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 1,651–1,700. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| MacNeal Hospital | 60 | $12,781 | About average | $11,145 | $79,974 |
| Arizona Orthopedic And Surgical Specialty Hospital | 468 | $12,790 | About average | $11,158 | $95,962 |
| Banner Gateway Medical Center | 17 | $12,814 | About average | $11,182 | $79,551 |
| HonorHealth Deer Valley Medical Center | 121 | $12,814 | About average | $11,182 | $121,464 |
| Banner Ironwood Medical Center | 48 | $12,814 | About average | $11,182 | $62,657 |
| Kingman Regional Medical Center | 32 | $12,814 | About average | $11,182 | $117,056 |
| St Josephs Hospital And Medical Center | 39 | $12,814 | About average | $11,182 | $99,030 |
| St. Mary's Hospital | 35 | $12,814 | About average | $11,182 | $177,371 |
| Western Arizona Regional Medical Center | 40 | $12,814 | About average | $11,182 | $202,508 |
| Mercy Gilbert Medical Center | 98 | $12,814 | About average | $11,180 | $105,076 |
| Abrazo Arrowhead Hospital | 54 | $12,814 | About average | $11,179 | $173,107 |
| Chandler Regional Medical Center | 29 | $12,814 | About average | $11,173 | $113,637 |
| Banner Ocotillo Medical Center | 15 | $12,815 | About average | $11,167 | $72,840 |
| Copley Memorial Hospital | 175 | $12,823 | About average | $11,191 | $68,528 |
| Upson Regional Medical Center | 11 | $12,832 | About average | $11,200 | $72,770 |
| Wellspan Chambersburg Hospital | 165 | $12,834 | About average | $11,195 | $41,404 |
| Advocate Sherman Hospital | 111 | $12,837 | About average | $11,204 | $61,278 |
| Sheridan Memorial Hospital | 121 | $12,845 | About average | $11,212 | $44,480 |
| Cooper University Hospital | 165 | $12,856 | About average | $11,280 | $50,898 |
| Virginia Mason Medical Center | 201 | $12,872 | About average | $11,240 | $50,790 |
| Sarah Bush Lincoln Health Center | 406 | $12,874 | About average | $11,242 | $62,887 |
| Missouri Delta Medical Center | 55 | $12,876 | About average | $11,244 | $63,263 |
| Prairie Lakes Healthcare System, Inc | 111 | $12,882 | About average | $11,250 | $47,286 |
| St Peters Health | 279 | $12,898 | About average | $11,266 | $28,776 |
| St Johns Medical Center | 129 | $12,926 | About average | $11,293 | $40,035 |
| St Francis Hospital | 19 | $12,928 | About average | $11,296 | $87,921 |
| Lake Region Healthcare Corporation | 69 | $12,934 | About average | $11,302 | $39,600 |
| Altru Hospital | 270 | $12,942 | About average | $11,310 | $53,649 |
| Capital Medical Center | 101 | $12,951 | About average | $11,319 | $91,166 |
| Asante Ashland Community Hospital | 18 | $12,965 | About average | $11,333 | $61,007 |
| Temple University Hospital | 84 | $12,965 | About average | $11,330 | $137,605 |
| Monument Health Rapid City Hospital | 151 | $12,967 | About average | $11,334 | $54,984 |
| Alomere Health | 183 | $12,975 | About average | $11,343 | $38,359 |
| St Mary Medical Center | 135 | $12,979 | About average | $11,345 | $65,286 |
| Christus St Vincent Regional Medical Center | 250 | $12,979 | About average | $11,345 | $80,655 |
| Valley View Medical Center | 63 | $13,002 | About average | $11,369 | $170,550 |
| Christiana Hospital | 1,029 | $13,004 | About average | $11,371 | $42,898 |
| St Anthonys Memorial Hospital | 52 | $13,006 | About average | $11,374 | $49,083 |
| Blessing Hospital | 289 | $13,006 | About average | $11,374 | $91,836 |
| St Mary Medical Center | 14 | $13,006 | About average | $11,374 | $84,777 |
| Tacoma General Allenmore Hospital | 203 | $13,010 | About average | $11,377 | $84,575 |
| Bozeman Health Deaconess Hospital | 336 | $13,022 | About average | $11,390 | $57,942 |
| MedStar Georgetown University Hospital | 241 | $13,045 | About average | $11,420 | $69,386 |
| Portsmouth Regional Hospital | 345 | $13,046 | About average | $11,412 | $137,954 |
| Avera Sacred Heart Hospital | 158 | $13,048 | About average | $11,415 | $46,115 |
| Avera St Mary's Hospital | 91 | $13,067 | About average | $11,435 | $50,717 |
| United Memorial Medical Center | 14 | $13,069 | About average | $11,419 | $34,576 |
| Ivinson Memorial Hospital | 93 | $13,070 | About average | $11,438 | $42,517 |
| Highline Medical Center | 35 | $13,082 | About average | $11,449 | $112,850 |
| Essentia Health St Joseph's Medical Center | 106 | $13,100 | About average | $11,468 | $37,907 |
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.