Skip to main content
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 Michigan

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
Michigan
Specific hospitals up to 10
Average payment across these 73 hospitals
$11,535National $12,402 · Michigan $11,535
Median hospital
$11,577
Lowest to highest
$8,398–$12,425
Medicare procedures
8,557

73 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Henry Ford Health HospitalDetroit, MI · CCN 230053203$8,39832% below the national average$7,045$36,055
Corewell Health Watervliet HospitalWatervliet, MI · CCN 23007824$10,63314% below the national average$9,001$45,400
Corewell Health Zeeland HospitalZeeland, MI · CCN 23000312$10,63314% below the national average$9,001$43,064
ProMedica Monroe Regional HospitalMonroe, MI · CCN 23009949$10,70614% below the national average$9,074$33,182
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 23000249$10,72714% below the national average$9,176$58,720
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 23023916$10,93412% below the national average$9,302$32,779
Henry Ford Health Warren HospitalWarren, MI · CCN 23019542$10,98411% below the national average$9,351$55,546
Trinity Health Grand Haven HospitalGrand Haven, MI · CCN 23017453$11,08111% below the national average$9,445$37,200
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059 · +$995 outlier payments per case52$11,15510% below the national average$9,523$44,455
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021102$11,167About average$9,533$50,561
Spectrum HealthGrand Rapids, MI · CCN 230038355$11,189About average$9,559$39,526
University Of Michigan Health - WestWyoming, MI · CCN 230236183$11,192About average$9,560$38,824
Borgess Medical CenterKalamazoo, MI · CCN 230117120$11,206About average$9,574$55,410
McLaren OaklandPontiac, MI · CCN 23020728$11,222About average$9,589$50,123
McLaren Port HuronPort Huron, MI · CCN 230216118$11,255About average$9,623$38,187
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047319$11,273About average$9,641$42,883
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089109$11,290About average$9,656$60,717
Covenant Medical CenterSaginaw, MI · CCN 230070167$11,301About average$9,675$43,101
Memorial HealthcareOwosso, MI · CCN 23012152$11,319About average$9,687$66,459
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075116$11,339About average$9,705$33,666
Holland HospitalHolland, MI · CCN 230072195$11,351About average$9,717$39,148
Beaumont Hospital - TaylorTaylor, MI · CCN 230270151$11,356About average$9,734$67,519
Bronson Methodist HospitalKalamazoo, MI · CCN 230017218$11,362About average$9,730$30,704
Edward W Sparrow HospitalLansing, MI · CCN 230230124$11,372About average$9,740$42,791
McLaren Central MichiganMount Pleasant, MI · CCN 23008072$11,387About average$9,754$50,410
Oaklawn HospitalMarshall, MI · CCN 230217121$11,387About average$9,755$50,812
McLaren MacombMount Clemens, MI · CCN 230227107$11,391About average$9,756$62,205
Spectrum Health United HospitalGreenville, MI · CCN 23003517$11,452About average$9,820$34,858
Hillsdale HospitalHillsdale, MI · CCN 23003714$11,452About average$9,811$33,102
Harper University HospitalDetroit, MI · CCN 23010472$11,458About average$9,824$100,248
Mymichigan Medical Center AlmaAlma, MI · CCN 23003038$11,509About average$9,877$26,916
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302318$11,515About average$9,883$41,814
McLaren Greater LansingLansing, MI · CCN 230167279$11,520About average$9,887$52,552
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 23015155$11,553About average$9,921$62,475
Ascension Providence Rochester HospitalRochester, MI · CCN 230254190$11,556About average$9,923$50,278
Corewell Health Wayne HospitalWayne, MI · CCN 23014213$11,564About average$9,932$86,814
Straith Hospital For Special SurgerySouthfield, MI · CCN 23007117$11,577About average$9,945$26,605
Lake Huron Medical CenterPort Huron, MI · CCN 23003121$11,577About average$9,945$120,010
Henry Ford Allegiance HealthJackson, MI · CCN 23009277$11,606About average$9,973$44,721
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277113$11,626About average$9,994$112,640
McLaren Bay RegionBay City, MI · CCN 230041114$11,626About average$9,994$53,068
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 23014683$11,634About average$10,014$44,513
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130563$11,643About average$10,011$56,868
Beaumont Hospital - DearbornDearborn, MI · CCN 230020113$11,648About average$10,016$64,417
Beaumont Hospital, TroyTroy, MI · CCN 230269300$11,648About average$10,015$53,752
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019351$11,651About average$10,019$46,137
Trinity Health Oakland HospitalPontiac, MI · CCN 230029249$11,674About average$10,042$49,924
McLaren Lapeer RegionLapeer, MI · CCN 23019337$11,715About average$10,083$52,190
Mymichigan Medical Center SaginawSaginaw, MI · CCN 23007745$11,715About average$10,082$35,112
Henry Ford Health St John HospitalDetroit, MI · CCN 230165 · +$451 outlier payments per case78$11,737About average$10,105$52,871

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.