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
- $15,763
- Average billed charge
- $97,523
- Hospitals reporting
- 1,481
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.
1,479 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,001–1,050. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Stephenvill | 39 | $17,559 | About average | $15,927 | $71,330 |
| Uva Health Haymarket Medical Center | 32 | $17,583 | About average | $15,951 | $89,192 |
| Advocate Sherman Hospital | 31 | $17,630 | About average | $15,998 | $83,459 |
| Mayo Clinic Health System Eau Claire Hospital | 48 | $17,641 | About average | $16,009 | $49,715 |
| Mayo Clinic Health System In Red Wing | 26 | $17,641 | About average | $16,006 | $42,211 |
| Copley Memorial Hospital | 33 | $17,653 | About average | $16,021 | $83,658 |
| Northwest Community Hospital 1 | 51 | $17,654 | About average | $16,022 | $62,750 |
| Advocate Good Samaritan Hospital | 21 | $17,654 | About average | $16,022 | $75,783 |
| Advocate Illinois Masonic Medical Center | 12 | $17,654 | About average | $16,022 | $104,356 |
| Advocate Trinity Hospital | 15 | $17,654 | About average | $16,022 | $70,467 |
| Amita Health Resurrection Medical Center | 14 | $17,654 | About average | $16,022 | $99,358 |
| Morris Hospital & Healthcare Centers | 33 | $17,654 | About average | $16,022 | $105,916 |
| Northwestern Medicine Central Dupage Hospital | 79 | $17,654 | About average | $16,022 | $144,974 |
| Palos Community Hospital | 30 | $17,654 | About average | $16,022 | $87,018 |
| Rush Oak Park Hospital | 35 | $17,654 | About average | $16,022 | $60,371 |
| Swedish Hospital | 13 | $17,654 | About average | $16,022 | $70,795 |
| Uchicago Medicine AdventHealth Hinsdale | 14 | $17,654 | About average | $16,022 | $85,562 |
| Uchicago Medicine AdventHealth La Grange | 68 | $17,654 | About average | $16,019 | $83,272 |
| Kootenai Health | 24 | $17,671 | About average | $16,039 | $62,122 |
| Sarah Bush Lincoln Health Center | 64 | $17,699 | About average | $16,059 | $88,498 |
| Animas Surgical Hospital, LLC | 54 | $17,701 | About average | $16,069 | $87,606 |
| Community Hospital | 53 | $17,701 | About average | $16,069 | $84,874 |
| UCH-Memorial Health System | 52 | $17,701 | About average | $16,069 | $137,572 |
| AdventHealth Parker | 35 | $17,701 | About average | $16,069 | $143,019 |
| Boulder Community Health | 34 | $17,701 | About average | $16,069 | $138,341 |
| HCA Healthone Rose | 78 | $17,701 | About average | $16,069 | $295,076 |
| Intermountain Health Lutheran Hospital | 17 | $17,701 | About average | $16,069 | $101,076 |
| Parkview Medical Center, Inc | 29 | $17,701 | About average | $16,069 | $115,064 |
| St Francis Hospital - Interquest | 35 | $17,701 | About average | $16,069 | $94,563 |
| St Mary-Corwin Hospital | 19 | $17,701 | About average | $16,069 | $104,623 |
| Swedish Medical Center | 14 | $17,701 | About average | $16,069 | $206,211 |
| UCHealth Grandview Hospital | 27 | $17,701 | About average | $16,069 | $105,510 |
| UCHealth Highlands Ranch Hospital | 78 | $17,701 | About average | $16,069 | $114,338 |
| Longs Peak Hospital | 28 | $17,701 | About average | $16,068 | $111,080 |
| AdventHealth Avista | 38 | $17,701 | About average | $16,066 | $183,492 |
| Good Samaritan Medical Center LLC | 14 | $17,701 | About average | $16,064 | $135,296 |
| St Lukes Hospital | 79 | $17,718 | About average | $16,085 | $143,374 |
| Hannibal Regional Hospital | 35 | $17,723 | About average | $16,091 | $118,914 |
| Phelps County Regional Medical Center | 23 | $17,723 | About average | $16,088 | $96,777 |
| Thomas Jefferson University Hospital | 133 | $17,733 | About average | $16,101 | $73,186 |
