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 Virginia
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 55 hospitals
- $11,531
- Median hospital
- $11,467
- Lowest to highest
- $8,957–$12,584
- Medicare procedures
- 13,156
55 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 |
|---|---|---|---|---|---|
| University Of Virginia Medical Center | 751 | $8,957 | 28% below the national average | $7,600 | $44,958 |
| Smyth County Community Hospital | 47 | $10,519 | 15% below the national average | $8,910 | $77,185 |
| Johnston Memorial Hospital | 62 | $10,536 | 15% below the national average | $8,904 | $81,163 |
| Clinch Valley Medical Center | 13 | $10,572 | 15% below the national average | $8,940 | $107,348 |
| Bon Secours Maryview Medical Center | 94 | $11,009 | 11% below the national average | $9,376 | $85,551 |
| Riverside Regional Medical Center | 64 | $11,015 | 11% below the national average | $9,383 | $35,549 |
| Sentara Obici Hospital | 181 | $11,067 | 11% below the national average | $9,438 | $45,772 |
| Sentara Norfolk General Hospital | 27 | $11,074 | 11% below the national average | $9,442 | $56,788 |
| Lewisgale Medical Center | 290 | $11,117 | 10% below the national average | $9,483 | $173,393 |
| John Randolph Medical Center | 64 | $11,133 | 10% below the national average | $9,499 | $287,754 |
| Carilion New River Valley Medical Center | 121 | $11,159 | 10% below the national average | $9,524 | $88,406 |
| Medical College Of Virginia Hospitals | 223 | $11,161 | 10% below the national average | $9,518 | $64,980 |
| Riverside Doctors' Hospital Of Williamsburg | 64 | $11,167 | About average | $9,535 | $38,045 |
| Carilion Medical Center | 662 | $11,171 | About average | $9,538 | $73,197 |
| Sentara Martha Jefferson Hospital | 372 | $11,196 | About average | $9,564 | $32,971 |
| Chesapeake General Hospital | 123 | $11,198 | About average | $9,566 | $66,121 |
| Mary Immaculate Hospital | 567 | $11,199 | About average | $9,566 | $72,944 |
| Sentara Williamsburg Regional Medical Center | 112 | $11,232 | About average | $9,600 | $42,962 |
| Lewisgale Hospital Montgomery | 121 | $11,251 | About average | $9,619 | $201,236 |
| CJW Medical Center | 633 | $11,256 | About average | $9,624 | $290,537 |
| Sentara Princess Anne Hospital | 294 | $11,275 | About average | $9,647 | $43,593 |
| Sentara Leigh Hospital | 999 | $11,313 | About average | $9,682 | $42,320 |
| Riverside Walter Reed Hospital | 97 | $11,318 | About average | $9,686 | $37,719 |
| Sentara Careplex Hospital | 169 | $11,322 | About average | $9,690 | $42,040 |
| Henrico Doctors' Hospital | 478 | $11,330 | About average | $9,698 | $290,759 |
| Sentara Virginia Beach General Hospital | 208 | $11,343 | About average | $9,711 | $48,831 |
| Bon Secours St Francis Medical Center | 294 | $11,347 | About average | $9,715 | $86,788 |
| Twin County Regional Hospital | 16 | $11,467 | About average | $9,830 | $106,398 |
| Sovah Health Danville | 63 | $11,679 | About average | $10,047 | $146,715 |
| Bon Secours Memorial Regional Medical Center | 297 | $11,892 | About average | $10,260 | $75,828 |
| Uva Health Culpeper Medical Center | 75 | $11,909 | About average | $10,277 | $54,347 |
| Bon Secours St Marys Hospital | 495 | $11,984 | About average | $10,351 | $87,900 |
| Inova Alexandria Hospital | 265 | $12,001 | About average | $10,369 | $41,400 |
| Stonesprings Hospital Center | 189 | $12,044 | About average | $10,412 | $102,150 |
| Warren Memorial Hospital | 81 | $12,060 | About average | $10,428 | $37,084 |
| Centra Health - Lynchburg Gen Hospital | 289 | $12,082 | About average | $10,449 | $63,116 |
| Mary Washington Hospital | 431 | $12,086 | About average | $10,456 | $31,906 |
| Stafford Hospital, LLC | 90 | $12,089 | About average | $10,454 | $39,270 |
| Spotsylvania Regional Medical Center | 97 | $12,105 | About average | $10,473 | $100,629 |
| Inova Fair Oaks Hospital | 309 | $12,116 | About average | $10,484 | $42,075 |
| Bon Secours Southampton Memorial Hospital | 105 | $12,118 | About average | $10,486 | $98,208 |
| Lewisgale Hospital Alleghany | 40 | $12,118 | About average | $10,486 | $126,237 |
| Inova Loudoun Hospital | 114 | $12,136 | About average | $10,503 | $48,480 |
| Inova Mount Vernon Hospital | 706 | $12,158 | About average | $10,524 | $41,684 |
| Virginia Hospital Center | 447 | $12,159 | About average | $10,526 | $48,528 |
| Reston Hospital Center | 467 | $12,201 | About average | $10,570 | $100,110 |
| Fauquier Hospital | 123 | $12,237 | About average | $10,605 | $112,055 |
| Community Memorial Hospital | 19 | $12,247 | About average | $10,610 | $60,336 |
| Sentara Northern Virginia Medical Center | 85 | $12,324 | About average | $10,692 | $44,251 |
| Inova Fairfax Hospital | 101 | $12,324 | About average | $10,688 | $43,812 |
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.