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 Wisconsin
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 56 hospitals
- $11,921
- Median hospital
- $11,897
- Lowest to highest
- $11,292–$12,656
- Medicare procedures
- 7,721
56 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 |
|---|---|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | 43 | $11,292 | About average | $9,658 | $38,513 |
| Aspirus Wausau Hospital | 193 | $11,446 | About average | $9,814 | $44,542 |
| Orthopaedic Hospital Of Wisconsin | 141 | $11,462 | About average | $9,828 | $70,358 |
| Aurora Medical Center Manitowoc County | 76 | $11,493 | About average | $9,861 | $49,224 |
| Holy Family Memorial | 62 | $11,496 | About average | $9,860 | $49,813 |
| Bellin Memorial Hospital | 243 | $11,533 | About average | $9,914 | $55,833 |
| Mercy Health System Corp | 47 | $11,534 | About average | $9,902 | $81,624 |
| Thedacare Regional Medical Center - Appleton Inc | 220 | $11,568 | About average | $9,934 | $24,979 |
| Aurora Medical Center Oshkosh | 96 | $11,622 | About average | $9,988 | $43,802 |
| St Marys Hospital Medical Center | 161 | $11,631 | About average | $9,997 | $46,917 |
| Aurora BayCare Medical Center | 194 | $11,632 | About average | $9,999 | $44,254 |
| West Allis Memorial Hospital | 85 | $11,663 | About average | $10,031 | $74,078 |
| Ascension Se Wisconsin Hospital | 74 | $11,672 | About average | $10,061 | $49,823 |
| Marshfield Medical Center - Weston | 130 | $11,683 | About average | $10,051 | $45,725 |
| St Nicholas Hospital | 38 | $11,698 | About average | $10,060 | $50,796 |
| Midwest Orthopedic Specialty Hospital | 257 | $11,733 | About average | $10,095 | $50,552 |
| Oakleaf Surgical Hospital | 376 | $11,736 | About average | $10,106 | $38,281 |
| Aurora Medical Center - Summit | 92 | $11,759 | About average | $10,121 | $47,128 |
| Thedacare Regional Medical Center - Neenah | 14 | $11,761 | About average | $10,129 | $35,013 |
| Aurora Medical Center | 184 | $11,769 | About average | $10,134 | $76,185 |
| The Monroe Clinic | 43 | $11,774 | About average | $10,142 | $43,885 |
| Community Memorial Hospital | 297 | $11,800 | About average | $10,167 | $68,390 |
| Marshfield Medical Center - Eau Claire | 77 | $11,814 | About average | $10,182 | $40,340 |
| St Josephs Community Hospital West Bend | 65 | $11,815 | About average | $10,182 | $66,477 |
| Ascension Ne Wisconsin - St Elizabeth Campus | 83 | $11,825 | About average | $10,193 | $38,261 |
| St Vincent Hospital | 34 | $11,834 | About average | $10,202 | $47,719 |
| Aurora Medical Center Sheboygan County | 122 | $11,842 | About average | $10,210 | $50,522 |
| Gundersen Lutheran Medical Center | 277 | $11,875 | About average | $10,279 | $44,970 |
| Ascension All Saints Hospital | 24 | $11,919 | About average | $10,287 | $53,640 |
| Oconomowoc Memorial Hospital | 403 | $11,922 | About average | $10,290 | $62,134 |
| Aspirus Divine Savior Hospital | 32 | $11,936 | About average | $10,304 | $39,042 |
| Sauk Prairie Hospital | 659 | $11,968 | About average | $10,336 | $28,099 |
| Fort Memorial Hospital | 106 | $11,974 | About average | $10,342 | $31,457 |
| Watertown Memorial Hospital | 75 | $11,974 | About average | $10,341 | $69,419 |
| Waukesha Memorial Hospital | 28 | $11,974 | About average | $10,325 | $69,317 |
| Aurora Medical Center Washington County | 81 | $11,984 | About average | $10,352 | $77,529 |
| Marshfield Medical Center - Beaver Dam (Mmc-Bd) | 25 | $11,984 | About average | $10,352 | $61,775 |
| SSM Health St Clare Hospital - Baraboo | 51 | $11,984 | About average | $10,352 | $40,387 |
| Aurora St Lukes Medical Center | 223 | $12,049 | About average | $10,414 | $74,666 |
| Froedtert Memorial Lutheran Hospital | 36 | $12,068 | About average | $10,436 | $76,954 |
| Aurora Memorial Hospital Burlington | 37 | $12,070 | About average | $10,438 | $51,348 |
| SSM Health St Mary's Hospital - Madison | 305 | $12,129 | About average | $10,496 | $41,890 |
| UnityPoint Health - Meriter | 85 | $12,146 | About average | $10,511 | $58,691 |
| University Of Wisconsin Hospitals & Clinics Authority | 759 | $12,187 | About average | $10,552 | $57,649 |
| Aurora Medical Center Kenosha | 83 | $12,227 | About average | $10,591 | $73,203 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 166 | $12,317 | About average | $10,685 | $43,861 |
| Aurora Medical Center Bay Area | 36 | $12,346 | About average | $10,714 | $55,163 |
| Aurora Lakeland Medical Center | 11 | $12,360 | About average | $10,728 | $53,336 |
| Froedtert South Inc. | 111 | $12,360 | About average | $10,728 | $56,249 |
| SSM Health St Mary's Hospital - Janesville | 65 | $12,360 | About average | $10,728 | $41,459 |
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.