Outpatient procedure · APC 5115 · Surgery or procedure

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: $10,77287% of the payment
Average billed charge: $72,739
Hospitals reporting: 2,213362,845 procedures

Hospitals in Alabama

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.

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Alabama

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Year of care

Average payment across these 36 hospitals: $10,733National $12,402 · Alabama $10,733
Median hospital: $10,723
Lowest to highest: $8,267–$11,983
Medicare procedures: 5,517

36 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	34	$8,267	33% below the national average	$6,663	$146,951
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	36	$9,229	26% below the national average	$7,597	$191,041
Athens Limestone HospitalAthens, AL · CCN 010079	66	$9,898	20% below the national average	$8,340	$34,937
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	28	$9,974	20% below the national average	$8,342	$150,337
Baptist Medical Center SouthMontgomery, AL · CCN 010023	260	$10,259	17% below the national average	$8,626	$36,012
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	83	$10,379	16% below the national average	$8,747	$48,438
Grandview Medical CenterBirmingham, AL · CCN 010104	336	$10,518	15% below the national average	$8,888	$213,693
Riverview Regional Medical CenterGadsden, AL · CCN 010046	72	$10,524	15% below the national average	$8,892	$131,592
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	177	$10,534	15% below the national average	$8,902	$37,216
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	77	$10,540	15% below the national average	$8,908	$26,635
Baldwin HealthFoley, AL · CCN 010083	173	$10,550	15% below the national average	$8,916	$132,322
Helen Keller HospitalSheffield, AL · CCN 010019	91	$10,568	15% below the national average	$8,936	$25,913
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	68	$10,627	14% below the national average	$8,995	$189,943
Springhill Medical CenterMobile, AL · CCN 010144	102	$10,628	14% below the national average	$8,996	$30,492
North Alabama Medical CenterFlorence, AL · CCN 010006	140	$10,657	14% below the national average	$9,031	$56,626
Huntsville HospitalHuntsville, AL · CCN 010039 · +$21 outlier payments per case	806	$10,683	14% below the national average	$9,050	$74,965
St. Vincent's EastBirmingham, AL · CCN 010011	32	$10,684	14% below the national average	$9,052	$48,783
Thomas HospitalFairhope, AL · CCN 010100	144	$10,711	14% below the national average	$9,079	$43,786
Walker Baptist Medical CenterJasper, AL · CCN 010089	64	$10,735	13% below the national average	$9,101	$162,849
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	531	$10,756	13% below the national average	$9,124	$33,094
Southeast Health Medical CenterDothan, AL · CCN 010001	42	$10,806	13% below the national average	$9,174	$74,805
St Vincent's BirminghamBirmingham, AL · CCN 010056	802	$10,828	13% below the national average	$9,195	$53,368
Crestwood Medical CenterHuntsville, AL · CCN 010131	410	$10,838	13% below the national average	$9,205	$155,643
Marshall Medical CentersBoaz, AL · CCN 010005	86	$10,900	12% below the national average	$9,267	$26,804
USA Health University HospitalMobile, AL · CCN 010087	11	$10,901	12% below the national average	$9,269	$43,006
North Baldwin InfirmaryBay Minette, AL · CCN 010129	12	$10,913	12% below the national average	$9,281	$19,606
Flowers HospitalDothan, AL · CCN 010055	104	$10,916	12% below the national average	$9,284	$126,792
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	45	$10,963	12% below the national average	$9,331	$24,862
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	26	$10,975	12% below the national average	$9,343	$47,765
University Of Alabama HospitalBirmingham, AL · CCN 010033	167	$10,975	12% below the national average	$9,343	$67,902
Troy Regional Medical CenterTroy, AL · CCN 010126	13	$11,038	11% below the national average	$9,406	$46,945
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	130	$11,104	10% below the national average	$9,471	$55,253
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	14	$11,531	About average	$9,899	$158,440
Cullman Regional Medical CenterCullman, AL · CCN 010035	70	$11,579	About average	$9,947	$61,926
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	240	$11,727	About average	$10,094	$53,953
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	25	$11,983	About average	$10,351	$103,839

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 229,215 procedures at 2,037 hospitals · 2021: 364,363 procedures at 2,254 hospitals · 2022: 410,561 procedures at 2,321 hospitals · 2023: 427,124 procedures at 2,312 hospitals · 2024: 362,845 procedures at 2,213 hospitals

View data as a table

National average payment and billed charge for Level 5 Musculoskeletal Procedures
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

Average payment by state for Level 5 Musculoskeletal Procedures, 2024
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.