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 1,201–1,250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Luke's Hospital - Anderson Campus | 52 | $11,979 | About average | $10,347 | $104,964 |
| Prisma Health Oconee Memorial Hospital | 225 | $11,979 | About average | $10,347 | $77,804 |
| Carle Foundation Hospital | 279 | $11,979 | About average | $10,349 | $50,085 |
| Mosaic Medical Center - Maryville | 16 | $11,980 | About average | $10,348 | $38,109 |
| Lexington Memorial Hospital Inc | 88 | $11,980 | About average | $10,346 | $69,593 |
| AdventHealth Gordon | 38 | $11,983 | About average | $10,351 | $133,712 |
| Northeast Alabama Regional Medical Center | 25 | $11,983 | About average | $10,351 | $103,839 |
| Bon Secours St Marys Hospital | 495 | $11,984 | About average | $10,351 | $87,900 |
| Aurora Medical Center Washington County | 81 | $11,984 | About average | $10,352 | $77,529 |
| Marshfield Medical Center - Beaver Dam (Mmc-Bd) | 25 | $11,984 | About average | $10,352 | $61,775 |
| SSM Health St Clare Hospital - Baraboo | 51 | $11,984 | About average | $10,352 | $40,387 |
| Saint Francis Medical Center | 257 | $11,984 | About average | $10,352 | $70,879 |
| McLaren Flint | 89 | $11,984 | About average | $10,352 | $71,033 |
| Penn State Health St. Joseph | 23 | $11,985 | About average | $10,353 | $118,130 |
| Northside Hospital Gwinnett | 102 | $11,990 | About average | $10,356 | $100,188 |
| Northside Hospital Duluth | 154 | $11,993 | About average | $10,356 | $105,362 |
| AdventHealth Central Texas | 76 | $11,995 | About average | $10,363 | $89,648 |
| Emory University Hospital | 454 | $11,996 | About average | $10,362 | $37,977 |
| Beaufort County Memorial Hospital | 319 | $12,000 | About average | $10,367 | $40,581 |
| Inova Alexandria Hospital | 265 | $12,001 | About average | $10,369 | $41,400 |
| Alton Memorial Hospital | 202 | $12,002 | About average | $10,370 | $48,141 |
| Good Samaritan Medical Center LLC | 61 | $12,002 | About average | $10,362 | $76,075 |
| Memorial Hermann Katy Hospital | 115 | $12,003 | About average | $10,371 | $64,972 |
| Hurley Medical Center | 37 | $12,005 | About average | $10,366 | $67,626 |
| Mainehealth Mid Coast Hospital | 62 | $12,006 | About average | $10,371 | $41,888 |
| Southeast Georgia Health System- Brunswick Campus | 191 | $12,009 | About average | $10,376 | $38,635 |
| Shannon Medical Center | 208 | $12,010 | About average | $10,378 | $46,902 |
| Piedmont Newnan Hospital, Inc | 173 | $12,014 | About average | $10,382 | $106,154 |
| Covenant Hospital Plainview | 52 | $12,015 | About average | $10,378 | $108,521 |
| Ascension St Vincent Kokomo | 50 | $12,016 | About average | $10,384 | $103,022 |
| Centura St. Catherine-Dodge City | 35 | $12,018 | About average | $10,386 | $65,271 |
| Hutchinson Regional Medical Center Inc | 14 | $12,018 | About average | $10,386 | $51,737 |
| Mercy Hospital Pittsburg, Inc | 13 | $12,018 | About average | $10,386 | $42,294 |
| Salina Regional Health Center | 101 | $12,018 | About average | $10,386 | $55,056 |
| CHI St. Vincent Hospital Hot Springs | 187 | $12,018 | About average | $10,380 | $27,400 |
| Cookeville Regional Medical Center | 260 | $12,020 | About average | $10,388 | $43,364 |
| Munson Healthcare Otsego Memorial Hospital | 44 | $12,021 | About average | $10,380 | $27,653 |
| Carle Health Proctor Hospital | 662 | $12,022 | About average | $10,391 | $66,182 |
| Essentia Health Duluth | 198 | $12,022 | About average | $10,385 | $38,592 |
| Community Hospital | 209 | $12,022 | About average | $10,389 | $49,984 |
| Franciscan Health Crown Point | 83 | $12,023 | About average | $10,398 | $75,874 |
| Mercy Hospital Ardmore, Inc | 100 | $12,024 | About average | $10,388 | $37,068 |
| Mercy Health - Lourdes Hospital | 170 | $12,025 | About average | $10,388 | $64,617 |
| Saint Joseph Hospital | 45 | $12,027 | About average | $10,395 | $63,193 |
| Parkland Health Center | 36 | $12,031 | About average | $10,399 | $44,360 |
| Robert Packer Hospital | 243 | $12,031 | About average | $10,398 | $42,716 |
| Advocate Trinity Hospital | 98 | $12,035 | About average | $10,399 | $62,559 |
| Munson Healthcare Grayling Hospital | 47 | $12,036 | About average | $10,399 | $36,775 |
| Faith Health | 229 | $12,036 | About average | $10,404 | $52,254 |
| Memorial Hermann Memorial City Hospital | 282 | $12,037 | About average | $10,405 | $62,046 |
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.