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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 Minnesota

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
Minnesota
Specific hospitals up to 10
Average payment across these 42 hospitals
$12,735National $12,402 · Minnesota $12,735
Median hospital
$12,474
Lowest to highest
$11,857–$13,419
Medicare procedures
6,532

42 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
Cambridge Medical CenterCambridge, MN · CCN 24002031$11,857About average$10,222$47,342
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 24000251$11,876About average$10,244$44,433
Winona Health ServicesWinona, MN · CCN 24004419$11,893About average$10,261$26,924
Range Regional Health ServicesHibbing, MN · CCN 24004033$11,913About average$10,278$34,711
Essentia Health DuluthDuluth, MN · CCN 240019 · +$234 outlier payments per case198$12,022About average$10,385$38,592
Essentia Health VirginiaVirginia, MN · CCN 24008482$12,234About average$10,601$35,057
Allina United HospitalSaint Paul, MN · CCN 240038185$12,327About average$10,693$38,260
Mercy HospitalCoon Rapids, MN · CCN 240115144$12,348About average$10,716$40,122
M Health Fairview Southdale HospitalEdina, MN · CCN 240078203$12,350About average$10,718$41,837
Abbott Northwestern HospitalMinneapolis, MN · CCN 24005753$12,356About average$10,724$46,979
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 24008072$12,358About average$10,718$54,941
Fairview Lakes Health ServicesWyoming, MN · CCN 240050107$12,369About average$10,734$33,776
St Lukes HospitalDuluth, MN · CCN 240047234$12,375About average$10,742$45,894
St Francis Regional Medical CenterShakopee, MN · CCN 240104138$12,404About average$10,772$38,403
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018177$12,406About average$10,774$33,314
Lakeview Memorial HospitalStillwater, MN · CCN 240066236$12,423About average$10,791$28,692
Maple Grove HospitalMaple Grove, MN · CCN 240214182$12,442About average$10,810$32,109
Ridgeview Medical CenterWaconia, MN · CCN 240056734$12,443About average$10,811$32,709
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053208$12,457About average$10,824$38,746
Allina Health Faribault Medical CenterFaribault, MN · CCN 24007111$12,468About average$10,836$45,648
Owatonna HospitalOwatonna, MN · CCN 24006946$12,468About average$10,834$43,297
Northfield HospitalNorthfield, MN · CCN 240014134$12,480About average$10,848$46,249
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207108$12,481About average$10,848$38,747
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213351$12,501About average$10,869$36,468
Fairview Northland Regional HospitalPrinceton, MN · CCN 24014131$12,562About average$10,930$51,132
Regions HospitalSaint Paul, MN · CCN 24010643$12,562About average$10,930$39,848
Buffalo HospitalBuffalo, MN · CCN 24007647$12,562About average$10,930$43,268
Hennepin County Medical CenterMinneapolis, MN · CCN 24000416$12,562About average$10,930$49,152
North Memorial Health HospitalRobbinsdale, MN · CCN 24000134$12,562About average$10,924$36,497
Olmsted Medical CenterRochester, MN · CCN 240006 · +$386 outlier payments per case130$12,640About average$11,008$40,990
Lake Region Healthcare CorporationFergus Falls, MN · CCN 24005269$12,934About average$11,302$39,600
Alomere HealthAlexandria, MN · CCN 240030183$12,975About average$11,343$38,359
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075106$13,100About average$11,468$37,907
Centracare- Rice Memorial HospitalWillmar, MN · CCN 24008849$13,100About average$11,468$39,034
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100160$13,100About average$11,468$39,684
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 24010156$13,100About average$11,467$33,700
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 24006467$13,100About average$11,467$37,474
Hutchinson HealthHutchinson, MN · CCN 24018744$13,245About average$11,613$43,170
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093154$13,249About average$11,622$37,912
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 24004390$13,258About average$11,626$36,638
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036189$13,289About average$11,657$43,883
Mayo Clinic Hospital RochesterRochester, MN · CCN 2400101,327$13,419About average$11,786$43,902

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.