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
- $10,772
- Average billed charge
- $72,739
- Hospitals reporting
- 2,213
Hospitals in Illinois
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.
- Average payment across these 82 hospitals
- $12,334
- Median hospital
- $12,331
- Lowest to highest
- $11,236–$13,006
- Medicare procedures
- 14,943
82 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| FHN Memorial Hospital | 21 | $11,236 | About average | $9,604 | $81,631 |
| Carle Health Methodist Hospital | 14 | $11,395 | About average | $9,763 | $72,387 |
| St Josephs Hospital | 17 | $11,528 | About average | $9,896 | $53,475 |
| Javon Bea Hospital | 42 | $11,645 | About average | $10,013 | $91,624 |
| St Marys Hospital | 106 | $11,849 | About average | $10,217 | $64,805 |
| Ingalls Memorial Hospital | 52 | $11,852 | About average | $10,220 | $66,183 |
| Carle Bromenn Medical Center | 213 | $11,858 | About average | $10,225 | $38,839 |
| Anderson Hospital | 138 | $11,918 | About average | $10,286 | $41,855 |
| St Johns Hospital | 292 | $11,966 | About average | $10,334 | $60,985 |
| Herrin Hospital | 121 | $11,972 | About average | $10,339 | $85,003 |
| Carle Foundation Hospital | 279 | $11,979 | About average | $10,349 | $50,085 |
| Alton Memorial Hospital | 202 | $12,002 | About average | $10,370 | $48,141 |
| Carle Health Proctor Hospital | 662 | $12,022 | About average | $10,391 | $66,182 |
| Advocate Trinity Hospital | 98 | $12,035 | About average | $10,399 | $62,559 |
| Decatur Memorial Hospital | 236 | $12,057 | About average | $10,417 | $74,214 |
| Saint Francis Medical Center | 244 | $12,061 | About average | $10,428 | $73,302 |
| HSHS St Elizabeth's Hospital | 125 | $12,062 | About average | $10,430 | $53,522 |
| Memorial Hospital | 217 | $12,098 | About average | $10,466 | $43,879 |
| Presence Saints Mary And Elizabeth Medical Center | 29 | $12,103 | About average | $10,471 | $77,563 |
| Uchicago Medicine AdventHealth Glenoaks | 26 | $12,118 | About average | $10,468 | $61,391 |
| NorthShore University HealthSystem - Evanston Hospital | 1,343 | $12,119 | About average | $10,486 | $57,916 |
| Memorial Medical Center | 250 | $12,122 | About average | $10,492 | $67,540 |
| Advocate Christ Hospital & Medical Center | 197 | $12,141 | About average | $10,509 | $57,104 |
| Riverside Medical Center | 100 | $12,145 | About average | $10,513 | $65,048 |
| Deaconess Illinois Crossroads | 36 | $12,146 | About average | $10,514 | $121,646 |
| Jersey Community Hospital | 17 | $12,146 | About average | $10,514 | $64,086 |
| OSF Saint Katharine Medical Center | 28 | $12,146 | About average | $10,514 | $71,784 |
| CGH Medical Center | 68 | $12,146 | About average | $10,514 | $80,118 |
| St Joseph Medical Center | 146 | $12,146 | About average | $10,514 | $65,201 |
| Trinity Rock Island | 117 | $12,146 | About average | $10,513 | $40,913 |
| Genesis Medical Center | 61 | $12,146 | About average | $10,513 | $31,776 |
| Heartland Regional Medical Center | 37 | $12,146 | About average | $10,512 | $113,328 |
| Elmhurst Memorial Hospital | 339 | $12,158 | About average | $10,522 | $67,272 |
| Advocate Condell Medical Center | 269 | $12,160 | About average | $10,527 | $70,592 |
| Edward Hospital | 249 | $12,188 | About average | $10,556 | $61,897 |
| Uchicago Medicine AdventHealth Bolingbrook | 43 | $12,225 | About average | $10,593 | $79,134 |
| Presence St Marys Hospital | 173 | $12,236 | About average | $10,604 | $92,581 |
| Graham Hospital Association | 30 | $12,248 | About average | $10,608 | $61,250 |
| Advocate Good Shepherd Hospital | 319 | $12,301 | About average | $10,669 | $43,112 |
| Amita Health Resurrection Medical Center | 123 | $12,315 | About average | $10,683 | $83,926 |
| Advocate Good Samaritan Hospital | 146 | $12,329 | About average | $10,697 | $54,049 |
| Palos Community Hospital | 75 | $12,333 | About average | $10,701 | $87,318 |
| Silver Cross Hospital And Medical Centers | 299 | $12,338 | About average | $10,707 | $33,006 |
| Advocate Lutheran General Hospital | 407 | $12,354 | About average | $10,721 | $43,128 |
| Northwest Community Hospital 1 | 304 | $12,370 | About average | $10,733 | $52,261 |
| Uchicago Medicine AdventHealth La Grange | 1,081 | $12,387 | About average | $10,754 | $57,158 |
| Northwestern Medicine MCHenry | 383 | $12,392 | About average | $10,760 | $72,483 |
| Northwestern Lake Forest Hospital | 176 | $12,402 | About average | $10,770 | $112,837 |
| Rush Oak Park Hospital | 149 | $12,404 | About average | $10,772 | $44,088 |
| Morris Hospital & Healthcare Centers | 171 | $12,414 | About average | $10,781 | $75,758 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.