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Outpatient procedure · APC 5116 · Surgery or procedure

Level 6 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $17,392 per procedure at 1,481 hospitals. Half of hospitals averaged between $16,055 and $18,131.

Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery

National figures, 2024

Average payment per case
$17,392
Typical range (middle half of hospitals)
$16,055–$18,131
Medicare’s share
$15,76391% of the payment
Average billed charge
$97,523
Hospitals reporting
1,48173,440 procedures

Compare hospitals

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.

Location
Specific hospitals up to 10

1,479 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Grant Medical CenterColumbus, OH · CCN 360017118$16,250About average$14,615$88,352
St Anthonys HospitalSaint Petersburg, FL · CCN 10006751$16,251About average$14,616$108,658
Methodist Hospital For SurgeryAddison, TX · CCN 67007331$16,256About average$14,616$51,416
SSM St Clare Health CenterFenton, MO · CCN 26008163$16,256About average$14,622$51,839
UPMC PassavantPittsburgh, PA · CCN 39010785$16,259About average$14,626$85,182
University Of Toledo Medical CenterToledo, OH · CCN 36004828$16,261About average$14,629$93,782
South Central Regional Medical CenterLaurel, MS · CCN 25005825$16,265About average$14,633$36,204
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 67006729$16,266About average$14,634$86,679
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176105$16,266About average$14,634$66,647
Bronson Methodist HospitalKalamazoo, MI · CCN 23001784$16,267About average$14,635$37,573
Mercy Hospital St LouisSaint Louis, MO · CCN 26002049$16,278About average$14,646$45,708
Kettering Health DaytonDayton, OH · CCN 36013334$16,279About average$14,647$110,428
Marion General HospitalMarion, OH · CCN 36001123$16,279About average$14,647$91,000
Adena Regional Medical CenterChillicothe, OH · CCN 36015914$16,279About average$14,642$140,042
North Carolina Specialty HospitalDurham, NC · CCN 34004987$16,281About average$14,647$62,422
Southern Ohio Medical CenterPortsmouth, OH · CCN 36000823$16,281About average$14,649$102,248
Houston Methodist West HospitalHouston, TX · CCN 670077 · +$256 outlier payments per case65$16,282About average$14,650$224,956
Bellin Memorial HospitalGreen Bay, WI · CCN 52004942$16,283About average$14,651$75,402
Bronson Battle Creek HospitalBattle Creek, MI · CCN 23007528$16,283About average$14,651$37,382
Lone Peak HospitalDraper, UT · CCN 46006080$16,283About average$14,651$177,567
St Luke's Regional Medical CenterBoise, ID · CCN 13000668$16,293About average$14,671$56,303
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 14020836$16,297About average$14,663$78,397
McLaren Central MichiganMount Pleasant, MI · CCN 23008024$16,305About average$14,673$65,470
Park City HospitalPark City, UT · CCN 46005785$16,306About average$14,673$44,887
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058102$16,306About average$14,673$86,042
Duncan Regional Hospital, IncDuncan, OK · CCN 37002325$16,307About average$14,670$82,253
Mercy St Vincent Medical CenterToledo, OH · CCN 360112100$16,307About average$14,674$135,416
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 11008227$16,308About average$14,676$55,729
Franciscan Health LafayetteLafayette, IN · CCN 150109 · +$421 outlier payments per case61$16,332About average$14,697$157,971
Methodist McKinney HospitalMckinney, TX · CCN 67006933$16,332About average$14,728$55,819
Soin Medical CenterBeaver Creek, OH · CCN 36036042$16,332About average$14,700$91,688
WakeMed, Cary HospitalCary, NC · CCN 34017337$16,334About average$14,702$89,072
Deaconess Hospital IncEvansville, IN · CCN 150082124$16,336About average$14,704$41,754
Union Hospital IncTerre Haute, IN · CCN 15002366$16,337About average$14,704$79,775
McLaren Greater LansingLansing, MI · CCN 23016756$16,338About average$14,706$75,533
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 45074330$16,343About average$14,742$104,293
National Park Medical CenterHot Springs, AR · CCN 04007821$16,345About average$14,713$121,080
Beaumont Hospital - TaylorTaylor, MI · CCN 23027025$16,361About average$14,719$89,533
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 23008921$16,361About average$14,717$85,108
Centura Health-St Anthony HospitalLakewood, CO · CCN 06001512$16,362About average$14,730$108,519
Memorial HospitalBelleville, IL · CCN 14018519$16,367About average$14,735$64,087
Aspirus Wausau HospitalWausau, WI · CCN 52003055$16,367About average$14,735$61,986
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302 · +$424 outlier payments per case63$16,368About average$14,736$70,291
St David's Medical CenterAustin, TX · CCN 45043135$16,369About average$14,737$321,833
Ascension Seton Cedar ParkCedar Park, TX · CCN 67004321$16,369About average$14,737$172,518
Ascension Seton Medical Center AustinAustin, TX · CCN 450056 · +$1,653 outlier payments per case88$16,369About average$14,737$226,437
Ascension Seton NorthwestAustin, TX · CCN 45086713$16,369About average$14,737$155,929
Ascension Seton SouthwestAustin, TX · CCN 45086516$16,369About average$14,737$193,201
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003483$16,369About average$14,737$82,615
Northwest Hills Surgical HospitalAustin, TX · CCN 45080821$16,369About average$14,737$90,973

