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 1,801–1,850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Henderson Hospital | 144 | $13,511 | About average | $11,879 | $139,684 |
| Wynn Hospital | 88 | $13,511 | About average | $11,879 | $44,046 |
| Legacy Meridian Park Medical Center | 176 | $13,513 | About average | $11,875 | $36,588 |
| Highland Hospital | 211 | $13,523 | About average | $11,889 | $31,729 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 127 | $13,542 | About average | $11,909 | $62,641 |
| Nicholas H Noyes Memorial Hospital | 64 | $13,545 | About average | $11,913 | $40,652 |
| PeaceHealth Southwest Medical Cente | 153 | $13,548 | About average | $11,915 | $72,369 |
| Raritan Bay Medical Center | 63 | $13,548 | About average | $11,916 | $46,231 |
| Legacy Salmon Creek Medical Center | 207 | $13,551 | About average | $11,919 | $39,368 |
| Providence Alaska Medical Center | 56 | $13,562 | About average | $11,926 | $79,722 |
| Robert Wood Johnson University Hospital At Rahway | 63 | $13,564 | About average | $11,931 | $69,696 |
| Unity Hospital | 175 | $13,578 | About average | $11,945 | $29,003 |
| Clara Maass Medical Center | 48 | $13,592 | About average | $11,955 | $41,652 |
| Yavapai Regional Medical Center | 205 | $13,604 | About average | $11,972 | $63,537 |
| West Jersey Hospital | 574 | $13,611 | About average | $11,978 | $119,648 |
| Spring Valley Hospital Medical Center | 208 | $13,614 | About average | $11,982 | $186,778 |
| Jefferson Stratford Hospital | 410 | $13,617 | About average | $11,985 | $66,121 |
| Providence Willamette Falls Medical Center | 75 | $13,624 | About average | $11,988 | $40,025 |
| Canyon Vista Medical Center | 125 | $13,625 | About average | $11,993 | $140,707 |
| Shore Medical Center | 196 | $13,631 | About average | $11,999 | $67,889 |
| Summit Healthcare Regional Medical Center | 138 | $13,634 | About average | $12,002 | $83,746 |
| St Luke's Warren Hospital | 101 | $13,635 | About average | $12,003 | $109,201 |
| St Peter's Hospital | 337 | $13,638 | About average | $12,002 | $37,693 |
| Cooperman Barnabas Medical Center | 179 | $13,642 | About average | $12,009 | $45,783 |
| Robert Wood Johnson University Hospital At Hamilton | 113 | $13,648 | 10% above the national average | $12,014 | $55,252 |
| Erie County Medical Center | 123 | $13,649 | 10% above the national average | $12,019 | $23,465 |
| Virtua Mount Holly Hospital | 121 | $13,655 | 10% above the national average | $12,023 | $128,477 |
| Providence Portland Medical Center | 94 | $13,657 | 10% above the national average | $12,025 | $39,520 |
| AtlantiCare Regional Medical Center - City Campus | 492 | $13,657 | 10% above the national average | $12,027 | $66,333 |
| Arnot Ogden Medical Center | 90 | $13,658 | 10% above the national average | $12,023 | $33,810 |
| UPMC Hamot | 129 | $13,662 | 10% above the national average | $12,028 | $81,846 |
| OHSU Hospital And Clinics | 196 | $13,662 | 10% above the national average | $12,029 | $44,769 |
| Community Medical Center | 138 | $13,667 | 10% above the national average | $12,034 | $37,908 |
| St Charles Medical Center - Bend | 290 | $13,672 | 10% above the national average | $12,038 | $70,605 |
| Kaleida Health | 355 | $13,688 | 10% above the national average | $12,055 | $41,463 |
| Good Samaritan Medical Center | 70 | $13,693 | 10% above the national average | $12,075 | $41,983 |
| Inspira Medical Center Mullica Hill | 199 | $13,694 | 10% above the national average | $12,061 | $75,289 |
| Boston Medical Center-Brighton | 30 | $13,698 | 10% above the national average | $12,066 | $40,392 |
| Northern Nevada Sierra Medical Center | 67 | $13,699 | 10% above the national average | $12,067 | $144,653 |
| Bayshore Medical Center | 107 | $13,700 | 10% above the national average | $12,066 | $43,826 |
| Mercy Medical Center | 12 | $13,705 | 11% above the national average | $12,073 | $105,859 |
| University Hospital S U N Y Health Science Center | 113 | $13,712 | 11% above the national average | $12,080 | $52,029 |
| Yuma Regional Medical Center | 139 | $13,722 | 11% above the national average | $12,090 | $88,328 |
| Banner Casa Grande Medical Center | 23 | $13,722 | 11% above the national average | $12,090 | $52,939 |
| Renown Regional Medical Center | 73 | $13,733 | 11% above the national average | $12,098 | $68,319 |
| Mercy Medical Center | 67 | $13,737 | 11% above the national average | $12,101 | $29,625 |
| St Catherine Of Siena Hospital | 27 | $13,738 | 11% above the national average | $12,106 | $93,243 |
| Holy Family Hospital | 101 | $13,742 | 11% above the national average | $12,109 | $36,330 |
| Valley Hospital Medical Center | 70 | $13,748 | 11% above the national average | $12,113 | $178,465 |
| Cambridge Health Alliance | 34 | $13,750 | 11% above the national average | $12,108 | $15,824 |
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.