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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 701–750. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Medical City LewisvilleLewisville, TX · CCN 45066913$16,789About average$15,157$546,110
Methodist Mansfield Medical CenterMansfield, TX · CCN 67002321$16,789About average$15,157$52,935
Texas Health Arlington Memorial HospitalArlington, TX · CCN 45006413$16,789About average$15,157$67,722
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 45088850$16,789About average$15,157$72,314
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 45067713$16,789About average$15,157$149,622
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 45077961$16,789About average$15,152$81,751
Medical City AllianceFort Worth, TX · CCN 67010314$16,789About average$15,140$378,122
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286281$16,791About average$15,158$181,329
Inova Fairfax HospitalFalls Church, VA · CCN 49006349$16,792About average$15,160$76,547
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 15011340$16,797About average$15,165$121,506
Henry County Memorial HospitalNew Castle, IN · CCN 15003023$16,797About average$15,165$74,378
Indiana University Health Bloomington HospitalBloomington, IN · CCN 15005140$16,797About average$15,165$152,332
IU Health West HospitalAvon, IN · CCN 15015825$16,797About average$15,165$136,235
Ascension St Vincent AndersonAnderson, IN · CCN 15008811$16,797About average$15,165$108,760
Community Hospital NorthIndianapolis, IN · CCN 15016959$16,797About average$15,165$118,912
Hancock Regional HospitalGreenfield, IN · CCN 15003713$16,797About average$15,165$60,230
Witham Health ServicesLebanon, IN · CCN 15010415$16,797About average$15,165$61,645
Franciscan Health Orthopedic Hospital CarmelCarmel, IN · CCN 15019393$16,797About average$15,165$83,970
Ascension St Vincent CarmelCarmel, IN · CCN 15015720$16,797About average$15,161$122,294
White River Medical CenterBatesville, AR · CCN 04011920$16,800About average$15,168$41,389
Baxter HealthMountain Home, AR · CCN 04002747$16,800About average$15,168$37,633
Black Hills Surgical Hospital LLCRapid City, SD · CCN 43009124$16,805About average$15,173$48,008
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 45004643$16,810About average$15,178$149,078
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 45078811$16,810About average$15,178$210,010
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 15008913$16,813About average$15,181$168,659
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 14018742$16,815About average$15,183$75,751
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004 · +$975 outlier payments per case40$16,837About average$15,205$176,053
UPMC CarlisleCarlisle, PA · CCN 39005835$16,837About average$15,205$50,817
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006965$16,837About average$15,205$108,085
Baptist Beaumont HospitalBeaumont, TX · CCN 45034611$16,838About average$15,206$102,395
CHI Health Good SamaritanKearney, NE · CCN 28000930$16,839About average$15,207$50,483
Mary Lanning HealthcareHastings, NE · CCN 28003229$16,839About average$15,207$53,345
Carle Foundation HospitalUrbana, IL · CCN 14009145$16,840About average$15,208$85,633
AdventHealth Daytona BeachDaytona Beach, FL · CCN 10006868$16,845About average$15,213$95,547
AdventHealth OcalaOcala, FL · CCN 10006243$16,845About average$15,213$250,985
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 10010569$16,845About average$15,213$56,722
HCA Florida Brandon HospitalBrandon, FL · CCN 10024339$16,845About average$15,213$191,638
HCA Florida Capital HospitalTallahassee, FL · CCN 10025444$16,845About average$15,213$183,337
HCA Florida Citrus HospitalInverness, FL · CCN 10002352$16,845About average$15,213$177,098
HCA Florida West HospitalPensacola, FL · CCN 10023159$16,845About average$15,213$225,273
Holmes Regional Medical CenterMelbourne, FL · CCN 10001942$16,845About average$15,213$139,549
Holy Cross HospitalFt Lauderdale, FL · CCN 10007339$16,845About average$15,213$80,305
Lakeland Regional Medical CenterLakeland, FL · CCN 10015741$16,845About average$15,213$93,938
Lakewood Ranch Medical CenterBradenton, FL · CCN 10029942$16,845About average$15,213$241,820
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 10017641$16,845About average$15,213$215,560
Sacred Heart HospitalPensacola, FL · CCN 10002556$16,845About average$15,213$87,109
Sarasota Memorial HospitalSarasota, FL · CCN 100087161$16,845About average$15,213$145,271
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359 · +$355 outlier payments per case204$16,845About average$15,213$117,226
Tallahassee Memorial HealthcareTallahassee, FL · CCN 10013560$16,845About average$15,213$87,462
Tampa General HospitalTampa, FL · CCN 100128113$16,845About average$15,213$166,335

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.