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 1,601–1,650. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Honor Health John C. Lincoln Medical Center | 121 | $12,642 | About average | $11,008 | $100,957 |
| Alexian Brothers Medical Center 1 | 81 | $12,643 | About average | $11,011 | $53,040 |
| Arizona Spine And Joint Hospital | 519 | $12,651 | About average | $11,018 | $85,155 |
| Tucson Medical Center | 490 | $12,655 | About average | $11,022 | $33,909 |
| SSM Health St Agnes Hospital-Fond Du Lac | 54 | $12,656 | About average | $11,024 | $43,346 |
| Northwestern Memorial Hospital | 534 | $12,656 | About average | $11,024 | $99,559 |
| St Joseph Hospital | 131 | $12,662 | About average | $11,029 | $62,826 |
| Mayo Clinic Hospital | 382 | $12,668 | About average | $11,036 | $52,826 |
| St Alexius Medical Center | 393 | $12,671 | About average | $11,038 | $53,852 |
| Northwestern Medicine Kishwaukee Hospital | 108 | $12,678 | About average | $11,046 | $99,858 |
| Bryn Mawr Hospital | 409 | $12,678 | About average | $11,046 | $40,387 |
| St Luke's Hospital - Upper Bucks Campus | 65 | $12,678 | About average | $11,046 | $95,950 |
| Main Line Hospital Lankenau | 180 | $12,678 | About average | $11,045 | $39,772 |
| Rush University Medical Center | 538 | $12,678 | About average | $11,045 | $54,013 |
| Phoenixville Hospital | 34 | $12,678 | About average | $11,039 | $58,611 |
| Elliot Hospital | 328 | $12,682 | About average | $11,048 | $50,789 |
| Jefferson Health- Northeast | 161 | $12,683 | About average | $11,051 | $47,325 |
| Oro Valley Hospital | 426 | $12,683 | About average | $11,049 | $110,504 |
| HonorHealth Scottsdale Thompson Peak Medical Center | 603 | $12,686 | About average | $11,054 | $109,758 |
| HonorHealth Scottsdale Shea Medical Center | 348 | $12,686 | About average | $11,053 | $118,635 |
| Lehigh Valley Hospital | 1,465 | $12,688 | About average | $11,055 | $85,743 |
| Banner Boswell Medical Center | 181 | $12,691 | About average | $11,059 | $61,764 |
| Banner Del E. Webb Medical Center | 238 | $12,692 | About average | $11,059 | $67,484 |
| Multicare Valley Hospital | 167 | $12,705 | About average | $11,070 | $90,165 |
| Texas Health Harris Methodist Hospital Stephenvill | 162 | $12,706 | About average | $11,073 | $57,621 |
| Uw Health | 149 | $12,706 | About average | $11,074 | $188,863 |
| Deaconess Medical Center | 168 | $12,707 | About average | $11,075 | $83,279 |
| Banner - University Medical Center Tucson Campus | 104 | $12,707 | About average | $11,069 | $55,971 |
| Abrazo Scottsdale Campus | 551 | $12,715 | About average | $11,080 | $107,671 |
| Riddle Memorial Hospital | 441 | $12,717 | About average | $11,085 | $40,196 |
| Banner Baywood Medical Center | 228 | $12,717 | About average | $11,083 | $66,099 |
| Saint Alphonsus Medical Center - Nampa | 71 | $12,720 | About average | $11,085 | $42,631 |
| CHI St Lukes Health Memorial Livingston | 35 | $12,723 | About average | $11,091 | $125,362 |
| HonorHealth Sonoran Crossing Medical Center | 322 | $12,726 | About average | $11,094 | $113,570 |
| Maine General Medical Center | 66 | $12,731 | About average | $11,097 | $49,300 |
| Lower Keys Medical Center | 24 | $12,749 | About average | $11,117 | $140,044 |
| HCA Florida Lake City Hospital | 68 | $12,749 | About average | $11,117 | $125,077 |
| St. Catherine Hospital - Garden City | 45 | $12,756 | About average | $11,124 | $66,226 |
| Abrazo West Campus | 166 | $12,757 | About average | $11,122 | $106,675 |
| Southside Hospital | 13 | $12,760 | About average | $11,128 | $45,379 |
| Northwest Medical Center | 211 | $12,761 | About average | $11,126 | $100,548 |
| O.A.S.I.S. Hospital | 226 | $12,765 | About average | $11,133 | $81,964 |
| Jefferson Einstein Philadelphia Hospital | 26 | $12,767 | About average | $11,135 | $67,959 |
| Temple Health - Chestnut Hill Hospital | 44 | $12,767 | About average | $11,130 | $127,461 |
| Northwestern Medicine Delnor Community Hospital | 169 | $12,771 | About average | $11,139 | $94,879 |
| Saint Joseph Hospital-Elgin | 190 | $12,778 | About average | $11,146 | $118,589 |
| Asante Three Rivers Medical Center | 117 | $12,778 | About average | $11,146 | $47,693 |
| OSF Little Company Of Mary Medical Center | 11 | $12,781 | About average | $11,149 | $75,801 |
| OSF Saint Elizabeth Mdl Center | 70 | $12,781 | About average | $11,149 | $79,760 |
| Saint Francis Hospital-Evanston | 15 | $12,781 | About average | $11,149 | $97,315 |
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.