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 Georgia

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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Georgia

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Average payment across these 70 hospitals: $11,631National $12,402 · Georgia $11,645
Median hospital: $11,730
Lowest to highest: $10,613–$12,832
Medicare procedures: 8,753

70 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Northeast Georgia Medical Center HabershamDemorest, GA · CCN 110041 · +$1,232 outlier payments per case	38	$10,613	14% below the national average	$8,981	$88,683
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	47	$10,708	14% below the national average	$9,076	$50,545
Piedmont Augusta HospitalAugusta, GA · CCN 110028	218	$10,777	13% below the national average	$9,145	$58,646
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	42	$10,898	12% below the national average	$9,262	$59,020
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	105	$10,905	12% below the national average	$9,272	$42,303
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	92	$10,922	12% below the national average	$9,285	$89,552
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	226	$10,944	12% below the national average	$9,312	$105,109
Southwell Medical, A Campus Of The Regional Medical CenterAdel, GA · CCN 110101	138	$10,996	11% below the national average	$9,364	$58,582
Tift Regional Medical CenterTifton, GA · CCN 110095	122	$11,009	11% below the national average	$9,377	$60,303
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	453	$11,018	11% below the national average	$9,390	$58,919
SGMC HealthValdosta, GA · CCN 110122	103	$11,020	11% below the national average	$9,388	$66,299
Doctors HospitalAugusta, GA · CCN 110177	98	$11,028	11% below the national average	$9,395	$129,853
Piedmont Macon North HospitalMacon, GA · CCN 110201	38	$11,032	11% below the national average	$9,400	$116,663
Burke Medical CenterWaynesboro, GA · CCN 110113 · +$47 outlier payments per case	594	$11,045	11% below the national average	$9,411	$136,959
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	12	$11,112	10% below the national average	$9,480	$68,415
Stephens County HospitalToccoa, GA · CCN 110032 · +$6,991 outlier payments per case	13	$11,112	10% below the national average	$9,480	$89,140
Ty Cobb Regional Medical Center, LLCLavonia, GA · CCN 110027	21	$11,112	10% below the national average	$9,471	$39,097
University McDuffie County Regional Medical CenterThomson, GA · CCN 110111	35	$11,125	10% below the national average	$9,493	$48,587
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	18	$11,165	About average	$9,533	$58,786
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	30	$11,214	About average	$9,582	$76,565
Archbold Memorial HospitalThomasville, GA · CCN 110038	18	$11,269	About average	$9,637	$50,713
Coliseum Medical CentersMacon, GA · CCN 110164	26	$11,286	About average	$9,654	$92,023
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	54	$11,414	About average	$9,782	$138,776
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	38	$11,444	About average	$9,861	$41,808
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	197	$11,495	About average	$9,863	$66,447
Fairview Park HospitalDublin, GA · CCN 110125	54	$11,506	About average	$9,871	$123,072
Piedmont Hospital, IncAtlanta, GA · CCN 110083	419	$11,513	About average	$9,929	$93,221
Wayne Memorial HospitalJesup, GA · CCN 110124	50	$11,520	About average	$9,908	$76,196
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	114	$11,529	About average	$9,897	$122,101
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	17	$11,576	About average	$9,933	$76,115
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	75	$11,579	About average	$9,965	$99,544
Hamilton Medical CenterDalton, GA · CCN 110001	110	$11,607	About average	$9,975	$71,885
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	333	$11,663	About average	$10,030	$106,615
Blue Ridge Medical CenterBlue Ridge, GA · CCN 110780	11	$11,666	About average	$10,034	$100,643
AdventHealth RedmondRome, GA · CCN 110168 · +$162 outlier payments per case	152	$11,711	About average	$10,077	$135,231
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	323	$11,748	About average	$10,115	$38,289
Memorial Satilla HealthWaycross, GA · CCN 110003	19	$11,792	About average	$10,160	$98,240
Piedmont Walton HospitalMonroe, GA · CCN 110046	27	$11,806	About average	$10,165	$88,491
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	145	$11,834	About average	$10,198	$56,891
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	128	$11,857	About average	$10,224	$109,058
St Mary's HospitalAthens, GA · CCN 110006	369	$11,873	About average	$10,240	$56,994
Emory Decatur HospitalDecatur, GA · CCN 110076	70	$11,895	About average	$10,262	$38,290
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	30	$11,898	About average	$10,266	$125,503
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	34	$11,898	About average	$10,266	$56,132
Union General HospitalBlairsville, GA · CCN 110051	120	$11,898	About average	$10,265	$38,214
Emory University Hospital MidtownAtlanta, GA · CCN 110078	37	$11,912	About average	$10,280	$51,156
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	85	$11,948	About average	$10,316	$114,292
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	197	$11,978	About average	$10,356	$89,293
AdventHealth GordonCalhoun, GA · CCN 110023	38	$11,983	About average	$10,351	$133,712
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	102	$11,990	About average	$10,356	$100,188

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.