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
Hospitals in Texas
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.
- Average payment across these 187 hospitals
- $11,615
- Median hospital
- $11,628
- Lowest to highest
- $5,893–$12,723
- Medicare procedures
- 27,182
187 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–187. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Shannon Medical Center | 208 | $12,010 | About average | $10,378 | $46,902 |
| Covenant Hospital Plainview | 52 | $12,015 | About average | $10,378 | $108,521 |
| Memorial Hermann Memorial City Hospital | 282 | $12,037 | About average | $10,405 | $62,046 |
| Memorial Hermann - Texas Medical Center | 355 | $12,047 | About average | $10,414 | $93,379 |
| Houston Methodist Willowbrook Hospital | 152 | $12,048 | About average | $10,414 | $125,068 |
| Houston Methodist Hospital | 696 | $12,050 | About average | $10,418 | $111,235 |
| Titus Regional Medical Center | 66 | $12,053 | About average | $10,421 | $35,681 |
| CHI St Lukes Lakeside Hospital | 104 | $12,085 | About average | $10,452 | $77,236 |
| Texas Orthopedic Hospital | 1,066 | $12,098 | About average | $10,465 | $169,311 |
| Tops Surgical Specialty Hospital | 132 | $12,107 | About average | $10,474 | $73,165 |
| Columbus Community Hospital | 65 | $12,109 | About average | $10,492 | $58,863 |
| Houston Methodist Clear Lake Hospital | 153 | $12,118 | About average | $10,486 | $120,399 |
| United Regional Health Care System | 155 | $12,131 | About average | $10,499 | $45,795 |
| Houston Methodist West Hospital | 255 | $12,145 | About average | $10,513 | $116,344 |
| Hendrick Medical Center | 295 | $12,163 | About average | $10,529 | $147,112 |
| Paris Regional Medical Center | 44 | $12,164 | About average | $10,532 | $83,662 |
| Baylor St Lukes Medical Center | 67 | $12,187 | About average | $10,555 | $89,416 |
| Christus Southeast Texas- St Elizabeth | 111 | $12,187 | About average | $10,555 | $97,869 |
| East Houston Medical Center | 11 | $12,187 | About average | $10,555 | $88,704 |
| HCA Houston Healthcare Clear Lake | 70 | $12,187 | About average | $10,555 | $144,567 |
| HCA Houston Healthcare Kingwood | 143 | $12,187 | About average | $10,555 | $217,496 |
| HCA Houston Healthcare Medical Center | 12 | $12,187 | About average | $10,555 | $247,779 |
| HCA Houston Healthcare Northwest | 11 | $12,187 | About average | $10,555 | $268,548 |
| HCA Houston Healthcare Southeast | 31 | $12,187 | About average | $10,555 | $192,701 |
| HCA Houston Healthcare Tomball | 72 | $12,187 | About average | $10,555 | $224,528 |
| CHI St Luke's Health Brazosport | 19 | $12,187 | About average | $10,555 | $65,717 |
| Memorial Hermann Northeast Hospital | 14 | $12,187 | About average | $10,555 | $66,823 |
| Memorial Hermann Surgical Hospital Kingwood | 76 | $12,187 | About average | $10,552 | $45,433 |
| St Luke's Sugar Land Hospital | 14 | $12,187 | About average | $10,539 | $81,349 |
| St Luke's Patients Medical Center | 13 | $12,187 | About average | $10,537 | $69,825 |
| Baylor Scott & White Medical Center - Marble Falls | 117 | $12,213 | About average | $10,581 | $56,626 |
| Childress Regional Medical Center | 28 | $12,213 | About average | $10,581 | $58,894 |
| Memorial Hospital | 26 | $12,213 | About average | $10,581 | $31,451 |
| Hendrick Medical Center Brownwood | 68 | $12,214 | About average | $10,574 | $118,742 |
| Christus Mother Frances Hospital Sulphur Springs | 53 | $12,458 | About average | $10,823 | $142,733 |
| Texas Health Harris Methodist Hospital Stephenvill | 162 | $12,706 | About average | $11,073 | $57,621 |
| CHI St Lukes Health Memorial Livingston | 35 | $12,723 | About average | $11,091 | $125,362 |
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.