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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 351–400. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Oklahoma Spine HospitalOklahoma City, OK · CCN 37020623$16,023About average$14,391$94,001
O U Medical CenterOklahoma City, OK · CCN 37009339$16,023About average$14,391$171,794
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 37020114$16,023About average$14,391$102,473
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 44019437$16,023About average$14,391$109,348
Integris Canadian Valley HospitalYukon, OK · CCN 37021121$16,023About average$14,385$134,979
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 67006835$16,025About average$14,393$80,050
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 49011018$16,032About average$14,400$324,192
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 39006226$16,034About average$14,402$75,054
Intermountain Health Utah Valley HospitalProvo, UT · CCN 46000144$16,037About average$14,424$60,723
St Lukes HospitalCedar Rapids, IA · CCN 16004585$16,038About average$14,406$83,427
Major HospitalShelbyville, IN · CCN 15009720$16,039About average$14,407$102,126
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 42003329$16,042About average$14,410$95,505
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 42007827$16,042About average$14,402$132,695
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 42006577$16,043About average$14,411$75,824
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017161$16,043About average$14,416$59,882
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 45088965$16,044About average$14,402$72,234
High Point Regional Health SystemHigh Point, NC · CCN 34000431$16,044About average$14,412$136,410
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880142$16,046About average$14,410$52,801
Trident Medical CenterCharleston, SC · CCN 42007933$16,046About average$14,414$236,737
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006 · +$1,116 outlier payments per case40$16,052About average$14,420$131,089
Ngmc Barrow, LLCWinder, GA · CCN 11004513$16,055About average$14,423$156,039
Mountain View HospitalPayson, UT · CCN 46001325$16,058About average$14,424$117,765
Tristar Greenview Regional HospitalBowling Green, KY · CCN 18012466$16,068About average$14,436$97,202
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 16004745$16,085About average$14,453$59,986
Christ HospitalCincinnati, OH · CCN 360163168$16,101About average$14,471$59,679
Clark Regional Medical CenterWinchester, KY · CCN 18009211$16,106About average$14,474$118,011
Lee Memorial HospitalFort Myers, FL · CCN 100012123$16,106About average$14,493$115,251
Baylor University Medical CenterDallas, TX · CCN 450021 · +$509 outlier payments per case169$16,111About average$14,479$73,106
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 42011015$16,118About average$14,486$73,908
Nkc HealthNorth Kansas City, MO · CCN 260096127$16,128About average$14,494$73,381
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 45021116$16,137About average$14,505$124,445
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023772$16,137About average$14,505$145,475
Christus St Michael Health SystemTexarkana, TX · CCN 45080124$16,137About average$14,505$147,698
Covenant Medical CenterLubbock, TX · CCN 45004056$16,137About average$14,505$158,911
Doctors Hospital Of LaredoLaredo, TX · CCN 45064311$16,137About average$14,505$149,496
Grace Surgical HospitalLubbock, TX · CCN 450162 · +$445 outlier payments per case116$16,137About average$14,505$92,932
Guadalupe Regional Medical CenterSeguin, TX · CCN 45010415$16,137About average$14,505$42,805
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010719$16,137About average$14,505$313,149
Lubbock Heart Hospital LpLubbock, TX · CCN 45087644$16,137About average$14,505$54,460
Methodist HospitalSan Antonio, TX · CCN 45038867$16,137About average$14,505$165,835
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005533$16,137About average$14,505$197,904
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 45085611$16,137About average$14,505$60,990
University Medical CenterLubbock, TX · CCN 45068629$16,137About average$14,505$112,963
Woodland Heights Medical CenterLufkin, TX · CCN 45048411$16,137About average$14,505$380,510
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604 · +$3,153 outlier payments per case55$16,137About average$14,503$126,960
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112 · +$1,413 outlier payments per case79$16,137About average$14,502$156,632
Peterson Regional Medical CenterKerrville, TX · CCN 45000739$16,137About average$14,500$73,306
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 52003520$16,137About average$14,505$65,205
Beaumont Hospital, TroyTroy, MI · CCN 23026968$16,142About average$14,510$72,182
Lexington Memorial Hospital IncLexington, NC · CCN 34009619$16,144About average$14,512$86,200

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.