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 Indiana
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 64 hospitals
- $11,754
- Median hospital
- $11,803
- Lowest to highest
- $11,201–$12,404
- Medicare procedures
- 9,630
64 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 |
|---|---|---|---|---|---|
| The Orthopaedic Hospital Of Lutheran Health Networ | 524 | $11,201 | About average | $9,621 | $142,194 |
| Community Howard Regional Health Inc. | 45 | $11,324 | About average | $9,692 | $83,867 |
| Ascension St Vincent Hospital | 80 | $11,404 | About average | $9,772 | $107,433 |
| Major Hospital | 46 | $11,427 | About average | $9,790 | $74,921 |
| Indiana University Health Arnett Hospital | 122 | $11,554 | About average | $9,920 | $123,007 |
| St Elizabeth Dearborn Hospital | 128 | $11,559 | About average | $9,920 | $50,032 |
| Memorial Hospital And Health Care Center | 133 | $11,565 | About average | $9,933 | $44,355 |
| Northwest Health - Porter | 136 | $11,576 | About average | $9,944 | $149,670 |
| Hancock Regional Hospital | 37 | $11,595 | About average | $9,949 | $46,933 |
| Physicians' Medical Center LLC | 95 | $11,610 | About average | $9,978 | $39,417 |
| Deaconess Hospital Inc | 517 | $11,619 | About average | $9,986 | $32,093 |
| Baptist Health Floyd | 99 | $11,619 | About average | $9,987 | $111,437 |
| Good Samaritan Hospital | 156 | $11,622 | About average | $9,990 | $44,702 |
| Franciscan Health Michigan City | 108 | $11,623 | About average | $9,991 | $78,600 |
| Franciscan Health Lafayette | 390 | $11,639 | About average | $10,005 | $120,550 |
| Norton Clark Hospital | 133 | $11,640 | About average | $10,008 | $66,522 |
| Community Hospital East | 93 | $11,642 | About average | $10,010 | $84,650 |
| Community Hospital North | 141 | $11,658 | About average | $10,026 | $84,245 |
| IU Health West Hospital | 147 | $11,663 | About average | $10,030 | $111,273 |
| Orthoindy Hospital | 815 | $11,674 | About average | $10,036 | $42,060 |
| Ascension St Vincent Evansville | 270 | $11,679 | About average | $10,047 | $90,870 |
| Union Hospital Inc | 380 | $11,710 | About average | $10,076 | $69,859 |
| Northwest Health-La Porte | 27 | $11,716 | About average | $10,084 | $123,822 |
| Riverview Health | 133 | $11,719 | About average | $10,084 | $66,954 |
| Kosciusko Community Hospital | 15 | $11,747 | About average | $10,115 | $126,241 |
| Parkview Huntington Hospital | 18 | $11,747 | About average | $10,115 | $76,169 |
| Indiana University Health Ball Memorial Hospital | 98 | $11,778 | About average | $10,143 | $117,366 |
| Indiana University Health | 210 | $11,779 | About average | $10,146 | $111,474 |
| Unity Physicians Hospital | 420 | $11,789 | About average | $10,155 | $77,558 |
| Pinnacle Hospital | 19 | $11,795 | About average | $10,163 | $183,799 |
| Franciscan Health Mooresville | 284 | $11,800 | About average | $10,168 | $77,888 |
| Indiana University Health Bloomington Hospital | 145 | $11,803 | About average | $10,169 | $116,964 |
| Franciscan Health Orthopedic Hospital Carmel | 451 | $11,804 | About average | $10,171 | $82,933 |
| Henry County Memorial Hospital | 322 | $11,840 | About average | $10,207 | $54,577 |
| Schneck Medical Center | 79 | $11,845 | About average | $10,213 | $62,463 |
| Memorial Hospital Of South Bend | 77 | $11,862 | About average | $10,229 | $76,723 |
| Ascension St Vincent Anderson | 105 | $11,872 | About average | $10,240 | $95,556 |
| Ascension St Vincent Carmel | 26 | $11,872 | About average | $10,240 | $118,843 |
| Ascension St Vincent Fishers | 60 | $11,872 | About average | $10,240 | $110,327 |
| Community Hospital Of Anderson And Madison County | 35 | $11,872 | About average | $10,240 | $88,859 |
| Eskenazi Health | 17 | $11,872 | About average | $10,240 | $74,248 |
| Johnson Memorial Hospital | 16 | $11,872 | About average | $10,240 | $76,839 |
| Witham Health Services | 14 | $11,872 | About average | $10,240 | $62,794 |
| Hendricks Regional Health | 198 | $11,872 | About average | $10,238 | $50,168 |
| Columbus Regional Hospital | 49 | $11,879 | About average | $10,247 | $47,457 |
| Orthopaedic Hospital At Parkview North | 638 | $11,886 | About average | $10,251 | $70,728 |
| Goshen Hospital | 67 | $11,899 | About average | $10,267 | $55,806 |
| Saint Joseph Regional Medical Center | 267 | $11,901 | About average | $10,263 | $62,894 |
| Dupont Hospital LLC | 31 | $11,935 | About average | $10,303 | $130,246 |
| Lutheran Hospital Of Indiana | 25 | $11,935 | About average | $10,303 | $129,455 |
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.