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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 951–1,000. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
OhioHealth O'Bleness HospitalAthens, OH · CCN 36001417$17,433About average$15,796$83,584
Genesis HospitalZanesville, OH · CCN 36003924$17,433About average$15,791$72,444
Avera St LukesAberdeen, SD · CCN 43001422$17,434About average$15,802$73,472
Benefis Hospitals IncGreat Falls, MT · CCN 27001220$17,434About average$15,802$83,588
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 27004963$17,434About average$15,802$63,363
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 43001697$17,434About average$15,802$83,470
Sanford Medical Center FargoFargo, ND · CCN 350011112$17,434About average$15,801$53,689
Sanford Medical Center BismarckBismarck, ND · CCN 350015106$17,434About average$15,800$59,339
Great Falls Clinic HospitalGreat Falls, MT · CCN 27008623$17,434About average$15,798$74,206
Inova Alexandria HospitalAlexandria, VA · CCN 490040104$17,437About average$15,805$68,812
Inova Loudoun HospitalLeesburg, VA · CCN 49004312$17,437About average$15,805$84,812
Mary Washington HospitalFredericksburg, VA · CCN 49002248$17,437About average$15,805$52,729
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 49001920$17,437About average$15,805$103,283
Virginia Hospital CenterArlington, VA · CCN 49005045$17,437About average$15,805$87,424
Warren Memorial HospitalFront Royal, VA · CCN 49003312$17,437About average$15,805$45,890
Jefferson Abington HospitalAbington, PA · CCN 39023187$17,444About average$15,812$62,664
Physicians Care Surgical HospitalRoyersford, PA · CCN 39032493$17,444About average$15,810$50,511
Hendrick Medical CenterAbilene, TX · CCN 45022941$17,454About average$15,822$196,384
St Alexius Medical CenterHoffman Estates, IL · CCN 14029026$17,455About average$15,819$63,253
McLaren Northern MichiganPetoskey, MI · CCN 23010519$17,461About average$15,829$50,482
Mymichigan Medical Center AlpenaAlpena, MI · CCN 23003629$17,461About average$15,829$35,626
Mymichigan Medical Center MidlandMidland, MI · CCN 23022244$17,461About average$15,829$36,388
Ascension Genesys HospitalGrand Blanc, MI · CCN 23019739$17,467About average$15,835$68,678
AdventHealth PorterDenver, CO · CCN 06006469$17,468About average$15,836$130,733
Mainehealth Maine Medical CenterPortland, ME · CCN 200009105$17,471About average$15,839$78,093
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 20002115$17,471About average$15,839$71,408
Northern Light Mercy HospitalPortland, ME · CCN 200008 · +$2,976 outlier payments per case55$17,471About average$15,839$102,188
York HospitalYork, ME · CCN 200020 · +$1,432 outlier payments per case37$17,471About average$15,839$92,794
UCHealth Broomfield HospitalBroomfield, CO · CCN 06012970$17,472About average$15,834$107,795
Sky Ridge Medical CenterLone Tree, CO · CCN 06011263$17,481About average$15,857$288,395
Concord HospitalConcord, NH · CCN 30000163$17,481About average$15,849$67,185
Chelsea HospitalChelsea, MI · CCN 23025925$17,484About average$15,852$50,505
Poudre Valley HospitalFort Collins, CO · CCN 060010222$17,484About average$15,852$70,905
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 24008021$17,485About average$15,853$71,445
Froedtert South Inc.Kenosha, WI · CCN 52002126$17,488About average$15,856$73,201
Presence St Marys HospitalKankakee, IL · CCN 14015532$17,488About average$15,856$115,877
Riverside Medical CenterKankakee, IL · CCN 14018640$17,488About average$15,856$106,405
St Mary Medical Center IncHobart, IN · CCN 15003427$17,488About average$15,856$60,458
Community HospitalMunster, IN · CCN 15012543$17,488About average$15,855$67,823
Methodist Hospitals IncGary, IN · CCN 15000213$17,488About average$15,838$98,949
Spartanburg Medical CenterSpartanburg, SC · CCN 42000775$17,493About average$15,861$92,990
M Health Fairview Southdale HospitalEdina, MN · CCN 24007859$17,501About average$15,869$48,178
UPMC HanoverHanover, PA · CCN 39023325$17,503About average$15,871$57,831
Ridgeview Medical CenterWaconia, MN · CCN 240056119$17,503About average$15,870$49,484
Abbott Northwestern HospitalMinneapolis, MN · CCN 24005760$17,505About average$15,872$53,128
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 52000425$17,518About average$15,886$58,336
Medical Center Of The RockiesLoveland, CO · CCN 06011992$17,526About average$15,894$114,445
Munson Healthcare Manistee HospitalManistee, MI · CCN 23030311$17,533About average$15,901$42,438
Rush University Medical CenterChicago, IL · CCN 14011991$17,542About average$15,910$68,653
Advocate Good Shepherd HospitalBarrington, IL · CCN 14029148$17,548About average$15,916$60,161

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.