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
Hospitals in Texas
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.
- Average payment across these 187 hospitals
- $11,615
- Median hospital
- $11,628
- Lowest to highest
- $5,893–$12,723
- Medicare procedures
- 27,182
187 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baylor Scott & White Medical Center Plano | 138 | $11,681 | About average | $10,049 | $56,395 |
| Texas Health Harris Methodist Hospital Southwest F | 926 | $11,689 | About average | $10,057 | $56,214 |
| Baylor Scott & White Medical Center - Centennial | 83 | $11,706 | About average | $10,074 | $50,775 |
| Huntsville Memorial Hospital | 22 | $11,707 | About average | $10,075 | $57,362 |
| Texas Health Center For Diagnostics & Surgery Plan | 90 | $11,715 | About average | $10,083 | $61,220 |
| Baylor Surgical Hospital At Las Colinas | 91 | $11,716 | About average | $10,084 | $64,927 |
| Lake Granbury Medical Center | 71 | $11,722 | About average | $10,087 | $186,261 |
| Baptist Beaumont Hospital | 84 | $11,723 | About average | $10,089 | $74,465 |
| Baylor Scott & White Medical Center - Frisco | 303 | $11,727 | About average | $10,094 | $54,695 |
| Methodist Dallas Medical Center | 45 | $11,736 | About average | $10,104 | $54,594 |
| Baylor Scott And White Medical Center Lake Pointe | 112 | $11,737 | About average | $10,105 | $50,993 |
| Medical Center Of McKinney | 112 | $11,737 | About average | $10,105 | $295,710 |
| Methodist Hospital For Surgery | 232 | $11,741 | About average | $10,107 | $42,124 |
| Baylor Scott & White Medical Center- Waxahachie | 86 | $11,747 | About average | $10,115 | $53,552 |
| Medical City Plano | 276 | $11,754 | About average | $10,122 | $255,934 |
| Texas Health Presbyterian Hospital Plano | 295 | $11,759 | About average | $10,127 | $65,541 |
| Texas Health Presbyterian Hospital Flower Mound | 304 | $11,766 | About average | $10,133 | $52,574 |
| University Of Texas Medical Branch Galveston | 81 | $11,770 | About average | $10,162 | $74,987 |
| Sugar Land Surgical Hospital LLP | 103 | $11,780 | About average | $10,145 | $43,124 |
| Memorial Hermann Sugar Land Hospital | 83 | $11,808 | About average | $10,173 | $66,663 |
| Baylor Scott & White Medical Center - Temple | 285 | $11,813 | About average | $10,181 | $51,020 |
| Legent Surgical Hospital Plano | 16 | $11,828 | About average | $10,196 | $114,630 |
| Medical City Las Colinas | 16 | $11,828 | About average | $10,196 | $271,438 |
| Parkland Health & Hospital System | 21 | $11,828 | About average | $10,196 | $59,273 |
| Texas Health Presbyterian Hospital Allen | 29 | $11,828 | About average | $10,196 | $69,746 |
| Texoma Medical Center | 73 | $11,828 | About average | $10,196 | $123,945 |
| Texas Health Presbyterian Hospital Dallas | 213 | $11,828 | About average | $10,196 | $54,354 |
| Medical City Dallas Hospital | 115 | $11,828 | About average | $10,194 | $200,362 |
| Texas Institute For Surgery At Presbyterian Hospit | 179 | $11,828 | About average | $10,192 | $52,530 |
| Crescent Medical Center Lancaster | 13 | $11,829 | About average | $10,185 | $115,702 |
| Houston Methodist Baytown Hospital | 118 | $11,829 | About average | $10,197 | $118,066 |
| Ascension Seton Williamson | 114 | $11,833 | About average | $10,201 | $193,551 |
| Seton Medical Center Harker Heights | 67 | $11,840 | About average | $10,208 | $41,849 |
| Methodist Mansfield Medical Center | 78 | $11,866 | About average | $10,234 | $54,151 |
| Methodist Southlake Medical Center | 50 | $11,866 | About average | $10,234 | $50,210 |
| Texas Health Harris Methodist Hospital Southlake | 241 | $11,866 | About average | $10,234 | $52,954 |
| Texas Health Hospital Mansfield | 39 | $11,866 | About average | $10,234 | $102,304 |
| JPS Health Network | 29 | $11,866 | About average | $10,234 | $52,473 |
| Texas Health Harris Methodist Hurst-Euless-Bedford | 14 | $11,866 | About average | $10,234 | $60,028 |
| Medical City Denton | 157 | $11,866 | About average | $10,234 | $351,894 |
| Texas Health Huguley Hospital Fort Worth South | 72 | $11,866 | About average | $10,231 | $128,877 |
| Medical City Weatherford | 58 | $11,866 | About average | $10,224 | $171,738 |
| Houston Methodist The Woodlands Hospital | 292 | $11,898 | About average | $10,266 | $129,989 |
| Memorial Hermann Houston Physicians Hospital | 200 | $11,927 | About average | $10,295 | $77,133 |
| Houston Methodist Sugarland Hospital | 432 | $11,942 | About average | $10,310 | $117,232 |
| 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 |
| Baylor Scott & White Medical Center- College Stati | 201 | $11,977 | About average | $10,345 | $47,898 |
| AdventHealth Central Texas | 76 | $11,995 | About average | $10,363 | $89,648 |
| Memorial Hermann Katy Hospital | 115 | $12,003 | About average | $10,371 | $64,972 |
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.