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 Pennsylvania
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 105 hospitals
- $12,207
- Median hospital
- $12,031
- Lowest to highest
- $10,546–$13,847
- Medicare procedures
- 17,854
105 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 |
|---|---|---|---|---|---|
| Advanced Surgical Hospital | 25 | $10,546 | 15% below the national average | $8,890 | $56,798 |
| Uniontown Hospital | 43 | $10,591 | 15% below the national average | $8,955 | $30,744 |
| Penn State Health Hampden Medical Center | 62 | $11,124 | 10% below the national average | $9,492 | $112,254 |
| UPMC Jameson | 38 | $11,208 | About average | $9,570 | $34,769 |
| St Luke's Hospital - Carbon Campus | 14 | $11,240 | About average | $9,608 | $96,929 |
| Allegheny General Hospital | 128 | $11,345 | About average | $9,713 | $59,728 |
| Grove City Medical Center | 26 | $11,351 | About average | $9,719 | $52,208 |
| Excela Health Latrobe Hospital | 39 | $11,481 | About average | $9,849 | $33,567 |
| Heritage Valley Beaver | 39 | $11,481 | About average | $9,849 | $35,220 |
| Conemaugh Nason Medical Center | 87 | $11,508 | About average | $9,876 | $46,780 |
| Penn State Health Lancaster Medical Center | 162 | $11,524 | About average | $9,891 | $114,650 |
| Lehigh Valley Hospital - Dickson City | 405 | $11,531 | About average | $9,899 | $75,059 |
| UPMC Presbyterian Shadyside | 213 | $11,598 | About average | $9,964 | $96,644 |
| Excela Health Westmoreland Regional Hospital | 89 | $11,626 | About average | $9,992 | $32,599 |
| Penn State Health Holy Spirit Medical Center | 188 | $11,627 | About average | $9,995 | $117,322 |
| Geisinger-Community Medical Center | 277 | $11,630 | About average | $9,998 | $111,320 |
| Ahn Wexford Hospital | 289 | $11,635 | About average | $10,001 | $51,229 |
| Geisinger Wyoming Valley Medical Center | 305 | $11,640 | About average | $10,007 | $113,596 |
| Wellspan Evangelical Community Hospital | 340 | $11,651 | About average | $10,019 | $64,890 |
| Geisinger Medical Center | 125 | $11,666 | About average | $10,034 | $149,904 |
| Heritage Valley Sewickley | 136 | $11,666 | About average | $10,034 | $29,718 |
| Forbes Hospital | 141 | $11,668 | About average | $10,034 | $39,951 |
| Jefferson Hospital | 141 | $11,669 | About average | $10,034 | $48,715 |
| Wilkes-Barre General Hospital | 152 | $11,673 | About average | $10,041 | $128,913 |
| Magee Womens Hospital Of UPMC Health System | 180 | $11,684 | About average | $10,051 | $51,494 |
| UPMC St Margaret | 215 | $11,693 | About average | $10,061 | $76,709 |
| UPMC Carlisle | 148 | $11,693 | About average | $10,058 | $33,225 |
| UPMC Passavant | 218 | $11,694 | About average | $10,060 | $77,952 |
| Geisinger-Bloomsburg Hospital | 16 | $11,740 | About average | $10,108 | $68,708 |
| The Washington Hospital | 25 | $11,740 | About average | $10,108 | $43,612 |
| UPMC Northwest | 21 | $11,740 | About average | $10,108 | $39,192 |
| ACMH Hospital | 46 | $11,740 | About average | $10,108 | $30,384 |
| Allegheny Valley Hospital | 77 | $11,740 | About average | $10,108 | $45,221 |
| Canonsburg General Hospital | 103 | $11,740 | About average | $10,108 | $46,127 |
| Penn Highlands Mon Valley | 32 | $11,740 | About average | $10,108 | $53,204 |
| UPMC East | 103 | $11,740 | About average | $10,108 | $81,658 |
| UPMC Horizon | 79 | $11,740 | About average | $10,108 | $63,444 |
| St Clair Hospital | 197 | $11,740 | About average | $10,108 | $54,240 |
| UPMC Williamsport | 161 | $11,740 | About average | $10,108 | $68,877 |
| Edgewood Surgical Hospital | 233 | $11,740 | About average | $10,107 | $55,533 |
| Independence Health System Butler Memorial Hospita | 108 | $11,740 | About average | $10,107 | $50,537 |
| Lehigh Valley Hospital - Hazleton | 54 | $11,740 | About average | $10,105 | $89,398 |
| Chan Soon- Shiong Medical Center At Windber | 40 | $11,740 | About average | $10,102 | $36,906 |
| Surgical Institute Of Reading | 338 | $11,741 | About average | $10,108 | $64,016 |
| UPMC Pinnacle Hospitals | 578 | $11,761 | About average | $10,129 | $36,989 |
| UPMC Memorial | 62 | $11,789 | About average | $10,188 | $37,455 |
| UPMC Lititz | 102 | $11,814 | About average | $10,182 | $38,390 |
| Reading Hospital | 306 | $11,907 | About average | $10,274 | $59,855 |
| Wellspan Ephrata Community Hospital | 149 | $11,915 | About average | $10,283 | $86,095 |
| St Luke's Hospital - Monroe Campus | 23 | $11,978 | About average | $10,346 | $118,519 |
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.