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 Ohio
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 104 hospitals
- $11,123
- Median hospital
- $11,186
- Lowest to highest
- $3,145–$12,321
- Medicare procedures
- 15,215
104 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Pomerene Hospital | 13 | $11,186 | About average | $9,554 | $31,722 |
| Firelands Regional Medical Center | 80 | $11,186 | About average | $9,553 | $54,617 |
| Salem Regional Medical Center | 173 | $11,186 | About average | $9,553 | $39,382 |
| Fairview Hospital | 34 | $11,222 | About average | $9,590 | $53,097 |
| Grand Lake Health System | 20 | $11,242 | About average | $9,610 | $42,797 |
| Mercy Health St Ritas Medical Center | 26 | $11,242 | About average | $9,610 | $105,739 |
| Upper Valley Medical Center | 17 | $11,242 | About average | $9,610 | $74,940 |
| Kettering Health Dayton | 337 | $11,242 | About average | $9,610 | $87,357 |
| Wooster Community Hospital | 48 | $11,245 | About average | $9,613 | $33,222 |
| Mercy Health - Tiffin Hospital | 59 | $11,245 | About average | $9,612 | $76,479 |
| West Chester Hospital | 110 | $11,254 | About average | $9,621 | $60,724 |
| ProMedica Toledo Hospital | 746 | $11,258 | About average | $9,625 | $60,949 |
| Grady Memorial Hospital | 21 | $11,272 | About average | $9,640 | $72,083 |
| Christ Hospital | 1,069 | $11,295 | About average | $9,662 | $40,170 |
| Good Samaritan Hospital | 137 | $11,326 | About average | $9,694 | $40,893 |
| OhioHealth Mansfield Hospital | 142 | $11,367 | About average | $9,735 | $67,024 |
| Adena Regional Medical Center | 74 | $11,373 | About average | $9,740 | $78,203 |
| Mount Carmel East & West | 166 | $11,390 | About average | $9,749 | $70,481 |
| Marion General Hospital | 100 | $11,408 | About average | $9,770 | $74,692 |
| Miami Valley Hospital | 425 | $11,413 | About average | $9,781 | $74,080 |
| Springfield Regional Medical Center | 37 | $11,430 | About average | $9,798 | $72,915 |
| Bethesda North | 214 | $11,432 | About average | $9,800 | $40,587 |
| McCullough-Hyde Memorial Hospital | 48 | $11,432 | About average | $9,800 | $50,097 |
| Mercy Health - Clermont Hospital | 20 | $11,432 | About average | $9,800 | $82,064 |
| University Of Cincinnati Medical Center, LLC | 35 | $11,432 | About average | $9,800 | $87,977 |
| Avita Ontario | 219 | $11,432 | About average | $9,799 | $49,894 |
| Memorial Hospital | 69 | $11,461 | About average | $9,829 | $60,943 |
| University Of Toledo Medical Center | 35 | $11,494 | About average | $9,862 | $81,295 |
| Lima Memorial Health System | 11 | $11,506 | About average | $9,874 | $76,174 |
| Fairfield Medical Center | 48 | $11,543 | About average | $9,909 | $48,314 |
| Berger Hospital | 58 | $11,579 | About average | $9,943 | $68,621 |
| Licking Memorial Hospital | 67 | $11,603 | About average | $9,971 | $53,911 |
| Southern Ohio Medical Center | 112 | $11,609 | About average | $9,977 | $71,932 |
| Ohio Valley Surgical Hospital | 172 | $11,627 | About average | $9,994 | $40,240 |
| Mercy St Vincent Medical Center | 312 | $11,645 | About average | $10,007 | $100,174 |
| Mount Carmel New Albany Surgical Hospital | 660 | $11,647 | About average | $10,012 | $68,423 |
| 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 |
| Dublin Methodist Hospital | 191 | $11,701 | About average | $10,066 | $81,874 |
| Kettering Health Miamisburg | 247 | $11,714 | About average | $10,081 | $86,684 |
| Ohio State University State Health System | 171 | $11,737 | About average | $10,104 | $70,152 |
| Community Hospitals And Wellness Centers | 12 | $11,747 | About average | $10,115 | $49,520 |
| Mercy Health - Defiance Hospital | 22 | $11,747 | About average | $10,115 | $50,405 |
| Van Wert County Hospital | 14 | $11,747 | About average | $10,115 | $31,053 |
| 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 |
| Wilson Memorial Hospital | 105 | $11,797 | About average | $10,164 | $44,833 |
| Southeastern Ohio Regional Medical Center | 55 | $11,978 | About average | $10,341 | $60,302 |
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.