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
Hospitals in Illinois
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.
- Average payment across these 82 hospitals
- $12,334
- Median hospital
- $12,331
- Lowest to highest
- $11,236–$13,006
- Medicare procedures
- 14,943
82 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–82. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Northwestern Medicine Central Dupage Hospital | 386 | $12,421 | About average | $10,789 | $109,141 |
| Loyola University Medical Center | 104 | $12,459 | About average | $10,825 | $38,595 |
| The University Of Chicago Medical Center | 213 | $12,467 | About average | $10,835 | $95,269 |
| University Of Illinois Hospital And Clinics | 36 | $12,471 | About average | $10,839 | $72,355 |
| Advocate Illinois Masonic Medical Center | 73 | $12,477 | About average | $10,845 | $77,209 |
| Franciscan Health Olympia & Chicago Heights | 47 | $12,477 | About average | $10,845 | $79,272 |
| Saint Joseph Medical Center | 37 | $12,477 | About average | $10,845 | $84,947 |
| Mercyhealth Hospital & Physician Clinic-Crystal La | 12 | $12,477 | About average | $10,845 | $71,371 |
| Swedish Hospital | 12 | $12,477 | About average | $10,845 | $69,549 |
| Uchicago Medicine AdventHealth Hinsdale | 12 | $12,477 | About average | $10,845 | $75,402 |
| Presence Mercy Medical Center | 32 | $12,487 | About average | $10,848 | $112,588 |
| Presence Saint Joseph Hospital - Chicago | 44 | $12,528 | About average | $10,890 | $86,682 |
| Loyola Gottlieb Memorial Hospital | 94 | $12,546 | About average | $10,909 | $39,542 |
| Saint Anthony Medical Center | 206 | $12,619 | About average | $10,984 | $51,518 |
| Alexian Brothers Medical Center 1 | 81 | $12,643 | About average | $11,011 | $53,040 |
| Northwestern Memorial Hospital | 534 | $12,656 | About average | $11,024 | $99,559 |
| St Alexius Medical Center | 393 | $12,671 | About average | $11,038 | $53,852 |
| Northwestern Medicine Kishwaukee Hospital | 108 | $12,678 | About average | $11,046 | $99,858 |
| Rush University Medical Center | 538 | $12,678 | About average | $11,045 | $54,013 |
| Uw Health | 149 | $12,706 | About average | $11,074 | $188,863 |
| Northwestern Medicine Delnor Community Hospital | 169 | $12,771 | About average | $11,139 | $94,879 |
| Saint Joseph Hospital-Elgin | 190 | $12,778 | About average | $11,146 | $118,589 |
| OSF Little Company Of Mary Medical Center | 11 | $12,781 | About average | $11,149 | $75,801 |
| OSF Saint Elizabeth Mdl Center | 70 | $12,781 | About average | $11,149 | $79,760 |
| Saint Francis Hospital-Evanston | 15 | $12,781 | About average | $11,149 | $97,315 |
| MacNeal Hospital | 60 | $12,781 | About average | $11,145 | $79,974 |
| Copley Memorial Hospital | 175 | $12,823 | About average | $11,191 | $68,528 |
| Advocate Sherman Hospital | 111 | $12,837 | About average | $11,204 | $61,278 |
| Sarah Bush Lincoln Health Center | 406 | $12,874 | About average | $11,242 | $62,887 |
| St Anthonys Memorial Hospital | 52 | $13,006 | About average | $11,374 | $49,083 |
| Blessing Hospital | 289 | $13,006 | About average | $11,374 | $91,836 |
| St Mary Medical Center | 14 | $13,006 | About average | $11,374 | $84,777 |
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.