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 401–450. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mercer County Joint Township Community Hospital | 91 | $11,186 | About average | $9,554 | $30,730 |
| MH St Elizabeth Youngstown Hospital | 19 | $11,186 | About average | $9,554 | $46,931 |
| Pomerene Hospital | 13 | $11,186 | About average | $9,554 | $31,722 |
| Firelands Regional Medical Center | 80 | $11,186 | About average | $9,553 | $54,617 |
| Salem Regional Medical Center | 173 | $11,186 | About average | $9,553 | $39,382 |
| Saint Thomas Rutherford Hospital | 268 | $11,187 | About average | $9,554 | $62,911 |
| Spectrum Health | 355 | $11,189 | About average | $9,559 | $39,526 |
| SSM Health St Anthony Hospital - Oklahoma City | 567 | $11,191 | About average | $9,557 | $53,600 |
| University Of Kentucky Hospital | 169 | $11,191 | About average | $9,579 | $50,967 |
| University Of Michigan Health - West | 183 | $11,192 | About average | $9,560 | $38,824 |
| Christus St Michael Health System | 93 | $11,196 | About average | $9,563 | $91,772 |
| Sentara Martha Jefferson Hospital | 372 | $11,196 | About average | $9,564 | $32,971 |
| Chesapeake General Hospital | 123 | $11,198 | About average | $9,566 | $66,121 |
| Mary Immaculate Hospital | 567 | $11,199 | About average | $9,566 | $72,944 |
| The Orthopaedic Hospital Of Lutheran Health Networ | 524 | $11,201 | About average | $9,621 | $142,194 |
| Lake Charles Memorial Hospital | 129 | $11,201 | About average | $9,569 | $57,957 |
| Affiliate Of Vitruvian Health | 95 | $11,203 | About average | $9,571 | $183,569 |
| Borgess Medical Center | 120 | $11,206 | About average | $9,574 | $55,410 |
| Clark Regional Medical Center | 55 | $11,206 | About average | $9,574 | $90,461 |
| Baptist Health Lexington | 275 | $11,207 | About average | $9,571 | $112,466 |
| Prisma Health Patewood Hospital | 870 | $11,207 | About average | $9,575 | $71,154 |
| UnityPoint Health - Des Moines Iowa Methodist Medi | 1,145 | $11,208 | About average | $9,574 | $57,163 |
| UPMC Jameson | 38 | $11,208 | About average | $9,570 | $34,769 |
| Pardee Hospital Henderson County | 385 | $11,210 | About average | $9,576 | $42,809 |
| Mount Pleasant Hospital | 449 | $11,214 | About average | $9,581 | $48,702 |
| Coffee Regional Medical Center, Inc | 30 | $11,214 | About average | $9,582 | $76,565 |
| Kansas City Orthopaedic Institute | 112 | $11,216 | About average | $9,584 | $57,443 |
| Blount Memorial Hospital | 147 | $11,220 | About average | $9,588 | $49,409 |
| UT Health East Texas Tyler Regional Hospital | 159 | $11,221 | About average | $9,588 | $92,853 |
| McLaren Oakland | 28 | $11,222 | About average | $9,589 | $50,123 |
| Fairview Hospital | 34 | $11,222 | About average | $9,590 | $53,097 |
| Kansas Medical Center LLC | 18 | $11,223 | About average | $9,591 | $21,259 |
| Via Christi Hospital Wichita St Teresa, Inc | 19 | $11,223 | About average | $9,591 | $35,302 |
| Ascension Via Christi Hospital Manhattan, Inc | 56 | $11,223 | About average | $9,591 | $44,670 |
| Ascension Via Christi Hospitals Wichita, Inc. | 89 | $11,223 | About average | $9,591 | $41,897 |
| Prisma Health Baptist | 419 | $11,227 | About average | $9,593 | $82,844 |
| Kearney Regional Medical Center | 100 | $11,229 | About average | $9,597 | $68,712 |
| Harris Regional Hospital | 47 | $11,231 | About average | $9,593 | $78,117 |
| Sentara Williamsburg Regional Medical Center | 112 | $11,232 | About average | $9,600 | $42,962 |
| Mary Greeley Medical Center | 354 | $11,234 | About average | $9,602 | $36,354 |
| Atrium Health Union | 106 | $11,235 | About average | $9,603 | $84,366 |
| Baptist Medical Center | 796 | $11,235 | About average | $9,603 | $154,236 |
| Kell West Regional Hospital | 168 | $11,236 | About average | $9,603 | $27,776 |
| FHN Memorial Hospital | 21 | $11,236 | About average | $9,604 | $81,631 |
| Southern Tennessee Regional Health System Winchest | 25 | $11,239 | About average | $9,607 | $98,602 |
| Lee's Summit Medical Center | 41 | $11,239 | About average | $9,607 | $74,473 |
| Saint Lukes North Hospital | 123 | $11,239 | About average | $9,607 | $60,260 |
| St Luke's Hospital - Carbon Campus | 14 | $11,240 | About average | $9,608 | $96,929 |
| Grand Lake Health System | 20 | $11,242 | About average | $9,610 | $42,797 |
| Mercy Health St Ritas Medical Center | 26 | $11,242 | About average | $9,610 | $105,739 |
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.