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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 501–550. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baylor Scott And White Medical Center UptownDallas, TX · CCN 45042284$16,376About average$14,744$58,461
McLaren OaklandPontiac, MI · CCN 23020714$16,379About average$14,747$69,100
Bellevue Medical CenterBellevue, NE · CCN 28013241$16,388About average$14,756$84,841
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339 · +$11,903 outlier payments per case32$16,391About average$14,756$166,751
Caromont Regional Medical CenterGastonia, NC · CCN 34003248$16,396About average$14,762$90,126
Shannon Medical CenterSan Angelo, TX · CCN 45057183$16,397About average$14,765$70,134
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018325$16,398About average$14,766$116,385
Ascension St Vincent EvansvilleEvansville, IN · CCN 15010084$16,399About average$14,766$116,704
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 52016084$16,403About average$14,768$32,733
Bon Secours St Marys HospitalRichmond, VA · CCN 49005946$16,403About average$14,767$139,161
Catawba Valley Medical CenterHickory, NC · CCN 34014316$16,408About average$14,776$57,604
Baptist Health FloydNew Albany, IN · CCN 15004491$16,412About average$14,780$181,789
Trinity Health Livingston HospitalHowell, MI · CCN 23006927$16,415About average$14,783$53,044
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013546$16,418About average$14,781$67,499
Treasure Valley HospitalBoise, ID · CCN 130063145$16,423About average$14,790$63,523
Cumberland Medical CenterCrossville, TN · CCN 44000913$16,426About average$14,794$61,619
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009133$16,433About average$14,801$52,473
Doctors HospitalCoral Gables, FL · CCN 10029637$16,434About average$14,799$128,586
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130113$16,442About average$14,808$86,752
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 16002997$16,443About average$14,811$83,248
Intermountain Health Layton HospitalLayton, UT · CCN 46006170$16,444About average$14,811$49,499
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 10029238$16,445About average$14,810$85,087
Cape Fear Valley Medical CenterFayetteville, NC · CCN 34002820$16,445About average$14,813$68,373
North Mississippi Medical CenterTupelo, MS · CCN 25000466$16,449About average$14,817$50,729
AdventHealth CarrollwoodTampa, FL · CCN 10006991$16,452About average$14,820$190,993
Lincoln Surgical HospitalLincoln, NE · CCN 280127197$16,455About average$14,821$38,808
St Mary's HospitalAthens, GA · CCN 11000692$16,458About average$14,823$87,434
Lovelace Women's HospitalAlbuquerque, NM · CCN 32001711$16,460About average$14,828$114,080
UNM HospitalAlbuquerque, NM · CCN 32000123$16,460About average$14,819$49,442
HCA Houston Healthcare ConroeConroe, TX · CCN 45022220$16,462About average$14,830$291,388
The Villages Regional HospitalThe Villages, FL · CCN 10029035$16,467About average$14,861$78,604
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162172$16,471About average$14,839$60,708
Trinity Rock IslandRock Island, IL · CCN 14028022$16,478About average$14,846$75,674
Hendricks Regional HealthDanville, IN · CCN 15000549$16,487About average$14,855$65,244
St Marys HospitalDecatur, IL · CCN 14016618$16,489About average$14,855$83,617
Shorepoint Health Punta GordaPunta Gorda, FL · CCN 10004743$16,491About average$14,859$193,386
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011586$16,491About average$14,859$49,838
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 10024244$16,499About average$14,867$211,212
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006798$16,511About average$14,879$51,041
Union General HospitalBlairsville, GA · CCN 11005149$16,524About average$14,892$47,164
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006963$16,525About average$14,889$116,309
Riverview HealthNoblesville, IN · CCN 15005957$16,531About average$14,899$102,240
Hays Medical CenterHays, KS · CCN 17001328$16,535About average$14,903$68,136
Atrium Health ClevelandShelby, NC · CCN 34002117$16,536About average$14,904$100,823
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 42002669$16,536About average$14,904$120,103
AdventHealth WatermanTavares, FL · CCN 10005743$16,537About average$14,902$84,538
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113 · +$512 outlier payments per case176$16,540About average$14,905$117,791
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032 · +$938 outlier payments per case47$16,544About average$14,912$220,040
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005472$16,545About average$14,913$67,735
Orthoindy HospitalIndianapolis, IN · CCN 150160114$16,547About average$14,915$52,909

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.