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 Kentucky
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 42 hospitals
- $11,263
- Median hospital
- $11,173
- Lowest to highest
- $9,880–$12,115
- Medicare procedures
- 5,097
42 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Highlands ARH Regional Medical Center | 15 | $9,880 | 20% below the national average | $8,243 | $44,064 |
| Bourbon Community Hospital | 16 | $10,327 | 17% below the national average | $8,695 | $101,269 |
| Taylor Regional Hospital | 19 | $10,538 | 15% below the national average | $8,903 | $45,976 |
| St Elizabeth Edgewood | 62 | $10,557 | 15% below the national average | $8,917 | $43,623 |
| Uofl Health - Shelbyville Hospital | 13 | $10,580 | 15% below the national average | $8,948 | $56,358 |
| Baptist Health Richmond | 14 | $10,622 | 14% below the national average | $8,990 | $105,663 |
| Frankfort Regional Medical Center | 12 | $10,816 | 13% below the national average | $9,184 | $93,880 |
| Saint Joseph London | 46 | $10,825 | 13% below the national average | $9,188 | $46,102 |
| King's Daughters' Medical Center | 88 | $10,872 | 12% below the national average | $9,237 | $51,011 |
| Murray-Calloway County Hospital | 69 | $10,901 | 12% below the national average | $9,268 | $43,547 |
| Baptist Health Hardin | 283 | $10,983 | 11% below the national average | $9,349 | $105,086 |
| Owensboro Health Twin Lakes Medical Center | 17 | $11,029 | 11% below the national average | $9,397 | $50,595 |
| Spring View Hospital | 12 | $11,029 | 11% below the national average | $9,397 | $72,725 |
| Saint Joseph Mount Sterling | 49 | $11,044 | 11% below the national average | $9,412 | $32,070 |
| Ephraim McDowell Regional Medical Center | 114 | $11,059 | 11% below the national average | $9,427 | $47,367 |
| Uofl Health - Jewish Hospital And Mary & Elizabeth Hospital | 277 | $11,068 | 11% below the national average | $9,438 | $73,443 |
| Norton Hospitals, Inc | 639 | $11,074 | 11% below the national average | $9,441 | $139,645 |
| St Elizabeth Florence | 239 | $11,076 | 11% below the national average | $9,443 | $39,563 |
| Saint Joseph East | 80 | $11,140 | 10% below the national average | $9,505 | $37,968 |
| CHI Saint Joseph Flaget Memorial Hospital | 61 | $11,167 | About average | $9,535 | $50,556 |
| University Of Louisville Hospital | 13 | $11,170 | About average | $9,532 | $72,002 |
| Baptist Health Louisville | 775 | $11,175 | About average | $9,542 | $102,617 |
| University Of Kentucky Hospital | 169 | $11,191 | About average | $9,579 | $50,967 |
| Clark Regional Medical Center | 55 | $11,206 | About average | $9,574 | $90,461 |
| Baptist Health Lexington | 275 | $11,207 | About average | $9,571 | $112,466 |
| The Medical Center (Bowling Green) | 97 | $11,257 | About average | $9,625 | $73,721 |
| Saint Joseph Hospital | 165 | $11,266 | About average | $9,633 | $33,341 |
| Tristar Greenview Regional Hospital | 226 | $11,272 | About average | $9,639 | $74,716 |
| Baptist Health Lagrange | 100 | $11,326 | About average | $9,690 | $111,855 |
| Georgetown Community Hospital | 32 | $11,432 | About average | $9,790 | $104,595 |
| Lake Cumberland Regional Hospital | 49 | $11,473 | About average | $9,836 | $135,405 |
| Deaconess Henderson Hospital | 16 | $11,578 | About average | $9,946 | $38,293 |
| Baptist Health Paducah | 110 | $11,647 | About average | $10,008 | $131,947 |
| T J Samson Community Hospital | 44 | $11,682 | About average | $10,069 | $45,948 |
| Jennie Stuart Medical Center | 91 | $11,698 | About average | $10,065 | $50,906 |
| Pikeville Medical Center | 216 | $11,795 | About average | $10,163 | $58,461 |
| Meadowview Regional Medical Center | 20 | $11,810 | About average | $10,178 | $107,030 |
| Jackson Purchase Medical Center | 49 | $11,812 | About average | $10,180 | $123,103 |
| Mercy Health - Lourdes Hospital | 170 | $12,025 | About average | $10,388 | $64,617 |
| Owensboro Health Regional Hospital | 184 | $12,046 | About average | $10,409 | $82,341 |
| Baptist Health Deaconess Madisonville | 100 | $12,054 | About average | $10,422 | $185,353 |
| St Claire Regional Medical Center | 16 | $12,115 | About average | $10,483 | $56,284 |
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.