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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 151–200. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 37003785$15,52811% below the national average$13,893$71,613
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 44022749$15,53311% below the national average$13,901$131,593
Elkhart General HospitalElkhart, IN · CCN 15001819$15,53611% below the national average$13,904$103,023
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 44001733$15,54311% below the national average$13,911$106,798
St Marys Medical CenterHuntington, WV · CCN 51000748$15,54711% below the national average$13,915$69,793
Schneck Medical CenterSeymour, IN · CCN 15006522$15,55211% below the national average$13,920$65,711
Resolute Health HospitalNew Braunfels, TX · CCN 67009824$15,56611% below the national average$13,934$137,400
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 25004844$15,57010% below the national average$13,938$62,088
University Of Mississippi Medical CenterJackson, MS · CCN 25000123$15,57010% below the national average$13,938$59,459
Baptist Memorial Hospital North MsOxford, MS · CCN 25003451$15,57310% below the national average$13,941$71,696
Menorah Medical CenterOverland Park, KS · CCN 17018222$15,57710% below the national average$13,945$88,755
Saint Francis Hospital, IncTulsa, OK · CCN 370091141$15,59310% below the national average$13,960$62,691
Boone Hospital CenterColumbia, MO · CCN 260068122$15,59310% below the national average$13,961$55,109
Murray-Calloway County HospitalMurray, KY · CCN 18002713$15,60410% below the national average$13,972$56,929
Saint Joseph LondonLondon, KY · CCN 18001130$15,60410% below the national average$13,971$45,651
Terrebonne General Medical Center - ParishHouma, LA · CCN 19000824$15,60510% below the national average$13,973$42,330
Maury Regional HospitalColumbia, TN · CCN 440073116$15,60610% below the national average$13,972$67,901
Carilion Medical CenterRoanoke, VA · CCN 490024142$15,60610% below the national average$13,971$103,246
Centura St. Catherine-Dodge CityDodge City, KS · CCN 17017511$15,60610% below the national average$13,974$92,965
Saint Thomas Hospital For Spinal SurgeryNashville, TN · CCN 440218235$15,61010% below the national average$13,977$83,403
Lexington Medical CenterWest Columbia, SC · CCN 420073164$15,61310% below the national average$14,000$86,197
Specialists Hospital ShreveportShreveport, LA · CCN 19027894$15,61410% below the national average$13,979$57,283
Baptist Medical Center EastMontgomery, AL · CCN 01014923$15,61610% below the national average$13,984$41,711
McLeod Loris HospitalLoris, SC · CCN 42010546$15,61810% below the national average$13,986$113,701
Conway Medical CenterConway, SC · CCN 42004931$15,62110% below the national average$14,000$69,235
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 67007624$15,62310% below the national average$13,991$75,763
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 44005336$15,62410% below the national average$13,992$91,763
Christus Ochsner Lake Area HospitalLake Charles, LA · CCN 19020111$15,62410% below the national average$13,992$142,766
West Calcasieu Cameron HospitalSulphur, LA · CCN 19001312$15,62410% below the national average$13,992$20,242
Prisma Health Baptist ParkridgeColumbia, SC · CCN 42010682$15,64510% below the national average$14,012$110,338
Northwestern Medicine MCHenryMchenry, IL · CCN 14011616$15,65110% below the national average$14,019$126,063
Mary Greeley Medical CenterAmes, IA · CCN 16003045$15,65210% below the national average$14,020$54,611
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 17004925$15,657About average$14,025$60,703
Sentara Obici HospitalSuffolk, VA · CCN 49004440$15,658About average$14,021$59,463
Methodist Hospitals Of MemphisMemphis, TN · CCN 44004927$15,658About average$14,018$115,566
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 17019665$15,659About average$14,022$64,520
Carolina Pines Regional Medical CenterHartsville, SC · CCN 42001017$15,659About average$14,027$237,118
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210108$15,666About average$14,024$62,139
Roper HospitalCharleston, SC · CCN 420087114$15,667About average$14,035$71,263
The Physicians CentreBryan, TX · CCN 45083428$15,677About average$14,045$49,620
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 10026426$15,679About average$14,043$215,536
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029164$15,680About average$14,048$42,166
Memorial Healthcare System, IncChattanooga, TN · CCN 44009182$15,681About average$14,049$73,434
Prisma Health Patewood HospitalGreenville, SC · CCN 420102160$15,682About average$14,050$101,336
Willis Knighton Medical CenterShreveport, LA · CCN 190111110$15,683About average$14,051$76,975
Mercy Hospital Northwest ArkansasRogers, AR · CCN 04001039$15,688About average$14,056$44,785
St Bernards Medical CenterJonesboro, AR · CCN 04002035$15,688About average$14,056$25,533
Baptist Memorial HospitalMemphis, TN · CCN 440048166$15,695About average$14,063$53,295
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 18004044$15,696About average$14,064$100,595
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083 · +$1,358 outlier payments per case195$15,698About average$14,071$118,786

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.