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 Oregon

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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Average payment across these 29 hospitals: $13,939National $12,402 · Oregon $13,939
Median hospital: $13,662
Lowest to highest: $11,878–$17,077
Medicare procedures: 3,599

29 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
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	27	$11,878	About average	$10,246	$42,170
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	117	$12,778	About average	$11,146	$47,693
Asante Ashland Community HospitalAshland, OR · CCN 380005	18	$12,965	About average	$11,333	$61,007
Santiam Hospital & ClinicsStayton, OR · CCN 380056	84	$13,159	About average	$11,526	$56,246
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 380020	203	$13,193	About average	$11,558	$79,288
Adventist Health PortlandPortland, OR · CCN 380060	66	$13,393	About average	$11,761	$67,999
Hillsboro Medical CenterHillsboro, OR · CCN 380021	65	$13,420	About average	$11,788	$43,417
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	127	$13,452	About average	$11,820	$37,322
Samaritan Albany General HospitalAlbany, OR · CCN 380022	150	$13,481	About average	$11,849	$37,380
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	125	$13,494	About average	$11,862	$37,826
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	425	$13,497	About average	$11,864	$65,363
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	176	$13,513	About average	$11,875	$36,588
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	75	$13,624	About average	$11,988	$40,025
Providence Portland Medical CenterPortland, OR · CCN 380061	94	$13,657	10% above the national average	$12,025	$39,520
OHSU Hospital And ClinicsPortland, OR · CCN 380009	196	$13,662	10% above the national average	$12,029	$44,769
St Charles Medical Center - BendBend, OR · CCN 380047 · +$41 outlier payments per case	290	$13,672	10% above the national average	$12,038	$70,605
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	15	$13,786	11% above the national average	$12,154	$44,670
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	51	$13,786	11% above the national average	$12,154	$32,586
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	30	$13,786	11% above the national average	$12,154	$37,146
Providence Newberg Medical CenterNewberg, OR · CCN 380037	38	$13,786	11% above the national average	$12,154	$38,255
Providence St Vincent Medical CenterPortland, OR · CCN 380004	194	$13,786	11% above the national average	$12,154	$41,528
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	31	$13,786	11% above the national average	$12,154	$82,868
Mercy Medical CenterRoseburg, OR · CCN 380027	156	$13,864	12% above the national average	$12,232	$57,460
Salem HospitalSalem, OR · CCN 380051	309	$14,165	14% above the national average	$12,532	$52,953
Bay Area HospitalCoos Bay, OR · CCN 380090	42	$14,353	16% above the national average	$12,721	$47,833
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	26	$14,607	18% above the national average	$12,975	$41,355
Providence Medford Medical CenterMedford, OR · CCN 380075	225	$15,897	28% above the national average	$14,268	$45,351
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	104	$15,947	29% above the national average	$14,315	$46,145
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	140	$17,077	38% above the national average	$15,445	$57,341

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.