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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 551–600. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 26019124$16,551About average$14,919$62,899
Mercy Hospital SouthSaint Louis, MO · CCN 26007721$16,551About average$14,919$40,607
Mercy Hospital WashingtonWashington, MO · CCN 26005223$16,551About average$14,919$46,422
Progress West HospitalOfallon, MO · CCN 26021923$16,551About average$14,919$58,844
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020021$16,551About average$14,919$56,254
St Lukes HospitalChesterfield, MO · CCN 26017987$16,551About average$14,919$45,989
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009240$16,557About average$14,925$61,378
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 52017717$16,564About average$14,932$91,046
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013840$16,565About average$14,933$100,945
AdventHealth Palm CoastPalm Coast, FL · CCN 10011851$16,567About average$14,935$83,019
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266108$16,570About average$14,932$124,261
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 15001226$16,574About average$14,938$77,826
Ascension Providence Rochester HospitalRochester, MI · CCN 23025426$16,575About average$14,943$65,344
McLaren Bay RegionBay City, MI · CCN 23004148$16,575About average$14,943$64,988
Trinity Health Oakland HospitalPontiac, MI · CCN 23002960$16,575About average$14,943$61,116
Franciscan Health Michigan CityMichigan City, IN · CCN 15001527$16,577About average$14,945$105,509
Memorial Hospital And Health Care CenterJasper, IN · CCN 15011525$16,577About average$14,945$62,591
Norton Clark HospitalJeffersonville, IN · CCN 15000924$16,577About average$14,945$91,301
Physicians' Medical Center LLCNew Albany, IN · CCN 15017244$16,577About average$14,945$68,496
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 15008617$16,577About average$14,945$82,898
Indiana University Health Arnett HospitalLafayette, IN · CCN 15017321$16,579About average$14,947$148,411
Northwest Health - PorterValparaiso, IN · CCN 15003527$16,588About average$14,956$238,183
Duke University HospitalDurham, NC · CCN 340030 · +$295 outlier payments per case167$16,593About average$14,961$99,812
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073102$16,594About average$14,962$68,200
Cleveland Clinic Martin North HospitalStuart, FL · CCN 10004461$16,596About average$14,957$85,462
Bryan Medical CenterLincoln, NE · CCN 28000396$16,600About average$14,967$82,115
ProMedica Monroe Regional HospitalMonroe, MI · CCN 23009924$16,606About average$14,974$34,380
Henry Ford Allegiance HealthJackson, MI · CCN 23009220$16,606About average$14,974$72,963
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 23001994$16,606About average$14,974$51,669
Unity Physicians HospitalMishawaka, IN · CCN 15017786$16,606About average$14,971$88,285
Rex HospitalRaleigh, NC · CCN 340114111$16,606About average$14,974$87,393
Northeastern Health SystemTahlequah, OK · CCN 370089 · +$2,427 outlier payments per case50$16,607About average$14,975$84,032
Ahn Wexford HospitalWexford, PA · CCN 39033421$16,610About average$14,978$70,504
Allegheny General HospitalPittsburgh, PA · CCN 39005028$16,610About average$14,978$68,434
Edgewood Surgical HospitalTransfer, PA · CCN 39030737$16,610About average$14,978$63,640
Forbes HospitalMonroeville, PA · CCN 39026720$16,610About average$14,978$56,826
Heritage Valley SewickleySewickley, PA · CCN 39003735$16,610About average$14,978$40,728
Independence Health System Butler Memorial HospitaButler, PA · CCN 39016822$16,610About average$14,978$68,155
Jefferson HospitalJefferson Hills, PA · CCN 39026517$16,610About average$14,978$73,812
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 39033864$16,610About average$14,978$130,178
St Clair HospitalPittsburgh, PA · CCN 39022820$16,610About average$14,978$74,241
Uniontown HospitalUniontown, PA · CCN 39004142$16,610About average$14,978$37,199
UPMC St MargaretPittsburgh, PA · CCN 39010242$16,610About average$14,978$95,505
UPMC WilliamsportWilliamsport, PA · CCN 39004541$16,610About average$14,978$75,108
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 39001355$16,610About average$14,978$89,985
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 39013720$16,610About average$14,978$140,910
UPMC EastMonroeville, PA · CCN 39032841$16,610About average$14,976$95,576
Excela Health Latrobe HospitalLatrobe, PA · CCN 39021916$16,610About average$14,975$49,333
Geisinger-Community Medical CenterScranton, PA · CCN 39000145$16,610About average$14,975$148,808
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 39027036$16,610About average$14,973$191,611

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.