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 1,101–1,150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Goshen Hospital | 67 | $11,899 | About average | $10,267 | $55,806 |
| Saint Joseph Regional Medical Center | 267 | $11,901 | About average | $10,263 | $62,894 |
| CHI Health Good Samaritan | 168 | $11,901 | About average | $10,268 | $50,215 |
| Alamance Regional Medical Center | 105 | $11,903 | About average | $10,271 | $51,040 |
| University Of Kansas Health System Great Bend Campus | 182 | $11,903 | About average | $10,271 | $41,729 |
| Carteret General Hospital | 102 | $11,905 | About average | $10,321 | $38,817 |
| AdventHealth North Pinellas | 43 | $11,906 | About average | $10,274 | $95,483 |
| AdventHealth Sebring | 20 | $11,906 | About average | $10,274 | $78,722 |
| Broward Health Imperial Point | 15 | $11,906 | About average | $10,274 | $52,614 |
| Broward Health Medical Center | 25 | $11,906 | About average | $10,274 | $47,720 |
| Gulf Coast Medical Center Lee Health | 41 | $11,906 | About average | $10,274 | $89,048 |
| HCA Florida Citrus Hospital | 28 | $11,906 | About average | $10,274 | $164,890 |
| HCA Florida Largo Hospital | 25 | $11,906 | About average | $10,274 | $179,250 |
| HCA Florida Lawnwood Hospital | 23 | $11,906 | About average | $10,274 | $155,324 |
| HCA Florida Mercy Hospital | 47 | $11,906 | About average | $10,274 | $117,135 |
| HCA Florida South Tampa Hospital | 28 | $11,906 | About average | $10,274 | $165,949 |
| Manatee Memorial Hospital | 30 | $11,906 | About average | $10,274 | $166,740 |
| Sarasota Memorial Hospital - Venice | 378 | $11,906 | About average | $10,274 | $99,903 |
| South Miami Hospital | 17 | $11,906 | About average | $10,274 | $88,023 |
| Wellington Regional Medical Center | 20 | $11,906 | About average | $10,274 | $124,513 |
| AdventHealth Daytona Beach | 137 | $11,906 | About average | $10,274 | $72,457 |
| AdventHealth Deland | 70 | $11,906 | About average | $10,274 | $58,249 |
| AdventHealth Fish Memorial | 133 | $11,906 | About average | $10,274 | $60,442 |
| AdventHealth Palm Coast | 96 | $11,906 | About average | $10,274 | $79,076 |
| Ascension St Vincent's Clay County | 102 | $11,906 | About average | $10,274 | $113,495 |
| Cape Canaveral Hospital | 90 | $11,906 | About average | $10,274 | $88,579 |
| Central Florida Lake Monroe Hospital | 76 | $11,906 | About average | $10,274 | $175,077 |
| HCA Florida Englewood Hospital | 76 | $11,906 | About average | $10,274 | $196,115 |
| HCA Florida Northwest Hospital | 11 | $11,906 | About average | $10,274 | $168,315 |
| HCA Florida Pasadena Hospital A Part Of HCA Florid | 63 | $11,906 | About average | $10,274 | $227,511 |
| HCA Florida South Shore Hospital | 55 | $11,906 | About average | $10,274 | $129,260 |
| HCA Florida St Petersburg Hospital | 13 | $11,906 | About average | $10,274 | $224,654 |
| Holmes Regional Medical Center | 196 | $11,906 | About average | $10,274 | $104,592 |
| Lakewood Ranch Medical Center | 66 | $11,906 | About average | $10,274 | $176,905 |
| Orlando Health Rockledge Hospital | 11 | $11,906 | About average | $10,274 | $136,986 |
| Orlando Health South Lake Hospital | 58 | $11,906 | About average | $10,274 | $137,835 |
| Tampa General Hospital Brooksville | 59 | $11,906 | About average | $10,274 | $168,499 |
| UF Health Leesburg Hospital | 131 | $11,906 | About average | $10,274 | $62,566 |
| Cleveland Clinic Martin North Hospital | 234 | $11,906 | About average | $10,274 | $60,353 |
| Tampa General Hospital | 376 | $11,906 | About average | $10,273 | $116,145 |
| Ascension St Vincent's St Johns County | 140 | $11,906 | About average | $10,273 | $109,195 |
| Viera Hospital | 193 | $11,906 | About average | $10,273 | $89,398 |
| AdventHealth Heart Of Florida | 107 | $11,906 | About average | $10,273 | $218,761 |
| HCA Florida Sarasota Doctors Hospital | 581 | $11,906 | About average | $10,272 | $159,015 |
| AdventHealth New Smyrna Beach | 47 | $11,906 | About average | $10,272 | $55,972 |
| HCA Florida Trinity Hospital | 55 | $11,906 | About average | $10,272 | $200,504 |
| HCA Florida Blake Hospital | 171 | $11,906 | About average | $10,272 | $123,364 |
| Baptist Medical Center Beaches | 130 | $11,906 | About average | $10,272 | $99,812 |
| Baptist Hospital Of Miami | 16 | $11,906 | About average | $10,271 | $107,888 |
| HCA Florida Brandon Hospital | 42 | $11,906 | About average | $10,271 | $173,016 |
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.