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 1,051–1,100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Lucie Medical Center | 360 | $11,849 | About average | $10,216 | $215,126 |
| Ingalls Memorial Hospital | 52 | $11,852 | About average | $10,220 | $66,183 |
| Ascension St Vincent's Southside | 199 | $11,854 | About average | $10,217 | $115,312 |
| Granville Health Systems | 16 | $11,856 | About average | $10,224 | $55,703 |
| Winter Haven Hospital | 205 | $11,856 | About average | $10,224 | $76,365 |
| Cambridge Medical Center | 31 | $11,857 | About average | $10,222 | $47,342 |
| Piedmont Athens Regional Medical Center | 128 | $11,857 | About average | $10,224 | $109,058 |
| Carle Bromenn Medical Center | 213 | $11,858 | About average | $10,225 | $38,839 |
| HCA Florida Fawcett Hospital | 221 | $11,859 | About average | $10,226 | $206,659 |
| Sacred Heart Hospital On The Emerald Coast | 228 | $11,861 | About average | $10,228 | $60,150 |
| Memorial Hospital Of South Bend | 77 | $11,862 | About average | $10,229 | $76,723 |
| Tampa General Hospital Crystal River | 202 | $11,863 | About average | $10,236 | $124,895 |
| Madison Memorial Hospital | 62 | $11,865 | About average | $10,233 | $39,952 |
| Methodist Mansfield Medical Center | 78 | $11,866 | About average | $10,234 | $54,151 |
| Methodist Southlake Medical Center | 50 | $11,866 | About average | $10,234 | $50,210 |
| Texas Health Harris Methodist Hospital Southlake | 241 | $11,866 | About average | $10,234 | $52,954 |
| Texas Health Hospital Mansfield | 39 | $11,866 | About average | $10,234 | $102,304 |
| JPS Health Network | 29 | $11,866 | About average | $10,234 | $52,473 |
| Texas Health Harris Methodist Hurst-Euless-Bedford | 14 | $11,866 | About average | $10,234 | $60,028 |
| Medical City Denton | 157 | $11,866 | About average | $10,234 | $351,894 |
| Texas Health Huguley Hospital Fort Worth South | 72 | $11,866 | About average | $10,231 | $128,877 |
| Medical City Weatherford | 58 | $11,866 | About average | $10,224 | $171,738 |
| Trinity Health Ann Arbor Hospital | 170 | $11,866 | About average | $10,228 | $52,814 |
| Marion Communtiy Hospital | 849 | $11,870 | About average | $10,237 | $133,641 |
| HCA Florida JFK Hospital | 284 | $11,870 | About average | $10,238 | $151,825 |
| Jupiter Medical Center | 325 | $11,872 | About average | $10,240 | $69,723 |
| Ascension St Vincent Anderson | 105 | $11,872 | About average | $10,240 | $95,556 |
| Ascension St Vincent Carmel | 26 | $11,872 | About average | $10,240 | $118,843 |
| Ascension St Vincent Fishers | 60 | $11,872 | About average | $10,240 | $110,327 |
| Community Hospital Of Anderson And Madison County | 35 | $11,872 | About average | $10,240 | $88,859 |
| Eskenazi Health | 17 | $11,872 | About average | $10,240 | $74,248 |
| Johnson Memorial Hospital | 16 | $11,872 | About average | $10,240 | $76,839 |
| Witham Health Services | 14 | $11,872 | About average | $10,240 | $62,794 |
| Hendricks Regional Health | 198 | $11,872 | About average | $10,238 | $50,168 |
| St Mary's Hospital | 369 | $11,873 | About average | $10,240 | $56,994 |
| Forrest City Medical Center | 14 | $11,874 | About average | $10,242 | $91,346 |
| Naples Community Hospital | 634 | $11,875 | About average | $10,241 | $59,053 |
| Gundersen Lutheran Medical Center | 277 | $11,875 | About average | $10,279 | $44,970 |
| Essentia Health St Mary's Medical Center | 51 | $11,876 | About average | $10,244 | $44,433 |
| Legacy Silverton Medical Center | 27 | $11,878 | About average | $10,246 | $42,170 |
| Columbus Regional Hospital | 49 | $11,879 | About average | $10,247 | $47,457 |
| Summit Medical Center | 204 | $11,879 | About average | $10,245 | $47,582 |
| Orthopaedic Hospital At Parkview North | 638 | $11,886 | About average | $10,251 | $70,728 |
| Bon Secours Memorial Regional Medical Center | 297 | $11,892 | About average | $10,260 | $75,828 |
| Winona Health Services | 19 | $11,893 | About average | $10,261 | $26,924 |
| Emory Decatur Hospital | 70 | $11,895 | About average | $10,262 | $38,290 |
| Houston Methodist The Woodlands Hospital | 292 | $11,898 | About average | $10,266 | $129,989 |
| East Georgia Regional Medical Center | 30 | $11,898 | About average | $10,266 | $125,503 |
| Southeast Georgia Health System -- Camden Campus | 34 | $11,898 | About average | $10,266 | $56,132 |
| Union General Hospital | 120 | $11,898 | About average | $10,265 | $38,214 |
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.