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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 251–300. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Akron General Medical CenterAkron, OH · CCN 36002713$15,826About average$14,194$62,306
Alliance Community HospitalAlliance, OH · CCN 36013114$15,826About average$14,194$51,401
Firelands Regional Medical CenterSandusky, OH · CCN 36002532$15,826About average$14,194$60,120
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 36027626$15,826About average$14,194$103,973
Holzer Medical CenterGallipolis, OH · CCN 36005423$15,826About average$14,194$60,073
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 36035227$15,826About average$14,194$67,842
University Hospitals Portage Medical CenterRavenna, OH · CCN 36007812$15,826About average$14,194$65,446
Mercy Medical CenterCanton, OH · CCN 36007039$15,826About average$14,194$63,218
Baptist Health LouisvilleLouisville, KY · CCN 180130222$15,829About average$14,196$144,297
Shands JacksonvilleJacksonville, FL · CCN 10000115$15,831About average$14,199$150,698
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 37001376$15,834About average$14,202$46,228
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008348$15,835About average$14,201$124,300
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013642$15,836About average$14,201$125,407
Piedmont Eastside Medical CenterSnellville, GA · CCN 11019211$15,837About average$14,197$124,755
Cabell Huntington Hospital, IncHuntington, WV · CCN 51005541$15,843About average$14,211$81,072
King's Daughters' Medical CenterAshland, KY · CCN 18000911$15,843About average$14,211$66,346
West Valley Medical CenterCaldwell, ID · CCN 13001417$15,847About average$14,215$202,080
Affiliate Of Vitruvian HealthCleveland, TN · CCN 44018518$15,850About average$14,218$264,959
Parkridge Medical CenterChattanooga, TN · CCN 44015631$15,850About average$14,218$106,211
Tristar Centennial Medical CenterNashville, TN · CCN 44016185$15,854About average$14,222$106,601
Davie Medical CenterBermuda Run, NC · CCN 34018714$15,856About average$14,224$117,468
Barnes Jewish HospitalSaint Louis, MO · CCN 260032108$15,860About average$14,228$69,034
Ascension Saint Thomas HospitalNashville, TN · CCN 44008291$15,866About average$14,233$91,570
Genesis Medical Center-DavenportDavenport, IA · CCN 16003384$15,866About average$14,234$53,586
Christus Mother Frances HospitalTyler, TX · CCN 450102161$15,867About average$14,233$177,789
Blanchard Valley HospitalFindlay, OH · CCN 36009514$15,871About average$14,239$52,116
Wood County HospitalBowling Green, OH · CCN 36002921$15,871About average$14,239$51,630
Methodist Richardson Medical CenterRichardson, TX · CCN 45053723$15,876About average$14,244$55,950
Cleveland ClinicCleveland, OH · CCN 36018049$15,877About average$14,245$63,803
Mercy Regional Medical CenterLorain, OH · CCN 36017215$15,877About average$14,245$64,496
UH Cleveland Medical CenterCleveland, OH · CCN 36013713$15,877About average$14,245$128,471
UH St John Medical CenterWestlake, OH · CCN 36012345$15,877About average$14,245$89,639
Cleveland Clinic Avon HospitalAvon, OH · CCN 36036424$15,877About average$14,245$60,985
Marymount HospitalGarfield Heights, OH · CCN 36014335$15,877About average$14,245$63,158
Medina HospitalMedina, OH · CCN 36009136$15,877About average$14,245$43,349
UH Regional HospitalsChardon, OH · CCN 36007511$15,877About average$14,245$75,560
University Hospitals - Elyria Medical CenterElyria, OH · CCN 36014538$15,877About average$14,245$69,653
Southwest General Health CenterMiddleburg Heights, OH · CCN 36015570$15,877About average$14,244$54,849
Hillcrest HospitalMayfield Heights, OH · CCN 36023072$15,877About average$14,241$58,516
Fairview HospitalCleveland, OH · CCN 36007714$15,877About average$14,238$62,125
NMC HealthNewton, KS · CCN 17010320$15,878About average$14,246$38,973
Salina Surgical HospitalSalina, KS · CCN 17018721$15,878About average$14,246$48,947
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 17020013$15,878About average$14,246$55,874
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203106$15,878About average$14,245$53,967
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 32009124$15,882About average$14,250$109,356
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 11006932$15,883About average$14,250$43,858
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 37002823$15,883About average$14,251$198,011
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 19004164$15,892About average$14,260$111,884
Ascension St John Jane PhillipsBartlesville, OK · CCN 37001815$15,894About average$14,262$73,229
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119100$15,896About average$14,263$62,096

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.