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 1,751–1,800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital | 331 | $13,281 | About average | $11,648 | $49,215 |
| Island Hospital | 135 | $13,285 | About average | $11,653 | $43,713 |
| Providence St Peter Hospital | 292 | $13,285 | About average | $11,652 | $73,960 |
| Intermountain Health St. Mary's Regional Hospital | 217 | $13,288 | About average | $11,654 | $68,534 |
| Centracare - St. Cloud Hospital | 189 | $13,289 | About average | $11,657 | $43,883 |
| Overlake Hospital Medical Center & Clinics | 459 | $13,290 | About average | $11,658 | $89,240 |
| St Clare Hospital | 193 | $13,291 | About average | $11,658 | $94,369 |
| Saint Rose Dominican Hospitals - San Martin Campus | 46 | $13,309 | About average | $11,675 | $102,119 |
| Mercy Regional Medical Center | 137 | $13,310 | About average | $11,678 | $90,109 |
| Providence Regional Medical Center Everett | 217 | $13,311 | About average | $11,679 | $68,470 |
| Newport Hospital | 53 | $13,335 | About average | $11,703 | $26,650 |
| Rhode Island Hospital | 18 | $13,335 | About average | $11,703 | $24,168 |
| Roger Williams Medical Center | 32 | $13,335 | About average | $11,703 | $36,703 |
| The Miriam Hospital | 180 | $13,335 | About average | $11,703 | $25,469 |
| Westerly Hospital | 36 | $13,335 | About average | $11,703 | $29,705 |
| Our Lady Of Fatima Hospital | 90 | $13,335 | About average | $11,702 | $35,127 |
| Vail Health Hospital | 492 | $13,349 | About average | $11,716 | $51,005 |
| Huntington Hospital | 136 | $13,349 | About average | $11,717 | $48,198 |
| Sibley Memorial Hospital | 402 | $13,356 | About average | $11,723 | $43,170 |
| St Anthony Hospital | 202 | $13,361 | About average | $11,727 | $105,403 |
| Adventist Health Portland | 66 | $13,393 | About average | $11,761 | $67,999 |
| United Health Services Hospitals, Inc | 92 | $13,395 | About average | $11,761 | $35,014 |
| Montrose Regional Health | 136 | $13,396 | About average | $11,764 | $58,662 |
| San Luis Valley Regional Medical Center | 15 | $13,396 | About average | $11,764 | $46,640 |
| Sterling Regional MedCenter | 12 | $13,396 | About average | $11,764 | $75,451 |
| Valley View Hospital Association | 169 | $13,396 | About average | $11,763 | $64,955 |
| St Anthony Summit Medical Center | 55 | $13,396 | About average | $11,760 | $95,778 |
| Delta County Memorial Hospital | 72 | $13,397 | About average | $11,752 | $50,704 |
| Sunrise Hospital And Medical Center | 19 | $13,416 | About average | $11,784 | $157,316 |
| Swedish Edmonds Hospital | 60 | $13,419 | About average | $11,787 | $86,619 |
| EvergreenHealth Monroe | 34 | $13,419 | About average | $11,787 | $56,507 |
| St Francis Community Hospital | 53 | $13,419 | About average | $11,785 | $117,374 |
| Mayo Clinic Hospital Rochester | 1,327 | $13,419 | About average | $11,786 | $43,902 |
| Hillsboro Medical Center | 65 | $13,420 | About average | $11,788 | $43,417 |
| Centennial Hills Hospital Medical Center | 53 | $13,422 | About average | $11,788 | $176,771 |
| Crouse Hospital | 190 | $13,425 | About average | $11,791 | $27,193 |
| Rochester General Hospital | 65 | $13,437 | About average | $11,805 | $30,970 |
| Multicare Good Samaritan Hospital | 126 | $13,443 | About average | $11,811 | $77,691 |
| MedStar Washington Hospital Center | 69 | $13,444 | About average | $11,810 | $87,775 |
| George Washington University Hospital | 62 | $13,444 | About average | $11,809 | $119,751 |
| Good Samaritan Regional Medical Center | 127 | $13,452 | About average | $11,820 | $37,322 |
| Cape Regional Medical Center Inc | 40 | $13,453 | About average | $11,820 | $51,613 |
| Flagstaff Medical Center | 135 | $13,453 | About average | $11,821 | $38,247 |
| Alaska Regional Hospital | 519 | $13,470 | About average | $11,837 | $149,516 |
| Sisters Of Charity Hospital | 241 | $13,472 | About average | $11,840 | $32,326 |
| Monmouth Medical Center | 302 | $13,479 | About average | $11,846 | $47,064 |
| Samaritan Albany General Hospital | 150 | $13,481 | About average | $11,849 | $37,380 |
| Legacy Good Samaritan Medical Center | 125 | $13,494 | About average | $11,862 | $37,826 |
| Sacred Heart Medical Center - Riverbend | 425 | $13,497 | About average | $11,864 | $65,363 |
| Kenmore Mercy Hospital | 283 | $13,503 | About average | $11,874 | $31,207 |
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.