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 1,701–1,750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Centracare- Rice Memorial Hospital | 49 | $13,100 | About average | $11,468 | $39,034 |
| Sanford Bemidji Medical Center | 160 | $13,100 | About average | $11,468 | $39,684 |
| Essentia Health St Marys - Detroit Lakes | 56 | $13,100 | About average | $11,467 | $33,700 |
| Grand Itasca Clinic And Hospital | 67 | $13,100 | About average | $11,467 | $37,474 |
| UNC Health Care Wayne | 82 | $13,102 | About average | $11,470 | $39,362 |
| Bayhealth Medical Center, Kent Campus | 134 | $13,103 | About average | $11,471 | $64,292 |
| St Joseph Medical Center | 82 | $13,105 | About average | $11,470 | $93,783 |
| Kadlec Regional Medical Center | 317 | $13,115 | About average | $11,482 | $58,222 |
| Logan Health Medical Center | 209 | $13,139 | About average | $11,504 | $34,772 |
| Beebe Medical Center | 666 | $13,139 | About average | $11,501 | $40,026 |
| Kent County Memorial Hospital | 63 | $13,149 | About average | $11,517 | $30,517 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 307 | $13,150 | About average | $11,517 | $54,828 |
| Hackensack Meridian Mountainside Medical | 50 | $13,153 | About average | $11,539 | $52,382 |
| Santiam Hospital & Clinics | 84 | $13,159 | About average | $11,526 | $56,246 |
| UCHealth Yampa Valley Medical Center | 53 | $13,174 | About average | $11,542 | $60,817 |
| Mount Nittany Medical Center | 297 | $13,181 | About average | $11,549 | $64,637 |
| Bayhealth Hospital, Sussex Campus | 121 | $13,184 | About average | $11,552 | $52,394 |
| Tidalhealth Nanticoke, Inc. | 373 | $13,184 | About average | $11,551 | $31,160 |
| Trios Health | 38 | $13,188 | About average | $11,556 | $81,556 |
| Harborview Medical Center | 24 | $13,188 | About average | $11,556 | $75,665 |
| University Of Washington Medical Center | 315 | $13,188 | About average | $11,555 | $46,862 |
| Providence Holy Family Hospital | 172 | $13,188 | About average | $11,554 | $63,456 |
| McKenzie-Willamette Medical Center | 203 | $13,193 | About average | $11,558 | $79,288 |
| Brookings Health System | 60 | $13,194 | About average | $11,562 | $29,135 |
| Campbell County Health | 95 | $13,194 | About average | $11,562 | $37,289 |
| Cheyenne Regional Medical Center | 102 | $13,194 | About average | $11,562 | $72,274 |
| Memorial Hospital Sweetwater County | 46 | $13,194 | About average | $11,562 | $41,203 |
| Sagewest Health Care | 68 | $13,194 | About average | $11,562 | $130,025 |
| Evanston Regional Hospital | 14 | $13,194 | About average | $11,562 | $68,425 |
| St James Hospital | 29 | $13,194 | About average | $11,562 | $51,984 |
| Trinity Hospitals | 162 | $13,194 | About average | $11,560 | $37,879 |
| Banner Wyoming Medical Center | 47 | $13,194 | About average | $11,560 | $74,636 |
| Monument Health Spearfish Hospital | 155 | $13,194 | About average | $11,559 | $60,504 |
| Verde Valley Medical Center | 46 | $13,196 | About average | $11,559 | $44,238 |
| Griffin Hospital | 25 | $13,217 | About average | $11,581 | $84,868 |
| Evergreenhealth Medical Center | 252 | $13,232 | About average | $11,598 | $49,643 |
| South County Hospital Inc | 353 | $13,235 | About average | $11,598 | $34,310 |
| Hospital Of University Of Pennsylvania | 12 | $13,238 | About average | $11,606 | $112,431 |
| Pennsylvania Hospital | 147 | $13,238 | About average | $11,606 | $62,864 |
| Penn Presbyterian Medical Center | 207 | $13,238 | About average | $11,606 | $82,975 |
| Inspira Medical Center Vineland | 47 | $13,239 | About average | $11,607 | $70,584 |
| Hutchinson Health | 44 | $13,245 | About average | $11,613 | $43,170 |
| Valley Medical Center | 273 | $13,246 | About average | $11,614 | $70,512 |
| Mayo Clinic Health System - Mankato | 154 | $13,249 | About average | $11,622 | $37,912 |
| Skagit Valley Hospital | 251 | $13,249 | About average | $11,616 | $56,018 |
| Robert Wood Johnson University Hospital - Somerset | 168 | $13,250 | About average | $11,615 | $51,946 |
| Peconic Bay Medical Center | 348 | $13,252 | About average | $11,622 | $52,092 |
| Mayo Clinic Health System - Albert Lea And Austin | 90 | $13,258 | About average | $11,626 | $36,638 |
| Swedish Issaquah | 79 | $13,270 | About average | $11,637 | $83,148 |
| Corning Hospital | 56 | $13,271 | About average | $11,639 | $47,388 |
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.