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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 601–650. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Advanced Surgical HospitalWashington, PA · CCN 39032315$16,610About average$14,957$79,728
HCA Florida JFK HospitalAtlantis, FL · CCN 10008066$16,614About average$14,982$174,409
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001833$16,617About average$14,998$89,139
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 45003425$16,618About average$14,986$122,910
North Central Surgical Center LLPDallas, TX · CCN 670049135$16,623About average$14,990$50,670
Berger HospitalCircleville, OH · CCN 36017012$16,630About average$14,998$82,767
Fairfield Medical CenterLancaster, OH · CCN 36007211$16,630About average$14,998$53,036
Dublin Methodist HospitalDublin, OH · CCN 360348137$16,630About average$14,997$81,959
Mount Carmel New Albany Surgical HospitalNew Albany, OH · CCN 360266121$16,630About average$14,995$83,661
Mount Carmel St Ann'sWesterville, OH · CCN 36001217$16,630About average$14,992$112,368
Mount Carmel East & WestColumbus, OH · CCN 36003544$16,630About average$14,992$86,089
Riverside Methodist HospitalColumbus, OH · CCN 36000633$16,630About average$14,984$89,531
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 10008872$16,634About average$15,002$88,114
MercyOne Dubuque Medical CenterDubuque, IA · CCN 16006946$16,636About average$14,999$45,756
UF Health Shands HospitalGainesville, FL · CCN 10011397$16,637About average$15,010$79,133
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 52000217$16,640About average$15,008$52,027
AdventHealth RedmondRome, GA · CCN 11016847$16,649About average$15,012$222,940
Billings Clinic HospitalBillings, MT · CCN 27000440$16,650About average$15,034$47,507
Cache Valley HospitalNorth Logan, UT · CCN 46005411$16,659About average$15,027$178,764
Holy Cross Hospital-DavisLayton, UT · CCN 46004128$16,659About average$15,027$59,310
Intermountain Health Logan Regional HospitalLogan, UT · CCN 46001513$16,659About average$15,027$52,283
Intermountain Health Riverton HospitalRiverton, UT · CCN 46005811$16,659About average$15,027$51,133
LDS HospitalSalt Lake City, UT · CCN 46000634$16,659About average$15,027$55,946
Ogden Regional Medical CenterOgden, UT · CCN 46000520$16,659About average$15,027$181,375
St Mark's HospitalSalt Lake City, UT · CCN 46004746$16,659About average$15,027$164,035
Timpanogos Regional HospitalOrem, UT · CCN 46005226$16,659About average$15,027$147,951
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 46005136$16,659About average$15,021$79,329
Intermountain Medical CenterMurray, UT · CCN 46001021$16,659About average$15,020$73,246
Intermountain Health Alta View HospitalSandy, UT · CCN 46004417$16,659About average$15,013$57,806
Mayo ClinicJacksonville, FL · CCN 100151167$16,663About average$15,031$54,034
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336 · +$3,946 outlier payments per case17$16,664About average$15,032$155,480
Marion Communtiy HospitalOcala, FL · CCN 100212169$16,665About average$15,033$186,140
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004754$16,667About average$15,035$125,720
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 52003413$16,667About average$15,035$63,762
Naples Community HospitalNaples, FL · CCN 10001889$16,674About average$15,042$64,473
Jackson-Madison County General HospitalJackson, TN · CCN 44000281$16,677About average$15,045$68,354
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091 · +$485 outlier payments per case181$16,682About average$15,050$80,595
Ascension St Vincent HospitalIndianapolis, IN · CCN 15008464$16,684About average$15,052$101,471
Nebraska Orthopaedic HospitalOmaha, NE · CCN 280129226$16,690About average$15,057$47,735
Ohio State University State Health SystemColumbus, OH · CCN 360085113$16,690About average$15,058$86,537
Wilson Memorial HospitalSidney, OH · CCN 36001324$16,690About average$15,058$51,815
Kettering Health Main CampusKettering, OH · CCN 36007955$16,690About average$15,058$121,127
Ohio Valley Surgical HospitalSpringfield, OH · CCN 36035543$16,690About average$15,058$57,124
Piedmont Cartersville Medical CenterCartersville, GA · CCN 11003028$16,699About average$15,059$189,718
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084429$16,704About average$15,072$215,805
Jennie Stuart Medical CenterHopkinsville, KY · CCN 18005125$16,709About average$15,077$52,897
Atrium Health PinevilleCharlotte, NC · CCN 34009864$16,710About average$15,078$105,110
Atrium Health UnionMonroe, NC · CCN 34013013$16,710About average$15,078$98,157
Carolinas Medical Center-NortheastConcord, NC · CCN 34000154$16,710About average$15,078$122,516
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 34005325$16,710About average$15,078$98,390

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.