| Rothman Orthopaedic Specialty Hospital | 77 | $17,740 | About average | $16,107 | $73,522 |
| The University Of Chicago Medical Center | 50 | $17,755 | About average | $16,119 | $134,945 |
| St. George Regional Hospital | 178 | $17,762 | About average | $16,130 | $43,858 |
| Deaconess Medical Center | 19 | $17,764 | About average | $16,132 | $110,658 |
| Allina United Hospital | 23 | $17,774 | About average | $16,142 | $69,746 |
| Fairview Lakes Health Services | 18 | $17,774 | About average | $16,142 | $44,501 |
| Maple Grove Hospital | 32 | $17,774 | About average | $16,142 | $47,485 |
| M Health Fairview Ridges Hospital | 20 | $17,774 | About average | $16,142 | $69,911 |
| Lakeview Memorial Hospital | 61 | $17,774 | About average | $16,142 | $40,022 |
| Northfield Hospital | 17 | $17,774 | About average | $16,142 | $51,255 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average 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
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 3 | 119 | $8,999 | $8,453–$10,624 |
| Alabama | 25 | 1,210 | $15,164 | $14,755–$15,349 |
| Utah | 23 | 1,080 | $15,193 | $16,244–$16,659 |
| Tennessee | 33 | 2,084 | $15,325 | $15,130–$15,866 |
| Mississippi | 14 | 683 | $15,430 | $15,026–$15,570 |
| Louisiana | 30 | 1,108 | $15,576 | $15,464–$15,754 |
| West Virginia | 12 | 558 | $15,715 | $14,973–$15,721 |
| Oklahoma | 30 | 1,351 | $15,834 | $15,611–$16,023 |
| Arkansas | 21 | 1,202 | $15,872 | $15,523–$16,345 |
| South Carolina | 30 | 1,929 | $15,906 | $15,619–$16,100 |
| Ohio | 73 | 3,030 | $15,978 | $15,826–$16,279 |
| Kentucky | 22 | 1,410 | $16,042 | $15,742–$16,096 |
| Kansas | 23 | 1,240 | $16,065 | $15,767–$16,241 |
| Iowa | 20 | 1,326 | $16,087 | $15,847–$16,340 |
| Missouri | 35 | 1,775 | $16,103 | $15,799–$16,551 |
| Virginia | 41 | 2,439 | $16,328 | $15,963–$17,432 |
| Texas | 127 | 5,228 | $16,373 | $16,124–$16,789 |
| Michigan | 44 | 1,746 | $16,380 | $15,785–$17,123 |
| Georgia | 42 | 1,898 | $16,409 | $15,899–$17,257 |
| North Carolina | 45 | 2,608 | $16,492 | $16,184–$16,710 |
| Indiana | 47 | 2,034 | $16,575 | $16,509–$16,797 |
| Florida | 86 | 5,085 | $16,629 | $16,634–$16,845 |
| Nebraska | 16 | 1,011 | $16,771 | $16,741–$16,936 |
| Wisconsin | 38 | 1,368 | $16,885 | $16,647–$17,067 |
| Idaho | 13 | 741 | $16,900 | $16,735–$17,428 |
| New Mexico | 9 | 300 | $17,126 | $15,882–$17,343 |
| Maine | 7 | 292 | $17,280 | $16,837–$17,471 |
| Pennsylvania | 65 | 3,133 | $17,344 | $16,610–$17,938 |
| Illinois | 56 | 2,463 | $17,391 | $17,185–$17,654 |
| North Dakota | 6 | 437 | $17,467 | $17,235–$18,360 |
| South Dakota | 10 | 790 | $17,472 | $17,281–$18,289 |
| Montana | 9 | 516 | $17,606 | $17,193–$18,232 |
| Colorado | 37 | 2,121 | $17,744 | $17,468–$17,701 |
| Minnesota | 27 | 1,383 | $18,117 | $17,504–$18,536 |
| Wyoming | 8 | 289 | $18,154 | $18,579–$18,669 |
| New Hampshire | 11 | 403 | $18,184 | $17,654–$18,332 |
| Arizona | 37 | 2,369 | $18,231 | $17,996–$18,131 |
| Delaware | 5 | 457 | $18,546 | $18,654–$18,654 |
| Rhode Island | 3 | 157 | $18,657 | $18,634–$18,765 |
| District of Columbia | 4 | 199 | $18,848 | $18,878–$19,023 |
| Washington | 33 | 1,628 | $19,062 | $18,661–$19,156 |
| Alaska | 3 | 180 | $19,345 | $18,819–$19,653 |
| New Jersey | 28 | 1,653 | $19,847 | $19,222–$20,663 |
| Oregon | 20 | 929 | $19,883 | $19,066–$19,507 |
| Massachusetts | 34 | 1,711 | $19,887 | $19,966–$19,966 |
| New York | 51 | 1,970 | $19,922 | $19,552–$20,841 |
| Nevada | 9 | 617 | $19,943 | $19,802–$19,910 |
| Connecticut | 16 | 778 | $20,733 | $20,681–$20,925 |
| Hawaii | 3 | 70 | $21,247 | $21,066–$22,304 |
| California | 97 | 4,332 | $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.