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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 Arkansas

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.

Location
Arkansas
Specific hospitals up to 10
Average payment across these 28 hospitals
$11,206National $12,402 · Arkansas $11,206
Median hospital
$11,170
Lowest to highest
$10,520–$12,072
Medicare procedures
5,195

28 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Saline Memorial HospitalBenton, AR · CCN 04008447$10,52015% below the national average$8,883$73,199
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118255$10,80013% below the national average$9,167$34,260
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010195$10,90712% below the national average$9,275$34,081
Washington Regional Medical CenterFayetteville, AR · CCN 040004454$10,93212% below the national average$9,299$45,669
Siloam Springs Regional HospitalSiloam Springs, AR · CCN 040001130$11,01611% below the national average$9,382$79,661
St Bernards Medical CenterJonesboro, AR · CCN 040020278$11,02111% below the national average$9,387$19,488
Baptist Health - Fort SmithFort Smith, AR · CCN 04005566$11,04011% below the national average$9,404$50,933
Arkansas Surgical HospitalNo Little Rock, AR · CCN 0401471,013$11,04411% below the national average$9,413$38,038
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036311$11,08211% below the national average$9,450$53,414
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 04002229$11,08911% below the national average$9,457$109,473
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062416$11,09311% below the national average$9,462$25,758
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114280$11,10510% below the national average$9,473$57,572
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016298$11,13910% below the national average$9,504$26,233
Baptist Health Medical Center- ConwayConway, AR · CCN 04015493$11,164About average$9,530$46,333
Conway Regional Medical Center, IncConway, AR · CCN 040029170$11,175About average$9,542$47,207
St Marys Regional Medical CenterRussellville, AR · CCN 04004113$11,181About average$9,549$82,152
Magnolia HospitalMagnolia, AR · CCN 04006731$11,543About average$9,911$25,578
South Arkansas Regional Hospital LLCEl Dorado, AR · CCN 04008836$11,592About average$9,957$65,488
Baptist Health Medical Center-StuttgartStuttgart, AR · CCN 04007213$11,602About average$9,970$42,574
White River Medical CenterBatesville, AR · CCN 040119102$11,673About average$10,038$44,097
Jefferson Regional Medical CenterPine Bluff, AR · CCN 04007161$11,675About average$10,043$52,454
Baxter HealthMountain Home, AR · CCN 040027271$11,691About average$10,059$31,907
North Arkansas Regional Medical CenterHarrison, AR · CCN 04001798$11,770About average$10,136$35,238
Forrest City Medical CenterForrest City, AR · CCN 04001914$11,874About average$10,242$91,346
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007103$11,912About average$10,288$59,752
White County Medical CenterSearcy, AR · CCN 04001489$11,967About average$10,335$40,638
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026187$12,018About average$10,380$27,400
National Park Medical CenterHot Springs, AR · CCN 040078142$12,072About average$10,439$107,641

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6927$6,642$5,710–$7,857
Alabama365,517$10,733$10,538–$10,928
Mississippi251,977$10,843$10,672–$11,006
Tennessee478,201$10,865$10,654–$11,195
Louisiana445,417$10,909$10,733–$11,044
West Virginia192,033$11,015$10,538–$11,114
Ohio10415,215$11,123$11,029–$11,497
Oklahoma427,005$11,159$11,026–$11,326
Arkansas285,195$11,206$11,043–$11,679
South Carolina439,015$11,244$11,083–$11,366
Kentucky425,097$11,263$10,995–$11,552
Kansas346,049$11,345$11,166–$11,885
Iowa295,825$11,405$11,208–$11,925
Missouri538,629$11,419$11,333–$11,837
Virginia5513,156$11,531$11,183–$12,118
Michigan738,557$11,535$11,319–$11,944
Texas18827,220$11,614$11,350–$11,866
Georgia719,007$11,645$11,145–$12,011
North Carolina6511,812$11,652$11,347–$11,739
New Mexico162,050$11,704$11,270–$12,005
Utah323,863$11,712$11,479–$11,775
Indiana649,630$11,754$11,642–$11,909
Nebraska214,927$11,799$11,652–$12,128
Florida13323,438$11,799$11,730–$11,906
Idaho152,954$11,894$11,784–$12,386
Wisconsin567,721$11,921$11,695–$12,134
Maine141,590$12,045$11,422–$12,212
Pennsylvania10517,854$12,207$11,693–$12,571
Montana102,257$12,302$12,157–$12,991
Illinois8214,943$12,334$12,119–$12,518
South Dakota133,867$12,387$12,258–$13,048
North Dakota61,935$12,448$12,260–$12,787
Colorado478,262$12,564$12,388–$12,511
New Hampshire112,199$12,713$12,410–$12,672
Minnesota426,532$12,735$12,361–$12,965
Arizona479,066$12,802$12,653–$12,814
Wyoming10919$12,806$12,962–$13,194
Delaware62,342$13,085$13,029–$13,172
District of Columbia4774$13,274$13,278–$13,444
Rhode Island8825$13,278$13,310–$13,335
Washington437,875$13,453$13,133–$13,721
Alaska6992$13,858$13,747–$14,483
Oregon293,599$13,939$13,452–$13,786
Nevada162,147$13,956$13,488–$13,899
Massachusetts439,382$13,997$13,872–$14,027
New Jersey4310,137$14,069$13,614–$14,536
New York9113,630$14,226$13,725–$14,676
Connecticut233,597$14,579$14,481–$14,714
Hawaii9682$14,923$14,484–$15,494
California16427,002$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.