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 1,457 procedures at 85 hospitals · 2021: 8,226 procedures at 353 hospitals · 2022: 3,004 procedures at 156 hospitals · 2023: 14,620 procedures at 540 hospitals · 2024: 73,440 procedures at 1,481 hospitals
View data as a table
National average payment and billed charge for Level 6 Musculoskeletal Procedures
Year of careAverage paymentAverage billed charge
2020$15K$75K
2021$15K$116K
2022$16K$92K
2023$21K$112K
2024$17K$98K

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 6 Musculoskeletal Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont3119$8,999$8,453–$10,624
Alabama251,210$15,164$14,755–$15,349
Utah231,080$15,193$16,244–$16,659
Tennessee332,084$15,325$15,130–$15,866
Mississippi14683$15,430$15,026–$15,570
Louisiana301,108$15,576$15,464–$15,754
West Virginia12558$15,715$14,973–$15,721
Oklahoma301,351$15,834$15,611–$16,023
Arkansas211,202$15,872$15,523–$16,345
South Carolina301,929$15,906$15,619–$16,100
Ohio733,030$15,978$15,826–$16,279
Kentucky221,410$16,042$15,742–$16,096
Kansas231,240$16,065$15,767–$16,241
Iowa201,326$16,087$15,847–$16,340
Missouri351,775$16,103$15,799–$16,551
Virginia412,439$16,328$15,963–$17,432
Texas1275,228$16,373$16,124–$16,789
Michigan441,746$16,380$15,785–$17,123
Georgia421,898$16,409$15,899–$17,257
North Carolina452,608$16,492$16,184–$16,710
Indiana472,034$16,575$16,509–$16,797
Florida865,085$16,629$16,634–$16,845
Nebraska161,011$16,771$16,741–$16,936
Wisconsin381,368$16,885$16,647–$17,067
Idaho13741$16,900$16,735–$17,428
New Mexico9300$17,126$15,882–$17,343
Maine7292$17,280$16,837–$17,471
Pennsylvania653,133$17,344$16,610–$17,938
Illinois562,463$17,391$17,185–$17,654
North Dakota6437$17,467$17,235–$18,360
South Dakota10790$17,472$17,281–$18,289
Montana9516$17,606$17,193–$18,232
Colorado372,121$17,744$17,468–$17,701
Minnesota271,383$18,117$17,504–$18,536
Wyoming8289$18,154$18,579–$18,669
New Hampshire11403$18,184$17,654–$18,332
Arizona372,369$18,231$17,996–$18,131
Delaware5457$18,546$18,654–$18,654
Rhode Island3157$18,657$18,634–$18,765
District of Columbia4199$18,848$18,878–$19,023
Washington331,628$19,062$18,661–$19,156
Alaska3180$19,345$18,819–$19,653
New Jersey281,653$19,847$19,222–$20,663
Oregon20929$19,883$19,066–$19,507
Massachusetts341,711$19,887$19,966–$19,966
New York511,970$19,922$19,552–$20,841
Nevada9617$19,943$19,802–$19,910
Connecticut16778$20,733$20,681–$20,925
Hawaii370$21,247$21,066–$22,304
California974,332$23,412$22,851–$23,737

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.