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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 Michigan

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
Michigan
Specific hospitals up to 10
Average payment across these 73 hospitals
$11,535National $12,402 · Michigan $11,535
Median hospital
$11,577
Lowest to highest
$8,398–$12,425
Medicare procedures
8,557

73 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–73. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Three Rivers HealthThree Rivers, MI · CCN 23001516$11,774About average$10,142$41,058
Trinity Health Livingston HospitalHowell, MI · CCN 230069161$11,811About average$10,178$44,837
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156170$11,866About average$10,228$52,814
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 23000590$11,923About average$10,290$72,441
Corewell Health Ludington HospitalLudington, MI · CCN 23011024$11,944About average$10,312$42,596
Mymichigan Medical Center West BranchWest Branch, MI · CCN 23009537$11,975About average$10,343$28,215
McLaren FlintFlint, MI · CCN 23014189$11,984About average$10,352$71,033
Hurley Medical CenterFlint, MI · CCN 23013237$12,005About average$10,366$67,626
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 23013344$12,021About average$10,380$27,653
Munson Healthcare Grayling HospitalGrayling, MI · CCN 23005847$12,036About average$10,399$36,775
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$320 outlier payments per case253$12,040About average$10,411$55,592
Mymichigan Medical Center MidlandMidland, MI · CCN 230222179$12,041About average$10,409$29,888
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066137$12,079About average$10,446$48,741
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 23008197$12,153About average$10,518$31,834
Chelsea HospitalChelsea, MI · CCN 230259198$12,200About average$10,567$44,051
Munson Medical CenterTraverse City, MI · CCN 230097230$12,216About average$10,584$31,790
McLaren Northern MichiganPetoskey, MI · CCN 23010595$12,229About average$10,591$32,221
Dickinson County Memorial HospitalIron Mountain, MI · CCN 23005532$12,262About average$10,630$32,000
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197130$12,263About average$10,630$47,735
Mymichigan Medical Center AlpenaAlpena, MI · CCN 23003695$12,341About average$10,709$32,934
Tawas St Joseph HospitalTawas City, MI · CCN 23010013$12,341About average$10,703$16,813
Munson Healthcare Manistee HospitalManistee, MI · CCN 23030325$12,392About average$10,760$32,875
Uphs Marquette Dlp HospitalMarquette, MI · CCN 23005444$12,425About average$10,809$104,513

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.