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 1,251–1,300. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Northeast Regional Medical Center | 22 | $12,037 | About average | $10,405 | $123,654 |
| Wellspan Surgery And Rehabilitation Hospital | 206 | $12,039 | About average | $10,406 | $84,351 |
| University Of Michigan Health System | 253 | $12,040 | About average | $10,411 | $55,592 |
| Trinity Muscatine | 15 | $12,041 | About average | $10,409 | $43,760 |
| Trinity Regional Medical Center | 47 | $12,041 | About average | $10,409 | $50,984 |
| St Anthony Regional Hospital & Nursing Home | 13 | $12,041 | About average | $10,409 | $41,528 |
| Mymichigan Medical Center Midland | 179 | $12,041 | About average | $10,409 | $29,888 |
| Great Falls Clinic Hospital | 191 | $12,043 | About average | $10,409 | $67,710 |
| Stonesprings Hospital Center | 189 | $12,044 | About average | $10,412 | $102,150 |
| Owensboro Health Regional Hospital | 184 | $12,046 | About average | $10,409 | $82,341 |
| Genesis Hospital | 106 | $12,046 | About average | $10,421 | $43,914 |
| Memorial Hermann - Texas Medical Center | 355 | $12,047 | About average | $10,414 | $93,379 |
| Lancaster General Hospital | 477 | $12,047 | About average | $10,415 | $36,954 |
| Houston Methodist Willowbrook Hospital | 152 | $12,048 | About average | $10,414 | $125,068 |
| Aurora St Lukes Medical Center | 223 | $12,049 | About average | $10,414 | $74,666 |
| Houston Methodist Hospital | 696 | $12,050 | About average | $10,418 | $111,235 |
| Emory Johns Creek Hospital | 220 | $12,053 | About average | $10,421 | $38,074 |
| Titus Regional Medical Center | 66 | $12,053 | About average | $10,421 | $35,681 |
| Piedmont Henry Hospital | 74 | $12,054 | About average | $10,422 | $98,157 |
| Piedmont Eastside Medical Center | 74 | $12,054 | About average | $10,419 | $105,229 |
| Baptist Health Deaconess Madisonville | 100 | $12,054 | About average | $10,422 | $185,353 |
| Hampton Regional Medical Center | 11 | $12,056 | About average | $10,424 | $31,950 |
| Decatur Memorial Hospital | 236 | $12,057 | About average | $10,417 | $74,214 |
| Warren Memorial Hospital | 81 | $12,060 | About average | $10,428 | $37,084 |
| Saint Francis Medical Center | 244 | $12,061 | About average | $10,428 | $73,302 |
| HSHS St Elizabeth's Hospital | 125 | $12,062 | About average | $10,430 | $53,522 |
| Jefferson Einstein Montgomery Hospital | 121 | $12,064 | About average | $10,432 | $59,365 |
| Froedtert Memorial Lutheran Hospital | 36 | $12,068 | About average | $10,436 | $76,954 |
| Aurora Memorial Hospital Burlington | 37 | $12,070 | About average | $10,438 | $51,348 |
| Memorial Hospital | 23 | $12,071 | About average | $10,438 | $63,559 |
| National Park Medical Center | 142 | $12,072 | About average | $10,439 | $107,641 |
| Oss Orthopaedic Hospital | 439 | $12,074 | About average | $10,441 | $41,172 |
| Piedmont Fayette Hospital | 260 | $12,075 | About average | $10,443 | $107,587 |
| Mainehealth Pen Bay Hospital | 68 | $12,078 | About average | $10,446 | $49,512 |
| Trinity Health Muskegon Hospital | 137 | $12,079 | About average | $10,446 | $48,741 |
| UnityPoint Health - Marshalltown | 48 | $12,082 | About average | $10,450 | $45,940 |
| Centra Health - Lynchburg Gen Hospital | 289 | $12,082 | About average | $10,449 | $63,116 |
| Northside Hospital Forsyth | 349 | $12,082 | About average | $10,451 | $89,998 |
| Sanford USDMedical Center | 364 | $12,083 | About average | $10,451 | $52,934 |
| St Catherine Hospital Inc | 21 | $12,085 | About average | $10,453 | $48,829 |
| CHI St Lukes Lakeside Hospital | 104 | $12,085 | About average | $10,452 | $77,236 |
| Mary Washington Hospital | 431 | $12,086 | About average | $10,456 | $31,906 |
| Stafford Hospital, LLC | 90 | $12,089 | About average | $10,454 | $39,270 |
| HCA Florida Raulerson Hospital | 17 | $12,095 | About average | $10,463 | $98,902 |
| United Hospital Center, Inc | 262 | $12,095 | About average | $10,463 | $51,975 |
| Memorial Hospital | 217 | $12,098 | About average | $10,466 | $43,879 |
| Texas Orthopedic Hospital | 1,066 | $12,098 | About average | $10,465 | $169,311 |
| Black Hills Surgical Hospital LLC | 286 | $12,099 | About average | $10,467 | $44,521 |
| Presence Saints Mary And Elizabeth Medical Center | 29 | $12,103 | About average | $10,471 | $77,563 |
| Spotsylvania Regional Medical Center | 97 | $12,105 | About average | $10,473 | $100,629 |
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.