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 351–400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Joseph East | 80 | $11,140 | 10% below the national average | $9,505 | $37,968 |
| Mountain West Medical Center | 32 | $11,141 | 10% below the national average | $9,509 | $67,077 |
| Lexington Medical Center | 442 | $11,143 | 10% below the national average | $9,511 | $78,013 |
| Roper Hospital | 340 | $11,143 | 10% below the national average | $9,510 | $47,288 |
| Spencer Municipal Hospital | 189 | $11,144 | 10% below the national average | $9,511 | $37,855 |
| Beckley ARH Hospital | 31 | $11,144 | 10% below the national average | $9,512 | $44,341 |
| Round Rock Medical Center | 47 | $11,147 | 10% below the national average | $9,515 | $248,803 |
| Wesley Medical Center | 128 | $11,148 | 10% below the national average | $9,516 | $165,121 |
| Hillcrest Hospital South | 55 | $11,149 | 10% below the national average | $9,517 | $66,095 |
| Finley Hospital | 205 | $11,151 | 10% below the national average | $9,518 | $47,848 |
| University Of Kansas Health System - St Francis Campus | 200 | $11,155 | 10% below the national average | $9,522 | $61,113 |
| Mercy Health Saint Mary's | 52 | $11,155 | 10% below the national average | $9,523 | $44,455 |
| UF Health Shands Hospital | 169 | $11,156 | 10% below the national average | $9,571 | $66,882 |
| St Luke's Regional Medical Center | 496 | $11,156 | 10% below the national average | $9,571 | $38,725 |
| Wellmont Holston Valley Medical Center | 136 | $11,156 | 10% below the national average | $9,522 | $89,460 |
| Tristar Centennial Medical Center | 558 | $11,158 | 10% below the national average | $9,525 | $94,773 |
| Lovelace Regional Hospital - Roswell | 34 | $11,158 | 10% below the national average | $9,526 | $85,003 |
| Carilion New River Valley Medical Center | 121 | $11,159 | 10% below the national average | $9,524 | $88,406 |
| Medical College Of Virginia Hospitals | 223 | $11,161 | 10% below the national average | $9,518 | $64,980 |
| Integris Health Edmond Hospital | 118 | $11,161 | 10% below the national average | $9,529 | $129,720 |
| Community Hospital, LLC | 704 | $11,162 | About average | $9,529 | $102,987 |
| Hillcrest Hospital Claremore | 12 | $11,163 | About average | $9,531 | $76,770 |
| Baptist Health Medical Center- Conway | 93 | $11,164 | About average | $9,530 | $46,333 |
| Phoebe Sumter Medical Center | 18 | $11,165 | About average | $9,533 | $58,786 |
| Manhattan Surgical Hospital LLC | 402 | $11,166 | About average | $9,535 | $52,309 |
| CHI Saint Joseph Flaget Memorial Hospital | 61 | $11,167 | About average | $9,535 | $50,556 |
| Riverside Doctors' Hospital Of Williamsburg | 64 | $11,167 | About average | $9,535 | $38,045 |
| Mercy Specialty Hospital Southeast Kansas | 343 | $11,167 | About average | $9,535 | $48,421 |
| Lakeland Hospital, St Joseph | 102 | $11,167 | About average | $9,533 | $50,561 |
| MercyOne Des Moines Medical Center | 499 | $11,168 | About average | $9,536 | $47,350 |
| Prisma Health Greenville Memorial Hospital | 57 | $11,168 | About average | $9,536 | $89,828 |
| Oklahoma Spine Hospital | 62 | $11,169 | About average | $9,533 | $65,557 |
| University Of Louisville Hospital | 13 | $11,170 | About average | $9,532 | $72,002 |
| Carilion Medical Center | 662 | $11,171 | About average | $9,538 | $73,197 |
| The Jewish Hospital-Mercy Health | 113 | $11,172 | About average | $9,538 | $88,139 |
| Blanchard Valley Hospital | 210 | $11,172 | About average | $9,540 | $36,118 |
| Las Palmas Medical Center A Campus Of Lpds Healthc | 42 | $11,173 | About average | $9,541 | $244,825 |
| MUSC Health Lancaster Medical Center | 48 | $11,175 | About average | $9,543 | $155,636 |
| Hillcrest Hospital | 404 | $11,175 | About average | $9,543 | $45,768 |
| St Francis-Downtown | 712 | $11,175 | About average | $9,540 | $95,249 |
| Baptist Health Louisville | 775 | $11,175 | About average | $9,542 | $102,617 |
| Conway Regional Medical Center, Inc | 170 | $11,175 | About average | $9,542 | $47,207 |
| Davis Medical Center | 44 | $11,176 | About average | $9,544 | $49,241 |
| Medina Hospital | 213 | $11,177 | About average | $9,545 | $45,613 |
| Northern Regional Hospital | 76 | $11,181 | About average | $9,549 | $26,253 |
| St Marys Regional Medical Center | 13 | $11,181 | About average | $9,549 | $82,152 |
| Grand Strand Regional Medical Center | 405 | $11,182 | About average | $9,549 | $128,362 |
| Novant Health Medical Park Hospital | 13 | $11,184 | About average | $9,552 | $50,130 |
| Ascension Saint Thomas Hospital | 620 | $11,185 | About average | $9,553 | $69,735 |
| University Hospitals Portage Medical Center | 33 | $11,186 | About average | $9,554 | $50,291 |
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.