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 1,401–1,450. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Essentia Health | 248 | $12,236 | About average | $10,603 | $37,215 |
| Fauquier Hospital | 123 | $12,237 | About average | $10,605 | $112,055 |
| St Mary Medical Center Inc | 179 | $12,240 | About average | $10,608 | $48,493 |
| CHI St Alexius Health | 418 | $12,245 | About average | $10,613 | $35,579 |
| Lmh | 229 | $12,246 | About average | $10,611 | $54,686 |
| Community Memorial Hospital | 19 | $12,247 | About average | $10,610 | $60,336 |
| Graham Hospital Association | 30 | $12,248 | About average | $10,608 | $61,250 |
| Vidant Roanoke Chowan Hospital | 29 | $12,249 | About average | $10,617 | $34,389 |
| Ecu Health North Hospital | 49 | $12,249 | About average | $10,617 | $33,486 |
| Southeastern Regional Medical Center | 11 | $12,249 | About average | $10,617 | $72,247 |
| Sentara Albemarle Medical Center | 135 | $12,249 | About average | $10,616 | $46,265 |
| Christus Southern New Mexico | 20 | $12,258 | About average | $10,626 | $264,902 |
| Avera St Lukes | 168 | $12,258 | About average | $10,626 | $46,156 |
| HCA Healthone Rose | 219 | $12,262 | About average | $10,630 | $185,910 |
| Dickinson County Memorial Hospital | 32 | $12,262 | About average | $10,630 | $32,000 |
| Ascension Genesys Hospital | 130 | $12,263 | About average | $10,630 | $47,735 |
| Jefferson Abington Hospital | 323 | $12,264 | About average | $10,630 | $35,474 |
| UCHealth Highlands Ranch Hospital | 189 | $12,280 | About average | $10,648 | $85,442 |
| Sioux Falls Specialty Hospital | 1,213 | $12,287 | About average | $10,655 | $45,509 |
| Golden Valley Memorial Hospital | 23 | $12,292 | About average | $10,660 | $37,040 |
| AdventHealth Ottawa | 11 | $12,292 | About average | $10,660 | $97,532 |
| UPMC Hanover | 143 | $12,295 | About average | $10,662 | $29,514 |
| Methodist Fremont Health | 96 | $12,298 | About average | $10,666 | $62,727 |
| Dunes Surgical Hospital | 485 | $12,300 | About average | $10,668 | $44,549 |
| Advocate Good Shepherd Hospital | 319 | $12,301 | About average | $10,669 | $43,112 |
| Sanford Medical Center Fargo | 618 | $12,304 | About average | $10,672 | $35,621 |
| Amita Health Resurrection Medical Center | 123 | $12,315 | About average | $10,683 | $83,926 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 166 | $12,317 | About average | $10,685 | $43,861 |
| Reid Health | 143 | $12,317 | About average | $10,685 | $48,569 |
| Sky Ridge Medical Center | 284 | $12,319 | About average | $10,687 | $240,882 |
| OhioHealth O'Bleness Hospital | 50 | $12,321 | About average | $10,680 | $76,923 |
| Sanford Medical Center Aberdeen | 39 | $12,322 | About average | $10,690 | $43,952 |
| Sanford Medical Center Bismarck | 219 | $12,322 | About average | $10,690 | $35,206 |
| St. Patrick Hospital | 252 | $12,322 | About average | $10,687 | $34,737 |
| Sentara Northern Virginia Medical Center | 85 | $12,324 | About average | $10,692 | $44,251 |
| Inova Fairfax Hospital | 101 | $12,324 | About average | $10,688 | $43,812 |
| Allina United Hospital | 185 | $12,327 | About average | $10,693 | $38,260 |
| Cheshire Medical Center | 121 | $12,328 | About average | $10,696 | $34,477 |
| Advocate Good Samaritan Hospital | 146 | $12,329 | About average | $10,697 | $54,049 |
| Holy Redeemer Hospital And Medical Center | 116 | $12,329 | About average | $10,697 | $36,381 |
| Physicians Care Surgical Hospital | 587 | $12,329 | About average | $10,697 | $52,816 |
| Jefferson Lansdale Hospital | 232 | $12,329 | About average | $10,694 | $34,526 |
| Palos Community Hospital | 75 | $12,333 | About average | $10,701 | $87,318 |
| Ashley Regional Medical Center | 40 | $12,334 | About average | $10,694 | $101,671 |
| Silver Cross Hospital And Medical Centers | 299 | $12,338 | About average | $10,707 | $33,006 |
| Mymichigan Medical Center Alpena | 95 | $12,341 | About average | $10,709 | $32,934 |
| Tawas St Joseph Hospital | 13 | $12,341 | About average | $10,703 | $16,813 |
| Banner Fort Collins Medical Center | 64 | $12,341 | About average | $10,697 | $65,828 |
| Banner - University Medical Center Phoenix | 71 | $12,342 | About average | $10,708 | $81,965 |
| Aurora Medical Center Bay Area | 36 | $12,346 | About average | $10,714 | $55,163 |
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.