealth North PinellasTarpon Springs, FL · CCN 10005543$11,906About average$10,274$95,483
AdventHealth SebringSebring, FL · CCN 10010920$11,906About average$10,274$78,722
Broward Health Imperial PointFort Lauderdale, FL · CCN 10020015$11,906About average$10,274$52,614
Broward Health Medical CenterFort Lauderdale, FL · CCN 10003925$11,906About average$10,274$47,720
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 10022041$11,906About average$10,274$89,048
HCA Florida Citrus HospitalInverness, FL · CCN 10002328$11,906About average$10,274$164,890
HCA Florida Largo HospitalLargo, FL · CCN 10024825$11,906About average$10,274$179,250
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 10024623$11,906About average$10,274$155,324
HCA Florida Mercy HospitalPlantation, FL · CCN 10016747$11,906About average$10,274$117,135
HCA Florida South Tampa HospitalTampa, FL · CCN 10020628$11,906About average$10,274$165,949
Manatee Memorial HospitalBradenton, FL · CCN 10003530$11,906About average$10,274$166,740
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359378$11,906About average$10,274$99,903
South Miami HospitalMiami, FL · CCN 10015417$11,906About average$10,274$88,023
Wellington Regional Medical CenterWellington, FL · CCN 10027520$11,906About average$10,274$124,513
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068137$11,906About average$10,274$72,457
AdventHealth DelandDeland, FL · CCN 10004570$11,906About average$10,274$58,249
AdventHealth Fish MemorialOrange City, FL · CCN 100072133$11,906About average$10,274$60,442
AdventHealth Palm CoastPalm Coast, FL · CCN 10011896$11,906About average$10,274$79,076
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321102$11,906About average$10,274$113,495
Cape Canaveral HospitalCocoa Beach, FL · CCN 10017790$11,906About average$10,274$88,579
Central Florida Lake Monroe HospitalSanford, FL · CCN 10016176$11,906About average$10,274$175,077
HCA Florida Englewood HospitalEnglewood, FL · CCN 10026776$11,906About average$10,274$196,115
HCA Florida Northwest HospitalMargate, FL · CCN 10018911$11,906About average$10,274$168,315
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 10012663$11,906About average$10,274$227,511

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 229,215 procedures at 2,037 hospitals · 2021: 364,363 procedures at 2,254 hospitals · 2022: 410,561 procedures at 2,321 hospitals · 2023: 427,124 procedures at 2,312 hospitals · 2024: 362,845 procedures at 2,213 hospitals
View data as a table
National average payment and billed charge for Level 5 Musculoskeletal Procedures
Year of careAverage paymentAverage 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
Average payment by state for Level 5 Musculoskeletal Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont6927$6,642$5,710–$7,857
Alabama365,517$10,733$10,538–$10,928
Mississippi251,977$10,843$10,672–$11,006
Tennessee478,201$10,865$10,654–$11,195
Louisiana445,417$10,909$10,733–$11,044
West Virginia192,033$11,015$10,538–$11,114
Ohio10415,215$11,123$11,029–$11,497
Oklahoma427,005$11,159$11,026–$11,326
Arkansas285,195$11,206$11,043–$11,679
South Carolina439,015$11,244$11,083–$11,366
Kentucky425,097$11,263$10,995–$11,552
Kansas346,049$11,345$11,166–$11,885
Iowa295,825$11,405$11,208–$11,925
Missouri538,629$11,419$11,333–$11,837
Virginia5513,156$11,531$11,183–$12,118
Michigan738,557$11,535$11,319–$11,944
Texas18827,220$11,614$11,350–$11,866
Georgia719,007$11,645$11,145–$12,011
North Carolina6511,812$11,652$11,347–$11,739
New Mexico162,050$11,704$11,270–$12,005
Utah323,863$11,712$11,479–$11,775
Indiana649,630$11,754$11,642–$11,909
Nebraska214,927$11,799$11,652–$12,128
Florida13323,438$11,799$11,730–$11,906
Idaho152,954$11,894$11,784–$12,386
Wisconsin567,721$11,921$11,695–$12,134
Maine141,590$12,045$11,422–$12,212
Pennsylvania10517,854$12,207$11,693–$12,571
Montana102,257$12,302$12,157–$12,991
Illinois8214,943$12,334$12,119–$12,518
South Dakota133,867$12,387$12,258–$13,048
North Dakota61,935$12,448$12,260–$12,787
Colorado478,262$12,564$12,388–$12,511
New Hampshire112,199$12,713$12,410–$12,672
Minnesota426,532$12,735$12,361–$12,965
Arizona479,066$12,802$12,653–$12,814
Wyoming10919$12,806$12,962–$13,194
Delaware62,342$13,085$13,029–$13,172
District of Columbia4774$13,274$13,278–$13,444
Rhode Island8825$13,278$13,310–$13,335
Washington437,875$13,453$13,133–$13,721
Alaska6992$13,858$13,747–$14,483
Oregon293,599$13,939$13,452–$13,786
Nevada162,147$13,956$13,488–$13,899
Massachusetts439,382$13,997$13,872–$14,027
New Jersey4310,137$14,069$13,614–$14,536
New York9113,630$14,226$13,725–$14,676
Connecticut233,597$14,579$14,481–$14,714
Hawaii9682$14,923$14,484–$15,494
California16427,002$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.