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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 Missouri

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
Missouri
Specific hospitals up to 10
Average payment across these 53 hospitals
$11,419National $12,402 · Missouri $11,419
Median hospital
$11,480
Lowest to highest
$10,738–$12,876
Medicare procedures
8,629

53 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
Mercy Hospital JoplinJoplin, MO · CCN 26000123$10,73813% below the national average$9,106$38,027
Freeman Health System - Freeman WestJoplin, MO · CCN 260137281$10,81913% below the national average$9,187$68,604
University Of Missouri Health CareColumbia, MO · CCN 260141 · +$138 outlier payments per case353$10,93412% below the national average$9,302$69,478
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065753$10,93612% below the national average$9,303$37,335
Cox Medical CentersSpringfield, MO · CCN 260040391$10,95612% below the national average$9,322$48,954
Cameron Regional Medical CenterCameron, MO · CCN 26005723$11,05111% below the national average$9,419$59,540
SSM St Clare Health CenterFenton, MO · CCN 260081177$11,06611% below the national average$9,431$46,175
Boone Hospital CenterColumbia, MO · CCN 260068333$11,10010% below the national average$9,468$42,687
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 26001144$11,12410% below the national average$9,492$55,026
Lee's Summit Medical CenterLees Summit, MO · CCN 26019041$11,239About average$9,607$74,473
Saint Lukes North HospitalKansas City, MO · CCN 260062123$11,239About average$9,607$60,260
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104350$11,309About average$9,675$38,035
Mercy Hospital SouthSaint Louis, MO · CCN 260077165$11,332About average$9,700$28,867
Barnes Jewish HospitalSaint Louis, MO · CCN 260032138$11,333About average$9,699$58,774
University Health Lakewood Medical CenterKansas City, MO · CCN 260102 · +$2,263 outlier payments per case54$11,334About average$9,702$42,321
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108397$11,341About average$9,707$45,029
Liberty HospitalLiberty, MO · CCN 260177156$11,380About average$9,753$59,560
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138110$11,390About average$9,758$77,293
Nkc HealthNorth Kansas City, MO · CCN 260096556$11,391About average$9,758$52,360
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020034$11,406About average$9,766$36,688
St Joseph Medical CenterKansas City, MO · CCN 260085173$11,423About average$9,791$102,519
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162714$11,435About average$9,811$43,693
Mercy Hospital St LouisSaint Louis, MO · CCN 260020340$11,435About average$9,800$31,586
Belton Regional Medical CenterBelton, MO · CCN 26021440$11,480About average$9,848$103,601
Research Medical CenterKansas City, MO · CCN 26002717$11,480About average$9,848$120,705
St Mary's Medical CenterBlue Springs, MO · CCN 26019319$11,480About average$9,848$116,360
Centerpoint Medical CenterIndependence, MO · CCN 260095102$11,480About average$9,848$115,151
Saint Luke's East HospitalLees Summit, MO · CCN 260216193$11,480About average$9,848$63,220
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 26009148$11,490About average$9,858$45,483
Christian Hospital NortheastSaint Louis, MO · CCN 26018017$11,490About average$9,858$47,504
Mercy Hospital JeffersonCrystal City, MO · CCN 26002351$11,501About average$9,868$37,398
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191129$11,542About average$9,908$42,601
Progress West HospitalOfallon, MO · CCN 260219140$11,554About average$9,922$40,348
Mercy Hospital WashingtonWashington, MO · CCN 26005292$11,588About average$9,956$35,872
St Lukes HospitalChesterfield, MO · CCN 260179326$11,611About average$9,978$37,239
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176143$11,648About average$10,016$46,982
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110138$11,725About average$10,090$77,036
Citizens Memorial HospitalBolivar, MO · CCN 260195104$11,739About average$10,107$36,721
Cox Medical Center BransonBranson, MO · CCN 26009479$11,837About average$10,205$61,388
Lake Regional Health SystemOsage Beach, MO · CCN 26018695$11,837About average$10,205$50,981
Ozarks HealthcareWest Plains, MO · CCN 26007849$11,837About average$10,205$51,650
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 26011920$11,837About average$10,205$246,396
Western Missouri Medical CenterWarrensburg, MO · CCN 26009750$11,837About average$10,205$37,409
Bothwell Regional Health CenterSedalia, MO · CCN 26000998$11,966About average$10,334$37,146
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 26005016$11,980About average$10,348$38,109
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183257$11,984About average$10,352$70,879
Parkland Health CenterFarmington, MO · CCN 26016336$12,031About average$10,399$44,360
Northeast Regional Medical CenterKirksville, MO · CCN 26002222$12,037About average$10,405$123,654
Phelps County Regional Medical CenterRolla, MO · CCN 260017185$12,232About average$10,595$71,130
Golden Valley Memorial HospitalClinton, MO · CCN 26017523$12,292About average$10,660$37,040

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.