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Outpatient procedure · APC 5115 · Surgery or procedure

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
$10,77287% of the payment
Average billed charge
$72,739
Hospitals reporting
2,213362,845 procedures

Hospitals in Florida

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.

Location
Florida
Specific hospitals up to 10
Average payment across these 131 hospitals
$11,800National $12,402 · Florida $11,799
Median hospital
$11,844
Lowest to highest
$10,469–$12,749
Medicare procedures
23,257

131 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–131. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
HCA Florida South Shore HospitalSun City Center, FL · CCN 10025955$11,906About average$10,274$129,260
HCA Florida St Petersburg HospitalSaint Petersburg, FL · CCN 10018013$11,906About average$10,274$224,654
Holmes Regional Medical CenterMelbourne, FL · CCN 100019 · +$388 outlier payments per case196$11,906About average$10,274$104,592
Lakewood Ranch Medical CenterBradenton, FL · CCN 10029966$11,906About average$10,274$176,905
Orlando Health Rockledge HospitalRockledge, FL · CCN 10009211$11,906About average$10,274$136,986
Orlando Health South Lake HospitalClermont, FL · CCN 10005158$11,906About average$10,274$137,835
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 10007159$11,906About average$10,274$168,499
UF Health Leesburg HospitalLeesburg, FL · CCN 100084131$11,906About average$10,274$62,566
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044234$11,906About average$10,274$60,353
Tampa General HospitalTampa, FL · CCN 100128 · +$150 outlier payments per case376$11,906About average$10,273$116,145
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361140$11,906About average$10,273$109,195
Viera HospitalMelbourne, FL · CCN 100315193$11,906About average$10,273$89,398
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137107$11,906About average$10,273$218,761
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166581$11,906About average$10,272$159,015
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 10001447$11,906About average$10,272$55,972
HCA Florida Trinity HospitalTrinity, FL · CCN 10019155$11,906About average$10,272$200,504
HCA Florida Blake HospitalBradenton, FL · CCN 100213171$11,906About average$10,272$123,364
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117130$11,906About average$10,272$99,812
Baptist Hospital Of MiamiMiami, FL · CCN 10000816$11,906About average$10,271$107,888
HCA Florida Brandon HospitalBrandon, FL · CCN 10024342$11,906About average$10,271$173,016
Bethesda Hospital EastBoynton Beach, FL · CCN 100002370$11,906About average$10,270$85,007
Orlando Health Sebastian River HospitalSebastian, FL · CCN 10021750$11,906About average$10,269$176,292
Mease Countryside HospitalSafety Harbor, FL · CCN 10026540$11,906About average$10,268$80,359
HCA Florida Memorial HospitalJacksonville, FL · CCN 10017943$11,906About average$10,263$202,196
South Florida Baptist HospitalPlant City, FL · CCN 10013220$11,906About average$10,260$80,848
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 10023811$11,906About average$10,256$138,340
HCA Florida Raulerson HospitalOkeechobee, FL · CCN 10025217$12,095About average$10,463$98,902
Jackson HospitalMarianna, FL · CCN 10014219$12,164About average$10,532$29,518
Flagler HospitalSaint Augustine, FL · CCN 100090360$12,603About average$10,968$49,099
Lower Keys Medical CenterKey West, FL · CCN 10015024$12,749About average$11,117$140,044
HCA Florida Lake City HospitalLake City, FL · CCN 10015668$12,749About average$11,117$125,077

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 229,215 procedures at 2,037 hospitals · 2021: 364,363 procedures at 2,254 hospitals · 2022: 410,561 procedures at 2,321 hospitals · 2023: 427,124 procedures at 2,312 hospitals · 2024: 362,845 procedures at 2,213 hospitals
View data as a table
National average payment and billed charge for Level 5 Musculoskeletal Procedures
Year of careAverage paymentAverage 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
Average payment by state for Level 5 Musculoskeletal Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont6927$6,642$5,710–$7,857
Alabama365,517$10,733$10,538–$10,928
Mississippi251,977$10,843$10,672–$11,006
Tennessee478,201$10,865$10,654–$11,195
Louisiana445,417$10,909$10,733–$11,044
West Virginia192,033$11,015$10,538–$11,114
Ohio10415,215$11,123$11,029–$11,497
Oklahoma427,005$11,159$11,026–$11,326
Arkansas285,195$11,206$11,043–$11,679
South Carolina439,015$11,244$11,083–$11,366
Kentucky425,097$11,263$10,995–$11,552
Kansas346,049$11,345$11,166–$11,885
Iowa295,825$11,405$11,208–$11,925
Missouri538,629$11,419$11,333–$11,837
Virginia5513,156$11,531$11,183–$12,118
Michigan738,557$11,535$11,319–$11,944
Texas18827,220$11,614$11,350–$11,866
Georgia719,007$11,645$11,145–$12,011
North Carolina6511,812$11,652$11,347–$11,739
New Mexico162,050$11,704$11,270–$12,005
Utah323,863$11,712$11,479–$11,775
Indiana649,630$11,754$11,642–$11,909
Nebraska214,927$11,799$11,652–$12,128
Florida13323,438$11,799$11,730–$11,906
Idaho152,954$11,894$11,784–$12,386
Wisconsin567,721$11,921$11,695–$12,134
Maine141,590$12,045$11,422–$12,212
Pennsylvania10517,854$12,207$11,693–$12,571
Montana102,257$12,302$12,157–$12,991
Illinois8214,943$12,334$12,119–$12,518
South Dakota133,867$12,387$12,258–$13,048
North Dakota61,935$12,448$12,260–$12,787
Colorado478,262$12,564$12,388–$12,511
New Hampshire112,199$12,713$12,410–$12,672
Minnesota426,532$12,735$12,361–$12,965
Arizona479,066$12,802$12,653–$12,814
Wyoming10919$12,806$12,962–$13,194
Delaware62,342$13,085$13,029–$13,172
District of Columbia4774$13,274$13,278–$13,444
Rhode Island8825$13,278$13,310–$13,335
Washington437,875$13,453$13,133–$13,721
Alaska6992$13,858$13,747–$14,483
Oregon293,599$13,939$13,452–$13,786
Nevada162,147$13,956$13,488–$13,899
Massachusetts439,382$13,997$13,872–$14,027
New Jersey4310,137$14,069$13,614–$14,536
New York9113,630$14,226$13,725–$14,676
Connecticut233,597$14,579$14,481–$14,714
Hawaii9682$14,923$14,484–$15,494
California16427,002$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.