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 301–350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Kell West Regional Hospital | 15 | $15,896 | About average | $14,264 | $31,691 |
| Baptist Health Lexington | 140 | $15,899 | About average | $14,264 | $189,626 |
| Mercy Health St Ritas Medical Center | 19 | $15,905 | About average | $14,273 | $132,748 |
| Upper Valley Medical Center | 12 | $15,905 | About average | $14,273 | $78,605 |
| Spencer Municipal Hospital | 55 | $15,909 | About average | $14,277 | $52,417 |
| Allen Hospital | 22 | $15,909 | About average | $14,277 | $60,450 |
| Finley Hospital | 18 | $15,909 | About average | $14,277 | $59,631 |
| Fisher-Titus Hospital | 34 | $15,909 | About average | $14,277 | $48,344 |
| Lakes Regional Healthcare | 21 | $15,909 | About average | $14,277 | $62,645 |
| Wooster Community Hospital | 16 | $15,909 | About average | $14,277 | $53,166 |
| Novant Health Matthews Medical Center | 19 | $15,917 | About average | $14,285 | $110,267 |
| Miami Valley Hospital | 81 | $15,917 | About average | $14,285 | $73,727 |
| Williamson Medical Center | 123 | $15,920 | About average | $14,296 | $58,629 |
| The Orthopaedic Hospital Of Lutheran Health Networ | 137 | $15,922 | About average | $14,304 | $180,669 |
| Tidelands Waccamaw Community Hospital | 54 | $15,929 | About average | $14,296 | $59,268 |
| Christus Central Louisiana Surgical Hospital | 86 | $15,933 | About average | $14,301 | $162,359 |
| Trinity - Bettendorf | 25 | $15,935 | About average | $14,303 | $69,596 |
| Covenant Medical Center | 47 | $15,939 | About average | $14,295 | $45,404 |
| Baptist Health Medical Center- Conway | 39 | $15,942 | About average | $14,310 | $56,799 |
| Conway Regional Medical Center, Inc | 26 | $15,942 | About average | $14,310 | $59,221 |
| Saline Memorial Hospital | 21 | $15,942 | About average | $14,310 | $82,111 |
| University Of Arkansas Medical Sciences | 97 | $15,942 | About average | $14,310 | $53,119 |
| Archbold Memorial Hospital | 15 | $15,944 | About average | $14,312 | $74,801 |
| Lake Cumberland Regional Hospital | 13 | $15,948 | About average | $14,316 | $175,769 |
| Longview Regional Medical Center | 50 | $15,948 | About average | $14,308 | $265,815 |
| Baptist Hospital | 17 | $15,950 | About average | $14,318 | $122,804 |
| Christus Ochsner St Patrick Hospital | 31 | $15,953 | About average | $14,321 | $292,475 |
| Lake Charles Memorial Hospital | 20 | $15,953 | About average | $14,321 | $66,773 |
| Novant Health Huntersville Medical Center | 40 | $15,956 | About average | $14,324 | $104,980 |
| St Joseph Hospital | 15 | $15,959 | About average | $14,327 | $64,595 |
| Sentara Leigh Hospital | 199 | $15,963 | About average | $14,330 | $55,155 |
| Broadlawns Medical Center | 14 | $15,963 | About average | $14,331 | $96,655 |
| Piedmont Macon North Hospital | 17 | $15,967 | About average | $14,335 | $153,352 |
| Flowers Hospital | 34 | $15,969 | About average | $14,337 | $158,486 |
| Henry Ford Macomb Hospital | 73 | $15,975 | About average | $14,343 | $69,593 |
| Wellmont Bristol Regional Medical Center | 52 | $15,977 | About average | $14,345 | $158,959 |
| Prisma Health Baptist | 59 | $15,981 | About average | $14,349 | $86,921 |
| Henrico Doctors' Hospital | 89 | $15,984 | About average | $14,351 | $411,745 |
| Missouri Baptist Medical Center | 54 | $15,985 | About average | $14,351 | $80,689 |
| Sugar Land Surgical Hospital LLP | 11 | $15,996 | About average | $14,447 | $44,942 |
| Quail Creek Surgical Hospital | 111 | $16,006 | About average | $14,374 | $92,621 |
| St Elizabeth Florence | 89 | $16,010 | About average | $14,378 | $62,793 |
| CJW Medical Center | 98 | $16,011 | About average | $14,379 | $462,582 |
| Lewisgale Medical Center | 48 | $16,011 | About average | $14,374 | $243,738 |
| Riverside Doctors' Hospital Of Williamsburg | 37 | $16,013 | About average | $14,381 | $48,871 |
| Riverside Regional Medical Center | 15 | $16,013 | About average | $14,381 | $63,916 |
| Riverside Walter Reed Hospital | 13 | $16,013 | About average | $14,381 | $66,097 |
| Sentara Williamsburg Regional Medical Center | 31 | $16,013 | About average | $14,381 | $52,704 |
| Baptist Health Lagrange | 20 | $16,023 | About average | $14,391 | $163,330 |
| Community Hospital, LLC | 88 | $16,023 | About average | $14,391 | $114,095 |
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.