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 Oklahoma

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.

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Oklahoma

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Average payment across these 42 hospitals: $11,159National $12,402 · Oklahoma $11,159
Median hospital: $11,162
Lowest to highest: $10,020–$12,127
Medicare procedures: 7,005

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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Memorial HealthLawton, OK · CCN 370056	25	$10,020	19% below the national average	$8,376	$58,861
Southwestern Medical CenterLawton, OK · CCN 370097	44	$10,444	16% below the national average	$8,812	$70,421
Bailey Medical Center, LLCOwasso, OK · CCN 370228	19	$10,662	14% below the national average	$9,030	$84,258
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	50	$10,782	13% below the national average	$9,150	$61,399
OneCore HealthOklahoma City, OK · CCN 370220	65	$10,878	12% below the national average	$9,246	$91,450
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	35	$10,894	12% below the national average	$9,259	$58,023
Hillcrest Medical CenterTulsa, OK · CCN 370001	113	$10,899	12% below the national average	$9,265	$91,668
Norman RegionalNorman, OK · CCN 370008	302	$10,905	12% below the national average	$9,276	$69,392
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	630	$10,956	12% below the national average	$9,322	$48,679
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	275	$11,008	11% below the national average	$9,376	$129,297
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	64	$11,023	11% below the national average	$9,379	$126,450
Saint Francis Hospital, IncTulsa, OK · CCN 370091	442	$11,034	11% below the national average	$9,400	$54,351
O U Medical CenterOklahoma City, OK · CCN 370093	36	$11,056	11% below the national average	$9,424	$151,635
St Mary's Regional Medical CenterEnid, OK · CCN 370026	198	$11,067	11% below the national average	$9,432	$81,060
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	126	$11,088	11% below the national average	$9,453	$60,196
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	340	$11,102	10% below the national average	$9,470	$30,823
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	418	$11,117	10% below the national average	$9,480	$33,735
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222 · +$69 outlier payments per case	925	$11,133	10% below the national average	$9,501	$38,017
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	403	$11,140	10% below the national average	$9,507	$64,098
Hillcrest Hospital SouthTulsa, OK · CCN 370202	55	$11,149	10% below the national average	$9,517	$66,095
Integris Health Edmond HospitalEdmond, OK · CCN 370236	118	$11,161	10% below the national average	$9,529	$129,720
Community Hospital, LLCOklahoma City, OK · CCN 370203	704	$11,162	About average	$9,529	$102,987
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	12	$11,163	About average	$9,531	$76,770
Oklahoma Spine HospitalOklahoma City, OK · CCN 370206	62	$11,169	About average	$9,533	$65,557
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037 · +$30 outlier payments per case	567	$11,191	About average	$9,557	$53,600
Hillcrest Hospital PryorPryor, OK · CCN 370015	12	$11,277	About average	$9,645	$45,342
Ascension St John Medical CenterTulsa, OK · CCN 370114	17	$11,326	About average	$9,694	$65,487
Integris Canadian Valley HospitalYukon, OK · CCN 370211	37	$11,326	About average	$9,694	$117,257
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	31	$11,326	About average	$9,694	$119,960
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	49	$11,326	About average	$9,693	$75,513
Summit Medical Center, LLCEdmond, OK · CCN 370225	30	$11,326	About average	$9,690	$72,843
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	41	$11,326	About average	$9,680	$55,522
AllianceHealth DurantDurant, OK · CCN 370014	11	$11,397	About average	$9,765	$210,349
Grady Memorial HospitalChickasha, OK · CCN 370054	19	$11,410	About average	$9,778	$56,643
Great Plains Regional Medical CenterElk City, OK · CCN 370019	120	$11,539	About average	$9,912	$41,500
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	46	$11,569	About average	$9,937	$36,483
Northeastern Health SystemTahlequah, OK · CCN 370089	46	$11,750	About average	$10,115	$40,297
Stillwater Medical CenterStillwater, OK · CCN 370049	239	$11,835	About average	$10,211	$52,528
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	20	$11,954	About average	$10,322	$66,095
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	112	$11,958	About average	$10,323	$67,647
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	100	$12,024	About average	$10,388	$37,068
Mercy Hospital AdaAda, OK · CCN 370020	47	$12,127	About average	$10,495	$42,383

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 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

Average payment by state for Level 5 Musculoskeletal Procedures, 2024
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.