Skip to main content
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 Florida

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
Florida
Specific hospitals up to 10
Average payment across these 131 hospitals
$11,800National $12,402 · Florida $11,799
Median hospital
$11,844
Lowest to highest
$10,469–$12,749
Medicare procedures
23,257

131 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Parrish Medical CenterTitusville, FL · CCN 10002850$10,46916% below the national average$8,835$72,517
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287501$10,94212% below the national average$9,309$175,801
AdventHealth ZephyrhillsZephyrhills, FL · CCN 10004613$11,11610% below the national average$9,484$142,477
UF Health Shands HospitalGainesville, FL · CCN 100113169$11,15610% below the national average$9,571$66,882
West Boca Medical CenterBoca Raton, FL · CCN 10026836$11,335About average$9,696$140,496
HCA Florida Bayonet Point HospitalHudson, FL · CCN 10025655$11,347About average$9,710$165,934
Oviedo Medical CenterOviedo, FL · CCN 10032963$11,417About average$9,783$166,758
HCA Florida Orange Park HospitalOrange Park, FL · CCN 10022622$11,439About average$9,807$191,192
St Mary's Medical CenterWest Palm Beach, FL · CCN 100288 · +$721 outlier payments per case71$11,472About average$9,840$182,963
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176209$11,513About average$9,879$174,405
HCA Florida Aventura HospitalAventura, FL · CCN 10013127$11,532About average$9,893$142,900
Orlando Health-Health Central HospitalOcoee, FL · CCN 10003030$11,563About average$9,931$130,106
Shands JacksonvilleJacksonville, FL · CCN 10000161$11,569About average$9,931$94,372
University Hospital And Medical CenterTamarac, FL · CCN 10022431$11,574About average$9,942$109,337
Halifax Health /UF Health Medical Center Of DeltonDeltona, FL · CCN 10033027$11,591About average$9,993$75,078
Ascension Sacred Heart BayPanama City, FL · CCN 10002657$11,621About average$10,003$87,348
Lakeland Regional Medical CenterLakeland, FL · CCN 100157181$11,622About average$9,988$72,191
Broward Health NorthDeerfield Beach, FL · CCN 100086276$11,639About average$10,003$43,100
Baptist HospitalPensacola, FL · CCN 100093359$11,653About average$10,019$97,521
Cleveland Clinic HospitalWeston, FL · CCN 100289197$11,660About average$10,028$48,489
The Villages Regional HospitalThe Villages, FL · CCN 10029087$11,670About average$10,038$61,954
Memorial Hospital WestPembroke Pines, FL · CCN 10028144$11,672About average$10,040$69,929
HCA Florida University HospitalDavie, FL · CCN 10036045$11,677About average$10,045$120,611
St Anthonys HospitalSaint Petersburg, FL · CCN 100067189$11,688About average$10,056$73,122
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242196$11,696About average$10,061$171,172
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088766$11,705About average$10,072$78,221
AdventHealth WatermanTavares, FL · CCN 100057154$11,706About average$10,073$74,455
Delray Medical CenterDelray Beach, FL · CCN 10025852$11,708About average$10,076$173,397
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032104$11,708About average$10,074$145,845
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 10022354$11,716About average$10,084$169,849
Memorial Regional HospitalHollywood, FL · CCN 10003853$11,716About average$10,080$59,367
Jackson Health SystemMiami, FL · CCN 10002299$11,730About average$10,095$38,902
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034108$11,730About average$10,096$48,640
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077124$11,740About average$10,107$174,580
Sarasota Memorial HospitalSarasota, FL · CCN 100087719$11,741About average$10,109$91,234
HCA Florida North Florida HospitalGainesville, FL · CCN 100204202$11,753About average$10,121$188,019
Doctors HospitalCoral Gables, FL · CCN 100296540$11,754About average$10,120$77,317
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 100264141$11,762About average$10,124$190,480
AdventHealth OcalaOcala, FL · CCN 10006234$11,765About average$10,129$201,601
HCA Florida Highlands HospitalSebring, FL · CCN 10004974$11,767About average$10,135$130,993
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319223$11,768About average$10,133$120,937
St Josephs HospitalTampa, FL · CCN 100075154$11,772About average$10,140$92,298
HCA Florida West HospitalPensacola, FL · CCN 100231154$11,777About average$10,141$162,733
HCA Florida Twin Cities HospitalNiceville, FL · CCN 10005485$11,785About average$10,153$133,375
Sacred Heart HospitalPensacola, FL · CCN 100025 · +$542 outlier payments per case236$11,786About average$10,154$72,704
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135185$11,795About average$10,161$71,013
Lee Memorial HospitalFort Myers, FL · CCN 100012678$11,798About average$10,171$97,453
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$1,036 outlier payments per case483$11,802About average$10,168$130,036
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266306$11,805About average$10,169$99,940
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017 · +$39 outlier payments per case336$11,814About average$10,182$83,614

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.