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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 651–700. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Novant Health Rowan Medical CenterSalisbury, NC · CCN 34001511$16,710About average$15,078$98,230
Oakleaf Surgical HospitalAltoona, WI · CCN 52019654$16,714About average$15,082$49,559
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 52021025$16,714About average$15,082$52,187
AdventHealth OrlandoOrlando, FL · CCN 100007118$16,716About average$15,082$132,838
Banner Desert Medical CenterMesa, AZ · CCN 03006535$16,717About average$15,078$90,919
Holy Family MemorialManitowoc, WI · CCN 52010711$16,725About average$15,093$73,480
St Marys Hospital Medical CenterGreen Bay, WI · CCN 52009724$16,725About average$15,093$59,659
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 37002229$16,728About average$15,096$45,669
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 45074220$16,735About average$15,103$73,306
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008214$16,735About average$15,103$90,550
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 450853101$16,735About average$15,103$73,431
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 45089016$16,735About average$15,103$83,729
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 45087442$16,735About average$15,103$56,823
Medical City PlanoPlano, TX · CCN 45065116$16,735About average$15,103$490,937
St Luke's Nampa Medical CenterNampa, ID · CCN 13007125$16,735About average$15,103$48,936
Texas Health Hospital FriscoFrisco, TX · CCN 67026020$16,735About average$15,103$87,264
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046239$16,735About average$15,103$88,308
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 45077138$16,735About average$15,103$68,815
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 67004415$16,735About average$15,103$68,149
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044105$16,735About average$15,103$77,573
Mountain View HospitalIdaho Falls, ID · CCN 13006592$16,735About average$15,103$48,908
Dallas Medical CenterDallas, TX · CCN 45037930$16,735About average$15,095$165,326
Surgical Institute Of ReadingWyomissing, PA · CCN 39031642$16,739About average$15,107$56,417
Ascension Seton WilliamsonRound Rock, TX · CCN 67004114$16,742About average$15,110$194,835
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 45010128$16,742About average$15,110$67,464
Ascension ProvidenceWaco, TX · CCN 45004227$16,742About average$15,101$118,525
Salina Regional Health CenterSalina, KS · CCN 17001252$16,743About average$15,129$60,935
Aurora BayCare Medical CenterGreen Bay, WI · CCN 52019343$16,744About average$15,112$66,443
Aurora Medical Center OshkoshOshkosh, WI · CCN 52019819$16,744About average$15,111$54,539
Citizens Memorial HospitalBolivar, MO · CCN 26019526$16,747About average$15,115$50,526
Cox Medical Center BransonBranson, MO · CCN 26009419$16,747About average$15,115$73,945
Lake Regional Health SystemOsage Beach, MO · CCN 26018613$16,747About average$15,115$75,494
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 52009575$16,751About average$15,119$40,996
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 45006864$16,755About average$15,123$98,583
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 03010112$16,756About average$15,124$218,355
CHI Health LakesideOmaha, NE · CCN 28013038$16,757About average$15,125$68,255
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 16002822$16,757About average$15,125$62,913
Nebraska Spine Hospital, LLCOmaha, NE · CCN 28013313$16,757About average$15,125$56,168
The Nebraska Medical CenterOmaha, NE · CCN 28001327$16,757About average$15,125$75,570
The Nebraska Methodist HospitalOmaha, NE · CCN 28004042$16,757About average$15,125$63,228
Midwest Surgical Hospital LLCOmaha, NE · CCN 28013189$16,757About average$15,125$58,481
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010263$16,769About average$15,131$71,358
Piedmont Athens Regional Medical CenterAthens, GA · CCN 11007451$16,772About average$15,137$111,579
Indiana University Health North HospitalCarmel, IN · CCN 150161 · +$2,520 outlier payments per case27$16,773About average$15,141$181,852
Duke Regional HospitalDurham, NC · CCN 34015593$16,774About average$15,142$83,489
St Johns HospitalSpringfield, IL · CCN 14005377$16,781About average$15,149$75,943
Jupiter Medical CenterJupiter, FL · CCN 100253227$16,781About average$15,149$83,002
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167 · +$158 outlier payments per case147$16,782About average$15,147$105,445
Madison Memorial HospitalRexburg, ID · CCN 13002521$16,788About average$15,156$62,932
Medical City DentonDenton, TX · CCN 45063422$16,789About average$15,157$390,049

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.