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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 401–450. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Atrium Medical CenterFranklin, OH · CCN 36007614$16,148About average$14,516$74,077
Geisinger Medical CenterDanville, PA · CCN 39000633$16,156About average$14,523$159,618
Blount Memorial HospitalMaryville, TN · CCN 44001147$16,157About average$14,525$65,659
North Arkansas Regional Medical CenterHarrison, AR · CCN 04001724$16,168About average$14,536$41,813
Atrium Health Floyd Medical CenterRome, GA · CCN 11005439$16,169About average$14,537$193,351
University Of Kansas HospitalKansas City, KS · CCN 170040111$16,169About average$14,537$119,882
Bethesda NorthCincinnati, OH · CCN 36017933$16,174About average$14,542$47,717
Good Samaritan HospitalCincinnati, OH · CCN 36013463$16,174About average$14,542$55,295
Avita OntarioOntario, OH · CCN 36036524$16,174About average$14,542$73,356
McCullough-Hyde Memorial HospitalOxford, OH · CCN 36004618$16,174About average$14,542$57,452
Mercy Health - West HospitalCincinnati, OH · CCN 36023412$16,174About average$14,542$74,585
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 36001642$16,174About average$14,536$102,037
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 36013227$16,174About average$14,533$91,135
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005613$16,174About average$14,524$84,389
Sentara Careplex HospitalHampton, VA · CCN 49009384$16,182About average$14,550$55,868
Chesapeake General HospitalChesapeake, VA · CCN 49012013$16,182About average$14,550$117,766
John Randolph Medical CenterHopewell, VA · CCN 49002011$16,182About average$14,550$478,676
Lake Granbury Medical CenterGranbury, TX · CCN 45059625$16,182About average$14,550$177,221
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 39009711$16,183About average$14,633$49,533
HCA Florida Orange Park HospitalOrange Park, FL · CCN 10022623$16,184About average$14,552$212,906
AdventHealth HendersonvilleHendersonville, NC · CCN 340023 · +$1,761 outlier payments per case43$16,184About average$14,552$122,115
Caldwell Memorial HospitalLenoir, NC · CCN 34004112$16,184About average$14,552$53,522
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 34018811$16,184About average$14,552$62,213
Harris Regional HospitalSylva, NC · CCN 34001624$16,184About average$14,552$94,170
Novant Health Brunswick Medical CenterSupply, NC · CCN 34015819$16,184About average$14,552$117,919
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002 · +$419 outlier payments per case103$16,184About average$14,550$132,859
Haywood Regional Medical CenterClyde, NC · CCN 34018426$16,184About average$14,543$77,213
Northeast Georgia Medical Center, IncGainesville, GA · CCN 11002960$16,188About average$14,556$154,916
Community Memorial HospitalMenomonee Falls, WI · CCN 52010341$16,194About average$14,562$78,102
CHI St Joseph Health Regional HospitalBryan, TX · CCN 45001132$16,198About average$14,547$112,760
Kettering Health MiamisburgMiamisburg, OH · CCN 36023957$16,200About average$14,563$94,905
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 20003341$16,202About average$14,570$73,048
Lakeview HospitalBountiful, UT · CCN 46004233$16,204About average$14,572$132,401
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010773$16,215About average$14,583$100,230
Jefferson Lansdale HospitalLansdale, PA · CCN 39001212$16,223About average$14,591$44,653
Oaklawn HospitalMarshall, MI · CCN 230217 · +$487 outlier payments per case36$16,226About average$14,594$126,195
De Tar Hospital NavarroVictoria, TX · CCN 45014714$16,229About average$14,597$167,086
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 52020565$16,234About average$14,599$74,956
Johnston HealthSmithfield, NC · CCN 34009027$16,236About average$14,639$66,658
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 17010481$16,241About average$14,609$149,312
Kansas City Orthopaedic InstituteLeawood, KS · CCN 17018865$16,241About average$14,609$60,599
Liberty HospitalLiberty, MO · CCN 26017739$16,241About average$14,609$89,157
Saint Luke's East HospitalLees Summit, MO · CCN 26021629$16,241About average$14,609$72,998
Saint Luke's South HospitalOverland Park, KS · CCN 17018523$16,241About average$14,609$75,570
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 17001662$16,241About average$14,609$76,719
Ascentist Hospital LLCLeawood, KS · CCN 17019412$16,241About average$14,609$132,757
Centerpoint Medical CenterIndependence, MO · CCN 26009511$16,241About average$14,609$149,642
Lee's Summit Medical CenterLees Summit, MO · CCN 26019012$16,241About average$14,609$88,672
Saint Lukes North HospitalKansas City, MO · CCN 26006216$16,241About average$14,609$89,368
Presbyterian HospitalAlbuquerque, NM · CCN 32002166$16,247About average$14,613$55,653

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.