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 New York
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 90 hospitals
- $14,224
- Median hospital
- $14,031
- Lowest to highest
- $10,591–$14,948
- Medicare procedures
- 13,582
90 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Strong Memorial Hospital | 36 | $10,591 | 15% below the national average | $9,139 | $36,685 |
| John T Mather Memorial Hospital Of Port Jefferson | 218 | $12,483 | About average | $10,850 | $52,181 |
| Southside Hospital | 13 | $12,760 | About average | $11,128 | $45,379 |
| United Memorial Medical Center | 14 | $13,069 | About average | $11,419 | $34,576 |
| Peconic Bay Medical Center | 348 | $13,252 | About average | $11,622 | $52,092 |
| Corning Hospital | 56 | $13,271 | About average | $11,639 | $47,388 |
| Huntington Hospital | 136 | $13,349 | About average | $11,717 | $48,198 |
| United Health Services Hospitals, Inc | 92 | $13,395 | About average | $11,761 | $35,014 |
| Crouse Hospital | 190 | $13,425 | About average | $11,791 | $27,193 |
| Rochester General Hospital | 65 | $13,437 | About average | $11,805 | $30,970 |
| Sisters Of Charity Hospital | 241 | $13,472 | About average | $11,840 | $32,326 |
| Kenmore Mercy Hospital | 283 | $13,503 | About average | $11,874 | $31,207 |
| Wynn Hospital | 88 | $13,511 | About average | $11,879 | $44,046 |
| Highland Hospital | 211 | $13,523 | About average | $11,889 | $31,729 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 127 | $13,542 | About average | $11,909 | $62,641 |
| Nicholas H Noyes Memorial Hospital | 64 | $13,545 | About average | $11,913 | $40,652 |
| Unity Hospital | 175 | $13,578 | About average | $11,945 | $29,003 |
| St Peter's Hospital | 337 | $13,638 | About average | $12,002 | $37,693 |
| Erie County Medical Center | 123 | $13,649 | 10% above the national average | $12,019 | $23,465 |
| Arnot Ogden Medical Center | 90 | $13,658 | 10% above the national average | $12,023 | $33,810 |
| Kaleida Health | 355 | $13,688 | 10% above the national average | $12,055 | $41,463 |
| Mercy Medical Center | 12 | $13,705 | 11% above the national average | $12,073 | $105,859 |
| University Hospital S U N Y Health Science Center | 113 | $13,712 | 11% above the national average | $12,080 | $52,029 |
| St Catherine Of Siena Hospital | 27 | $13,738 | 11% above the national average | $12,106 | $93,243 |
| Columbia Memorial Hospital | 85 | $13,785 | 11% above the national average | $12,153 | $30,017 |
| St Joseph's Hospital Health Center | 191 | $13,801 | 11% above the national average | $12,167 | $40,796 |
| Glens Falls Hospital | 98 | $13,804 | 11% above the national average | $12,172 | $42,355 |
| Clifton Springs Hospital And Clinic | 97 | $13,805 | 11% above the national average | $12,170 | $31,664 |
| Albany Medical Center Hospital | 127 | $13,833 | 12% above the national average | $12,201 | $25,463 |
| Saratoga Hospital | 324 | $13,854 | 12% above the national average | $12,221 | $37,339 |
| Putnam Hospital Center | 78 | $13,890 | 12% above the national average | $12,256 | $54,773 |
| Bertrand Chaffee Hospital | 20 | $13,930 | 12% above the national average | $12,298 | $16,475 |
| F F Thompson Hospital | 26 | $13,930 | 12% above the national average | $12,298 | $35,424 |
| Oneida Health Hospital | 38 | $13,930 | 12% above the national average | $12,298 | $50,707 |
| Oswego Hospital | 18 | $13,930 | 12% above the national average | $12,298 | $31,855 |
| St Marys Healthcare | 26 | $13,930 | 12% above the national average | $12,298 | $24,396 |
| UPMC Chautauqua | 38 | $13,930 | 12% above the national average | $12,297 | $43,065 |
| Geneva General Hospital | 26 | $13,930 | 12% above the national average | $12,297 | $23,836 |
| Ellis Hospital | 64 | $13,930 | 12% above the national average | $12,294 | $40,182 |
| Samaritan Hospital Of Troy, New York | 13 | $13,930 | 12% above the national average | $12,289 | $26,582 |
| Rome Memorial Hospital, Inc | 19 | $13,930 | 12% above the national average | $12,286 | $35,106 |
| Chenango Memorial Hospital | 27 | $13,932 | 12% above the national average | $12,299 | $76,000 |
| Northern Westchester Hospital | 261 | $13,969 | 13% above the national average | $12,336 | $63,320 |
| North Shore University Hospital | 320 | $14,004 | 13% above the national average | $12,370 | $57,623 |
| New York-Presbyterian/Queens | 29 | $14,030 | 13% above the national average | $12,398 | $40,598 |
| Vassar Brothers Medical Center | 14 | $14,032 | 13% above the national average | $12,400 | $53,451 |
| SUNY/Stony Brook University Hospital | 100 | $14,033 | 13% above the national average | $12,400 | $45,384 |
| HealthAlliance Hospital Marys Avenue Campus | 20 | $14,206 | 15% above the national average | $12,574 | $39,356 |
| Plainview Hospital | 50 | $14,223 | 15% above the national average | $12,591 | $51,235 |
| Olean General Hospital | 39 | $14,240 | 15% above the national average | $12,603 | $35,107 |
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.