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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 Arizona

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
Arizona
Specific hospitals up to 10
Average payment across these 47 hospitals
$12,802National $12,402 · Arizona $12,802
Median hospital
$12,757
Lowest to highest
$12,342–$14,122
Medicare procedures
9,066

47 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
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 03000271$12,342About average$10,708$81,965
Banner Desert Medical CenterMesa, AZ · CCN 03006599$12,493About average$10,867$79,245
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089151$12,518About average$10,883$62,520
Banner Estrella Medical CenterPhoenix, AZ · CCN 03011580$12,535About average$10,903$68,329
St Joseph's HospitalTucson, AZ · CCN 030011 · +$424 outlier payments per case82$12,541About average$10,909$215,438
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 03012177$12,569About average$10,937$88,490
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038290$12,583About average$10,951$114,779
HonorHealth Tempe Medical CenterPhoenix, AZ · CCN 03003790$12,583About average$10,946$74,364
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108826$12,603About average$10,971$75,994
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 03014862$12,634About average$11,000$124,230
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014121$12,642About average$11,008$100,957
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107519$12,651About average$11,018$85,155
Tucson Medical CenterTucson, AZ · CCN 030006490$12,655About average$11,022$33,909
Mayo Clinic HospitalPhoenix, AZ · CCN 030103382$12,668About average$11,036$52,826
Oro Valley HospitalOro Valley, AZ · CCN 030114426$12,683About average$11,049$110,504
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123 · +$35 outlier payments per case603$12,686About average$11,054$109,758
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087348$12,686About average$11,053$118,635
Banner Boswell Medical CenterSun City, AZ · CCN 030061181$12,691About average$11,059$61,764
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093238$12,692About average$11,059$67,484
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064104$12,707About average$11,069$55,971
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083551$12,715About average$11,080$107,671
Banner Baywood Medical CenterMesa, AZ · CCN 030088228$12,717About average$11,083$66,099
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146322$12,726About average$11,094$113,570
Abrazo West CampusGoodyear, AZ · CCN 030110166$12,757About average$11,122$106,675
Northwest Medical CenterTucson, AZ · CCN 030085211$12,761About average$11,126$100,548
O.A.S.I.S. HospitalPhoenix, AZ · CCN 030131226$12,765About average$11,133$81,964
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112 · +$79 outlier payments per case468$12,790About average$11,158$95,962
Banner Gateway Medical CenterGilbert, AZ · CCN 03012217$12,814About average$11,182$79,551
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092121$12,814About average$11,182$121,464
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 03013048$12,814About average$11,182$62,657
Kingman Regional Medical CenterKingman, AZ · CCN 03005532$12,814About average$11,182$117,056
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 03002439$12,814About average$11,182$99,030
St. Mary's HospitalTucson, AZ · CCN 03001035$12,814About average$11,182$177,371
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 03010140$12,814About average$11,182$202,508
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011998$12,814About average$11,180$105,076
Abrazo Arrowhead HospitalGlendale, AZ · CCN 03009454$12,814About average$11,179$173,107
Chandler Regional Medical CenterChandler, AZ · CCN 03003629$12,814About average$11,173$113,637
Banner Ocotillo Medical CenterChandler, AZ · CCN 03014715$12,815About average$11,167$72,840
Valley View Medical CenterFort Mohave, AZ · CCN 03011763$13,002About average$11,369$170,550
Verde Valley Medical CenterCottonwood, AZ · CCN 03000746$13,196About average$11,559$44,238
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023135$13,453About average$11,821$38,247
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012205$13,604About average$11,972$63,537
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043125$13,625About average$11,993$140,707
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062138$13,634About average$12,002$83,746
Yuma Regional Medical CenterYuma, AZ · CCN 030013139$13,72211% above the national average$12,090$88,328
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 03001623$13,72211% above the national average$12,090$52,939
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069252$14,12214% above the national average$12,488$118,819

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.