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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

Hospitals in Texas

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
Texas
Specific hospitals up to 10
Average payment across these 127 hospitals
$16,373National $17,392 · Texas $16,373
Median hospital
$16,369
Lowest to highest
$10,496–$18,465
Medicare procedures
5,228

127 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
CHI St Joseph Health Regional HospitalBryan, TX · CCN 45001132$16,198About average$14,547$112,760
De Tar Hospital NavarroVictoria, TX · CCN 45014714$16,229About average$14,597$167,086
Methodist Hospital For SurgeryAddison, TX · CCN 67007331$16,256About average$14,616$51,416
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 67006729$16,266About average$14,634$86,679
Houston Methodist West HospitalHouston, TX · CCN 670077 · +$256 outlier payments per case65$16,282About average$14,650$224,956
Methodist McKinney HospitalMckinney, TX · CCN 67006933$16,332About average$14,728$55,819
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 45074330$16,343About average$14,742$104,293
St David's Medical CenterAustin, TX · CCN 45043135$16,369About average$14,737$321,833
Ascension Seton Cedar ParkCedar Park, TX · CCN 67004321$16,369About average$14,737$172,518
Ascension Seton Medical Center AustinAustin, TX · CCN 450056 · +$1,653 outlier payments per case88$16,369About average$14,737$226,437
Ascension Seton NorthwestAustin, TX · CCN 45086713$16,369About average$14,737$155,929
Ascension Seton SouthwestAustin, TX · CCN 45086516$16,369About average$14,737$193,201
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003483$16,369About average$14,737$82,615
Northwest Hills Surgical HospitalAustin, TX · CCN 45080821$16,369About average$14,737$90,973
Baylor Scott And White Medical Center UptownDallas, TX · CCN 45042284$16,376About average$14,744$58,461
Shannon Medical CenterSan Angelo, TX · CCN 45057183$16,397About average$14,765$70,134
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013546$16,418About average$14,781$67,499
HCA Houston Healthcare ConroeConroe, TX · CCN 45022220$16,462About average$14,830$291,388
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
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
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084429$16,704About average$15,072$215,805
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
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
Dallas Medical CenterDallas, TX · CCN 45037930$16,735About average$15,095$165,326
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
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 45006864$16,755About average$15,123$98,583
Medical City DentonDenton, TX · CCN 45063422$16,789About average$15,157$390,049
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
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

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.