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 1,151–1,200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Bethesda Hospital East | 370 | $11,906 | About average | $10,270 | $85,007 |
| Orlando Health Sebastian River Hospital | 50 | $11,906 | About average | $10,269 | $176,292 |
| Mease Countryside Hospital | 40 | $11,906 | About average | $10,268 | $80,359 |
| HCA Florida Memorial Hospital | 43 | $11,906 | About average | $10,263 | $202,196 |
| South Florida Baptist Hospital | 20 | $11,906 | About average | $10,260 | $80,848 |
| HCA Florida Northside Hospital | 11 | $11,906 | About average | $10,256 | $138,340 |
| Reading Hospital | 306 | $11,907 | About average | $10,274 | $59,855 |
| Uva Health Culpeper Medical Center | 75 | $11,909 | About average | $10,277 | $54,347 |
| Emory University Hospital Midtown | 37 | $11,912 | About average | $10,280 | $51,156 |
| CHI-St Vincent Infirmary | 103 | $11,912 | About average | $10,288 | $59,752 |
| Range Regional Health Services | 33 | $11,913 | About average | $10,278 | $34,711 |
| Wellspan Ephrata Community Hospital | 149 | $11,915 | About average | $10,283 | $86,095 |
| Anderson Hospital | 138 | $11,918 | About average | $10,286 | $41,855 |
| Ascension All Saints Hospital | 24 | $11,919 | About average | $10,287 | $53,640 |
| Presbyterian Santa Fe Medical Center | 192 | $11,921 | About average | $10,288 | $44,599 |
| Castleview Hospital | 16 | $11,922 | About average | $10,285 | $71,205 |
| Oconomowoc Memorial Hospital | 403 | $11,922 | About average | $10,290 | $62,134 |
| ProMedica Charles And Virginia Hickman Hospital | 90 | $11,923 | About average | $10,290 | $72,441 |
| Central Maine Medical Center | 54 | $11,924 | About average | $10,290 | $47,332 |
| MercyOne Dubuque Medical Center | 350 | $11,925 | About average | $10,291 | $40,994 |
| Memorial Hermann Houston Physicians Hospital | 200 | $11,927 | About average | $10,295 | $77,133 |
| Labette Health | 242 | $11,932 | About average | $10,299 | $37,608 |
| Dupont Hospital LLC | 31 | $11,935 | About average | $10,303 | $130,246 |
| Lutheran Hospital Of Indiana | 25 | $11,935 | About average | $10,303 | $129,455 |
| Southeast Iowa Regional Medical Center | 99 | $11,935 | About average | $10,301 | $40,186 |
| Aspirus Divine Savior Hospital | 32 | $11,936 | About average | $10,304 | $39,042 |
| Houston Methodist Sugarland Hospital | 432 | $11,942 | About average | $10,310 | $117,232 |
| Corewell Health Ludington Hospital | 24 | $11,944 | About average | $10,312 | $42,596 |
| Piedmont Mountainside Hospital Inc | 85 | $11,948 | About average | $10,316 | $114,292 |
| Memorial Hermann Hospital System | 612 | $11,950 | About average | $10,316 | $65,364 |
| Baytown Medical Center Lp | 21 | $11,951 | About average | $10,319 | $165,064 |
| Self Regional Healthcare | 160 | $11,953 | About average | $10,320 | $57,640 |
| Ascension St John Jane Phillips | 20 | $11,954 | About average | $10,322 | $66,095 |
| Newberry County Memorial Hospital | 206 | $11,955 | About average | $10,323 | $37,045 |
| Duncan Regional Hospital, Inc | 112 | $11,958 | About average | $10,323 | $67,647 |
| Bothwell Regional Health Center | 98 | $11,966 | About average | $10,334 | $37,146 |
| St Johns Hospital | 292 | $11,966 | About average | $10,334 | $60,985 |
| White County Medical Center | 89 | $11,967 | About average | $10,335 | $40,638 |
| Sauk Prairie Hospital | 659 | $11,968 | About average | $10,336 | $28,099 |
| Herrin Hospital | 121 | $11,972 | About average | $10,339 | $85,003 |
| Fort Memorial Hospital | 106 | $11,974 | About average | $10,342 | $31,457 |
| Watertown Memorial Hospital | 75 | $11,974 | About average | $10,341 | $69,419 |
| Waukesha Memorial Hospital | 28 | $11,974 | About average | $10,325 | $69,317 |
| Mymichigan Medical Center West Branch | 37 | $11,975 | About average | $10,343 | $28,215 |
| Community Hospital South, Inc. | 45 | $11,976 | About average | $10,344 | $77,432 |
| Franciscan Health Indianapolis | 73 | $11,976 | About average | $10,344 | $71,405 |
| Baylor Scott & White Medical Center- College Stati | 201 | $11,977 | About average | $10,345 | $47,898 |
| Southeastern Ohio Regional Medical Center | 55 | $11,978 | About average | $10,341 | $60,302 |
| St Luke's Hospital - Monroe Campus | 23 | $11,978 | About average | $10,346 | $118,519 |
| Wellstar Kennestone Regional Medical Center | 197 | $11,978 | About average | $10,356 | $89,293 |
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.