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 Texas
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 187 hospitals
- $11,615
- Median hospital
- $11,628
- Lowest to highest
- $5,893–$12,723
- Medicare procedures
- 27,182
187 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 |
|---|---|---|---|---|---|
| Methodist McKinney Hospital | 175 | $11,388 | About average | $9,772 | $43,811 |
| Texas Health Presbyterian Hospital Denton | 87 | $11,396 | About average | $9,763 | $58,767 |
| Christus Santa Rosa Hospital-San Marcos | 59 | $11,401 | About average | $9,769 | $131,856 |
| The Hospitals Of Providence Transmountain Campus | 104 | $11,406 | About average | $9,774 | $127,454 |
| Bsa Hospital | 35 | $11,406 | About average | $9,774 | $64,100 |
| Connally Memorial Medical Center | 15 | $11,406 | About average | $9,774 | $54,866 |
| Harlingen Medical Center | 28 | $11,406 | About average | $9,774 | $101,777 |
| Knapp Medical Center | 13 | $11,406 | About average | $9,774 | $165,087 |
| Palo Pinto General Hospital | 14 | $11,406 | About average | $9,774 | $67,309 |
| University Health System | 43 | $11,406 | About average | $9,774 | $40,527 |
| University Medical Center | 90 | $11,406 | About average | $9,774 | $75,218 |
| VHS Harlingen Hospital Company LLC | 14 | $11,406 | About average | $9,774 | $185,091 |
| Woodland Heights Medical Center | 35 | $11,406 | About average | $9,774 | $374,755 |
| Methodist Hospital Stone Oak | 122 | $11,406 | About average | $9,772 | $128,986 |
| Baylor Scott And White Orthopedic And Spine Hospi | 118 | $11,432 | About average | $9,800 | $64,474 |
| Baylor Scott & White Medical Center Hillcrest | 213 | $11,435 | About average | $9,803 | $53,238 |
| Ascension Seton Southwest | 76 | $11,439 | About average | $9,807 | $198,666 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 183 | $11,440 | About average | $9,805 | $57,364 |
| The Medical Center Of Southeast Texas | 12 | $11,441 | About average | $9,809 | $80,995 |
| Ascension Seton Hays | 78 | $11,442 | About average | $9,810 | $194,537 |
| Baylor Scott And White Surgical Hospital Fortworth | 313 | $11,445 | About average | $9,808 | $52,601 |
| Methodist Midlothian Medical Center | 25 | $11,457 | About average | $9,822 | $52,568 |
| Medical City Fort Worth | 25 | $11,457 | About average | $9,817 | $243,870 |
| Baylor Scott And White Surgical Hospital At Sherma | 224 | $11,472 | About average | $9,840 | $72,005 |
| St David's Medical Center | 717 | $11,473 | About average | $9,840 | $191,676 |
| St David's South Austin Medical Center | 105 | $11,475 | About average | $9,843 | $165,916 |
| North Austin Medical Center | 344 | $11,483 | About average | $9,851 | $178,599 |
| Baylor Scott And White Medical Center Sunnyvale | 30 | $11,489 | About average | $9,852 | $142,829 |
| Christus Good Shepherd Medical Center | 216 | $11,507 | About average | $9,874 | $123,306 |
| Carrollton Regional Medical Center | 33 | $11,509 | About average | $9,872 | $49,056 |
| Hunt Regional Medical Center | 32 | $11,510 | About average | $9,878 | $47,193 |
| Texas Health Harris Methodist Hospital Cleburne | 58 | $11,513 | About average | $9,881 | $58,918 |
| Baylor Medical Center At Trophy Club | 248 | $11,515 | About average | $9,882 | $48,965 |
| Baylor Scott & White Medical Center Grapevine | 88 | $11,520 | About average | $9,885 | $59,240 |
| Ascension Seton Medical Center Austin | 257 | $11,547 | About average | $9,918 | $178,010 |
| Baylor Scott And White Medical Center McKinney | 146 | $11,549 | About average | $9,915 | $53,362 |
| Ascension Seton Northwest | 123 | $11,570 | About average | $9,938 | $194,711 |
| Baylor Scott & White Medical Center Pflugerville | 45 | $11,570 | About average | $9,938 | $57,168 |
| Dell Seton Medical Center At The University Of Tx | 24 | $11,570 | About average | $9,938 | $142,843 |
| Northwest Hills Surgical Hospital | 48 | $11,570 | About average | $9,938 | $67,771 |
| Baylor Scott And White Medical Center Uptown | 328 | $11,595 | About average | $9,959 | $48,903 |
| Methodist Richardson Medical Center | 69 | $11,603 | About average | $9,971 | $52,936 |
| North Central Surgical Center LLP | 575 | $11,616 | About average | $9,979 | $43,223 |
| Longview Regional Medical Center | 148 | $11,628 | About average | $9,992 | $169,290 |
| Texas Health Harris Methodist Fort Worth | 54 | $11,640 | About average | $10,007 | $58,217 |
| Christus Spohn Hospital Corpus Christi | 298 | $11,646 | About average | $10,017 | $100,196 |
| Texas Health Presbyterian Hospital Rockwall | 118 | $11,658 | About average | $10,024 | $59,406 |
| Texas Health Harris Methodist Hospital Alliance | 50 | $11,661 | About average | $10,029 | $55,985 |
| Ascension Providence | 123 | $11,667 | About average | $10,035 | $82,715 |
| Texas Health Arlington Memorial Hospital | 55 | $11,680 | About average | $10,048 | $74,359 |
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.