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
Compare hospitals
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.
2,207 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Three Rivers Health | 16 | $11,774 | About average | $10,142 | $41,058 |
| The Monroe Clinic | 43 | $11,774 | About average | $10,142 | $43,885 |
| Brigham City Community Hospital | 14 | $11,775 | About average | $10,143 | $99,399 |
| Intermountain Health Layton Hospital | 17 | $11,775 | About average | $10,143 | $44,608 |
| Mountain View Hospital | 81 | $11,775 | About average | $10,143 | $83,807 |
| Orem Community Hospital | 12 | $11,775 | About average | $10,143 | $39,275 |
| Holy Cross Hospital-Davis | 55 | $11,775 | About average | $10,139 | $41,609 |
| Timpanogos Regional Hospital | 76 | $11,775 | About average | $10,138 | $99,185 |
| Intermountain Medical Center | 45 | $11,775 | About average | $10,138 | $43,265 |
| Cache Valley Hospital | 24 | $11,775 | About average | $10,129 | $97,697 |
| Mountain View Hospital | 383 | $11,775 | About average | $10,143 | $37,407 |
| CHI Health Lakeside | 149 | $11,775 | About average | $10,142 | $59,970 |
| Artesia General Hospital | 88 | $11,776 | About average | $10,143 | $67,674 |
| HCA Florida West Hospital | 154 | $11,777 | About average | $10,141 | $162,733 |
| Indiana University Health Ball Memorial Hospital | 98 | $11,778 | About average | $10,143 | $117,366 |
| Indiana University Health | 210 | $11,779 | About average | $10,146 | $111,474 |
| Sugar Land Surgical Hospital LLP | 103 | $11,780 | About average | $10,145 | $43,124 |
| Sck Health | 22 | $11,783 | About average | $10,151 | $45,619 |
| HCA Florida Twin Cities Hospital | 85 | $11,785 | About average | $10,153 | $133,375 |
| Sacred Heart Hospital | 236 | $11,786 | About average | $10,154 | $72,704 |
| North Mississippi Medical Center | 126 | $11,787 | About average | $10,148 | $37,917 |
| Unity Physicians Hospital | 420 | $11,789 | About average | $10,155 | $77,558 |
| Nebraska Orthopaedic Hospital | 1,025 | $11,789 | About average | $10,156 | $42,506 |
| UPMC Memorial | 62 | $11,789 | About average | $10,188 | $37,455 |
| Randolph Hospital | 18 | $11,791 | About average | $10,159 | $54,345 |
| Memorial Satilla Health | 19 | $11,792 | About average | $10,160 | $98,240 |
| Northwest Specialty Hospital | 447 | $11,794 | About average | $10,160 | $57,860 |
| Pikeville Medical Center | 216 | $11,795 | About average | $10,163 | $58,461 |
| Tallahassee Memorial Healthcare | 185 | $11,795 | About average | $10,161 | $71,013 |
| Pinnacle Hospital | 19 | $11,795 | About average | $10,163 | $183,799 |
| Wilson Memorial Hospital | 105 | $11,797 | About average | $10,164 | $44,833 |
| Lee Memorial Hospital | 678 | $11,798 | About average | $10,171 | $97,453 |
| Community Memorial Hospital | 297 | $11,800 | About average | $10,167 | $68,390 |
| Franciscan Health Mooresville | 284 | $11,800 | About average | $10,168 | $77,888 |
| AdventHealth Orlando | 483 | $11,802 | About average | $10,168 | $130,036 |
| Indiana University Health Bloomington Hospital | 145 | $11,803 | About average | $10,169 | $116,964 |
| Franciscan Health Orthopedic Hospital Carmel | 451 | $11,804 | About average | $10,171 | $82,933 |
| Gulf Breeze Hospital | 306 | $11,805 | About average | $10,169 | $99,940 |
| Piedmont Walton Hospital | 27 | $11,806 | About average | $10,165 | $88,491 |
| Memorial Hermann Sugar Land Hospital | 83 | $11,808 | About average | $10,173 | $66,663 |
| Meadowview Regional Medical Center | 20 | $11,810 | About average | $10,178 | $107,030 |
| Atrium Health Lincoln | 25 | $11,811 | About average | $10,179 | $85,805 |
| MUSC Health Chester Medical Center | 11 | $11,811 | About average | $10,179 | $105,814 |
| Trinity Health Livingston Hospital | 161 | $11,811 | About average | $10,178 | $44,837 |
| Jackson Purchase Medical Center | 49 | $11,812 | About average | $10,180 | $123,103 |
| Baylor Scott & White Medical Center - Temple | 285 | $11,813 | About average | $10,181 | $51,020 |
| UPMC Lititz | 102 | $11,814 | About average | $10,182 | $38,390 |
| Marshfield Medical Center - Eau Claire | 77 | $11,814 | About average | $10,182 | $40,340 |
| Halifax Health Medical Center | 336 | $11,814 | About average | $10,182 | $83,614 |
| St Josephs Community Hospital West Bend | 65 | $11,815 | About average | $10,182 | $66,477 |
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.