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 Pennsylvania
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 105 hospitals
- $12,207
- Median hospital
- $12,031
- Lowest to highest
- $10,546–$13,847
- Medicare procedures
- 17,854
105 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 |
|---|---|---|---|---|---|
| St Luke's Hospital - Anderson Campus | 52 | $11,979 | About average | $10,347 | $104,964 |
| Penn State Health St. Joseph | 23 | $11,985 | About average | $10,353 | $118,130 |
| Robert Packer Hospital | 243 | $12,031 | About average | $10,398 | $42,716 |
| Wellspan Surgery And Rehabilitation Hospital | 206 | $12,039 | About average | $10,406 | $84,351 |
| Lancaster General Hospital | 477 | $12,047 | About average | $10,415 | $36,954 |
| Jefferson Einstein Montgomery Hospital | 121 | $12,064 | About average | $10,432 | $59,365 |
| Oss Orthopaedic Hospital | 439 | $12,074 | About average | $10,441 | $41,172 |
| Wellspan York Hospital | 46 | $12,137 | About average | $10,500 | $79,435 |
| Gettysburg Hospital | 149 | $12,149 | About average | $10,551 | $79,823 |
| Milton S Hershey Medical Center | 192 | $12,203 | About average | $10,570 | $125,332 |
| Pottstown Hospital | 88 | $12,218 | About average | $10,586 | $68,093 |
| Jefferson Abington Hospital | 323 | $12,264 | About average | $10,630 | $35,474 |
| UPMC Hanover | 143 | $12,295 | About average | $10,662 | $29,514 |
| Holy Redeemer Hospital And Medical Center | 116 | $12,329 | About average | $10,697 | $36,381 |
| Physicians Care Surgical Hospital | 587 | $12,329 | About average | $10,697 | $52,816 |
| Jefferson Lansdale Hospital | 232 | $12,329 | About average | $10,694 | $34,526 |
| Indiana Regional Medical Center | 51 | $12,378 | About average | $10,744 | $39,870 |
| Thomas Jefferson University Hospital | 359 | $12,390 | About average | $10,757 | $58,314 |
| UPMC Altoona | 63 | $12,397 | About average | $10,765 | $46,656 |
| Geisinger-Lewistown Hospital | 46 | $12,400 | About average | $10,783 | $49,724 |
| Penn Highlands Huntingdon | 75 | $12,425 | About average | $10,793 | $34,153 |
| Meadville Medical Center | 93 | $12,453 | About average | $10,821 | $40,186 |
| Wellspan Good Samaritan Hospital | 37 | $12,462 | About average | $10,830 | $68,031 |
| St Lukes Hospital | 372 | $12,473 | About average | $10,843 | $90,665 |
| Doylestown Hospital | 159 | $12,540 | About average | $10,905 | $50,223 |
| Lehigh Valley Hospital - Pocono | 42 | $12,551 | About average | $10,919 | $71,570 |
| St Luke's Hospital - Grand View Campus | 293 | $12,569 | About average | $10,937 | $35,434 |
| Penn Highlands Dubois | 56 | $12,571 | About average | $10,939 | $34,199 |
| UPMC Somerset | 23 | $12,571 | About average | $10,939 | $42,988 |
| Conemaugh Memorial Medical Center | 33 | $12,571 | About average | $10,931 | $66,197 |
| Chester County Hospital | 305 | $12,605 | About average | $10,973 | $47,387 |
| Wayne Memorial Hospital | 22 | $12,609 | About average | $10,977 | $64,906 |
| Paoli Hospital | 177 | $12,615 | About average | $10,983 | $42,200 |
| Rothman Orthopaedic Specialty Hospital | 713 | $12,620 | About average | $10,987 | $54,930 |
| St Luke's Hospital - Easton Campus | 88 | $12,621 | About average | $10,989 | $92,155 |
| Crozer Chester Medical Center | 61 | $12,642 | About average | $11,017 | $68,987 |
| Bryn Mawr Hospital | 409 | $12,678 | About average | $11,046 | $40,387 |
| St Luke's Hospital - Upper Bucks Campus | 65 | $12,678 | About average | $11,046 | $95,950 |
| Main Line Hospital Lankenau | 180 | $12,678 | About average | $11,045 | $39,772 |
| Phoenixville Hospital | 34 | $12,678 | About average | $11,039 | $58,611 |
| Jefferson Health- Northeast | 161 | $12,683 | About average | $11,051 | $47,325 |
| Lehigh Valley Hospital | 1,465 | $12,688 | About average | $11,055 | $85,743 |
| Riddle Memorial Hospital | 441 | $12,717 | About average | $11,085 | $40,196 |
| Jefferson Einstein Philadelphia Hospital | 26 | $12,767 | About average | $11,135 | $67,959 |
| Temple Health - Chestnut Hill Hospital | 44 | $12,767 | About average | $11,130 | $127,461 |
| Wellspan Chambersburg Hospital | 165 | $12,834 | About average | $11,195 | $41,404 |
| Temple University Hospital | 84 | $12,965 | About average | $11,330 | $137,605 |
| St Mary Medical Center | 135 | $12,979 | About average | $11,345 | $65,286 |
| Mount Nittany Medical Center | 297 | $13,181 | About average | $11,549 | $64,637 |
| Hospital Of University Of Pennsylvania | 12 | $13,238 | About average | $11,606 | $112,431 |
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.