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 1,001–1,050. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| AdventHealth Tampa | 230 | $11,816 | About average | $10,183 | $126,663 |
| HCA Florida Capital Hospital | 116 | $11,817 | About average | $10,185 | $133,081 |
| Orlando Health | 474 | $11,820 | About average | $10,187 | $147,473 |
| Ascension St Vincent's Riverside | 241 | $11,821 | About average | $10,189 | $113,505 |
| Davie Medical Center | 65 | $11,821 | About average | $10,189 | $81,983 |
| Cape Coral Hospital | 123 | $11,822 | About average | $10,188 | $93,507 |
| Mayo Clinic | 862 | $11,822 | About average | $10,190 | $47,154 |
| Bartow Regional Medical Center | 63 | $11,823 | About average | $10,191 | $68,057 |
| Holy Cross Hospital | 624 | $11,823 | About average | $10,190 | $72,081 |
| Morton Plant Hospital | 876 | $11,824 | About average | $10,191 | $73,812 |
| Ascension Ne Wisconsin - St Elizabeth Campus | 83 | $11,825 | About average | $10,193 | $38,261 |
| Hays Medical Center | 165 | $11,828 | About average | $10,196 | $40,492 |
| Idaho Falls Community Hospital, LLC | 67 | $11,828 | About average | $10,196 | $41,998 |
| Legent Surgical Hospital Plano | 16 | $11,828 | About average | $10,196 | $114,630 |
| Medical City Las Colinas | 16 | $11,828 | About average | $10,196 | $271,438 |
| Parkland Health & Hospital System | 21 | $11,828 | About average | $10,196 | $59,273 |
| St Luke's Nampa Medical Center | 23 | $11,828 | About average | $10,196 | $46,591 |
| Texas Health Presbyterian Hospital Allen | 29 | $11,828 | About average | $10,196 | $69,746 |
| Texoma Medical Center | 73 | $11,828 | About average | $10,196 | $123,945 |
| West Valley Medical Center | 63 | $11,828 | About average | $10,196 | $103,795 |
| Texas Health Presbyterian Hospital Dallas | 213 | $11,828 | About average | $10,196 | $54,354 |
| Medical City Dallas Hospital | 115 | $11,828 | About average | $10,194 | $200,362 |
| Texas Institute For Surgery At Presbyterian Hospit | 179 | $11,828 | About average | $10,192 | $52,530 |
| Crescent Medical Center Lancaster | 13 | $11,829 | About average | $10,185 | $115,702 |
| Houston Methodist Baytown Hospital | 118 | $11,829 | About average | $10,197 | $118,066 |
| Palm Bay Hospital | 131 | $11,831 | About average | $10,197 | $101,164 |
| Anmed Health | 93 | $11,832 | About average | $10,200 | $69,330 |
| Ascension Seton Williamson | 114 | $11,833 | About average | $10,201 | $193,551 |
| Orlando Health Melbourne Hospital | 164 | $11,833 | About average | $10,211 | $172,538 |
| Tanner Medical Center - Carrollton | 145 | $11,834 | About average | $10,198 | $56,891 |
| St Vincent Hospital | 34 | $11,834 | About average | $10,202 | $47,719 |
| Stillwater Medical Center | 239 | $11,835 | About average | $10,211 | $52,528 |
| Cox Medical Center Branson | 79 | $11,837 | About average | $10,205 | $61,388 |
| Lake Regional Health System | 95 | $11,837 | About average | $10,205 | $50,981 |
| Ozarks Healthcare | 49 | $11,837 | About average | $10,205 | $51,650 |
| Poplar Bluff Regional Medical Center | 20 | $11,837 | About average | $10,205 | $246,396 |
| Western Missouri Medical Center | 50 | $11,837 | About average | $10,205 | $37,409 |
| Cleveland Clinic Indian River Hospital | 280 | $11,838 | About average | $10,205 | $57,857 |
| Physicians Regional Medical Center - Pine Ridge | 611 | $11,839 | About average | $10,206 | $149,446 |
| Boca Raton Regional Hospital | 272 | $11,839 | About average | $10,207 | $81,297 |
| Henry County Memorial Hospital | 322 | $11,840 | About average | $10,207 | $54,577 |
| Seton Medical Center Harker Heights | 67 | $11,840 | About average | $10,208 | $41,849 |
| Aurora Medical Center Sheboygan County | 122 | $11,842 | About average | $10,210 | $50,522 |
| Mease Dunedin Hospital | 160 | $11,843 | About average | $10,210 | $85,061 |
| MercyOne Siouxland Medical Center | 22 | $11,844 | About average | $10,212 | $49,392 |
| Nebraska Spine Hospital, LLC | 36 | $11,844 | About average | $10,212 | $96,117 |
| CHI Health Immanuel | 67 | $11,844 | About average | $10,210 | $51,859 |
| AdventHealth Carrollwood | 166 | $11,844 | About average | $10,212 | $132,520 |
| Schneck Medical Center | 79 | $11,845 | About average | $10,213 | $62,463 |
| St Marys Hospital | 106 | $11,849 | About average | $10,217 | $64,805 |
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.