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

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.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,207 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,451–1,500. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Mercy HospitalCoon Rapids, MN · CCN 240115	144	$12,348	About average	$10,716	$40,122
Southern Maine Health CareBiddeford, ME · CCN 200019	54	$12,348	About average	$10,716	$48,070
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	203	$12,350	About average	$10,718	$41,837
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	407	$12,354	About average	$10,721	$43,128
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	176	$12,354	About average	$10,719	$39,462
Longs Peak HospitalLongmont, CO · CCN 060128	140	$12,355	About average	$10,723	$83,795
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	53	$12,356	About average	$10,724	$46,979
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	72	$12,358	About average	$10,718	$54,941
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	215	$12,359	About average	$10,726	$208,146
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	11	$12,360	About average	$10,728	$53,336
Froedtert South Inc.Kenosha, WI · CCN 520021	111	$12,360	About average	$10,728	$56,249
Methodist Hospitals IncGary, IN · CCN 150002	22	$12,360	About average	$10,728	$89,777
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	65	$12,360	About average	$10,728	$41,459
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	222	$12,363	About average	$10,731	$34,791
Exeter Hospital IncExeter, NH · CCN 300023	141	$12,366	About average	$10,734	$55,516
Fairview Lakes Health ServicesWyoming, MN · CCN 240050	107	$12,369	About average	$10,734	$33,776
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	304	$12,370	About average	$10,733	$52,261
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	42	$12,371	About average	$10,739	$70,241
Medical Center Of The RockiesLoveland, CO · CCN 060119	239	$12,374	About average	$10,741	$82,993
St Lukes HospitalDuluth, MN · CCN 240047	234	$12,375	About average	$10,742	$45,894
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	163	$12,377	About average	$10,745	$91,720
Indiana Regional Medical CenterIndiana, PA · CCN 390173	51	$12,378	About average	$10,744	$39,870
St Mary-Corwin HospitalPueblo, CO · CCN 060012	82	$12,378	About average	$10,746	$80,690
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	1,081	$12,387	About average	$10,754	$57,158
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$374 outlier payments per case	359	$12,390	About average	$10,757	$58,314
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	25	$12,392	About average	$10,760	$32,875
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	383	$12,392	About average	$10,760	$72,483
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	290	$12,393	About average	$10,760	$32,136
UPMC AltoonaAltoona, PA · CCN 390073	63	$12,397	About average	$10,765	$46,656
Poudre Valley HospitalFort Collins, CO · CCN 060010 · +$21 outlier payments per case	485	$12,398	About average	$10,765	$87,031
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	46	$12,400	About average	$10,783	$49,724
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	176	$12,402	About average	$10,770	$112,837
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	590	$12,403	About average	$10,770	$72,063
St Francis Regional Medical CenterShakopee, MN · CCN 240104	138	$12,404	About average	$10,772	$38,403
Norton-King's Daughters' HealthMadison, IN · CCN 150069	77	$12,404	About average	$10,770	$66,978
Rush Oak Park HospitalOak Park, IL · CCN 140063	149	$12,404	About average	$10,772	$44,088
Swedish Medical CenterEnglewood, CO · CCN 060034	103	$12,405	About average	$10,773	$188,337
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	177	$12,406	About average	$10,774	$33,314
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	171	$12,414	About average	$10,781	$75,758
Boulder Community HealthBoulder, CO · CCN 060027 · +$35 outlier payments per case	522	$12,415	About average	$10,785	$87,148
Portneuf Medical CenterPocatello, ID · CCN 130028	89	$12,418	About average	$10,783	$104,569
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	386	$12,421	About average	$10,789	$109,141
Lakeview Memorial HospitalStillwater, MN · CCN 240066	236	$12,423	About average	$10,791	$28,692
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	44	$12,425	About average	$10,809	$104,513
Penn Highlands HuntingdonHuntingdon, PA · CCN 390056	75	$12,425	About average	$10,793	$34,153
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	140	$12,427	About average	$10,795	$53,632
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	271	$12,430	About average	$10,797	$90,648
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	397	$12,433	About average	$10,801	$56,173
AdventHealth Castle RockCastle Rock, CO · CCN 060125	144	$12,437	About average	$10,803	$83,712
MultiCare Covington Medical CenterCovington, WA · CCN 500154	12	$12,437	About average	$10,805	$78,249

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 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

Average payment by state for Level 5 Musculoskeletal Procedures, 2024
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.