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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 Kansas

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
Kansas
Specific hospitals up to 10
Average payment across these 34 hospitals
$11,345National $12,402 · Kansas $11,345
Median hospital
$11,328
Lowest to highest
$10,776–$12,756
Medicare procedures
6,049

34 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
Miami County Medical CenterPaola, KS · CCN 17010914$10,77613% below the national average$9,144$35,398
Rock Regional Hospital, LLCDerby, KS · CCN 170204 · +$462 outlier payments per case40$10,98311% below the national average$9,351$49,209
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049237$11,02311% below the national average$9,391$37,525
Kansas Surgery & Recovery CenterWichita, KS · CCN 170183981$11,06411% below the national average$9,432$29,366
NMC HealthNewton, KS · CCN 170103203$11,08111% below the national average$9,449$22,916
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 170196404$11,10410% below the national average$9,472$53,407
Wesley Medical CenterWichita, KS · CCN 170123128$11,14810% below the national average$9,516$165,121
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016200$11,15510% below the national average$9,522$61,113
Manhattan Surgical Hospital LLCManhattan, KS · CCN 170190402$11,166About average$9,535$52,309
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203343$11,167About average$9,535$48,421
Kansas City Orthopaedic InstituteLeawood, KS · CCN 170188112$11,216About average$9,584$57,443
Kansas Medical Center LLCAndover, KS · CCN 17019718$11,223About average$9,591$21,259
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 17020019$11,223About average$9,591$35,302
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 17014256$11,223About average$9,591$44,670
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 17012289$11,223About average$9,591$41,897
Overland Park Regional Medical CenterOverland Park, KS · CCN 17017699$11,281About average$9,649$90,116
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104182$11,324About average$9,692$100,361
Ascentist Hospital LLCLeawood, KS · CCN 17019467$11,333About average$9,701$83,218
Stormont Vail HospitalTopeka, KS · CCN 170086632$11,340About average$9,705$48,350
Saint Luke's South HospitalOverland Park, KS · CCN 170185157$11,354About average$9,722$55,575
Menorah Medical CenterOverland Park, KS · CCN 170182304$11,415About average$9,781$76,773
University Of Kansas HospitalKansas City, KS · CCN 170040287$11,435About average$9,803$82,637
Providence Medical CenterKansas City, KS · CCN 17014616$11,480About average$9,848$96,339
Sck HealthArkansas City, KS · CCN 17077922$11,783About average$10,151$45,619
Hays Medical CenterHays, KS · CCN 170013165$11,828About average$10,196$40,492
University Of Kansas Health System Great Bend CampusGreat Bend, KS · CCN 170191182$11,903About average$10,271$41,729
Labette HealthParsons, KS · CCN 170120242$11,932About average$10,299$37,608
Centura St. Catherine-Dodge CityDodge City, KS · CCN 17017535$12,018About average$10,386$65,271
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 17002014$12,018About average$10,386$51,737
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 17000613$12,018About average$10,386$42,294
Salina Regional Health CenterSalina, KS · CCN 170012101$12,018About average$10,386$55,056
LmhLawrence, KS · CCN 170137229$12,246About average$10,611$54,686
AdventHealth OttawaOttawa, KS · CCN 17001411$12,292About average$10,660$97,532
St. Catherine Hospital - Garden CityGarden City, KS · CCN 17002345$12,756About average$11,124$66,226

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.