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

Hospitals in Arizona

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.

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Arizona

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Year of care

Average payment across these 37 hospitals: $18,231National $17,392 · Arizona $18,231
Median hospital: $18,131
Lowest to highest: $16,717–$19,838
Medicare procedures: 2,369

37 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Banner Desert Medical CenterMesa, AZ · CCN 030065	35	$16,717	About average	$15,078	$90,919
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	12	$16,756	About average	$15,124	$218,355
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	123	$17,869	About average	$16,231	$77,675
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	64	$17,874	About average	$16,238	$77,555
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	69	$17,917	About average	$16,285	$205,285
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	76	$17,917	About average	$16,282	$171,574
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	195	$17,962	About average	$16,330	$85,418
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	98	$17,963	About average	$16,328	$162,503
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	80	$17,971	About average	$16,338	$137,218
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107 · +$176 outlier payments per case	122	$17,996	About average	$16,364	$127,228
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112 · +$679 outlier payments per case	129	$18,131	About average	$16,499	$179,461
Banner Baywood Medical CenterMesa, AZ · CCN 030088	38	$18,131	About average	$16,499	$71,294
Banner Boswell Medical CenterSun City, AZ · CCN 030061	50	$18,131	About average	$16,499	$81,968
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	54	$18,131	About average	$16,499	$89,304
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064 · +$1,089 outlier payments per case	33	$18,131	About average	$16,499	$99,976
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	32	$18,131	About average	$16,499	$191,510
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	41	$18,131	About average	$16,499	$158,663
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	232	$18,131	About average	$16,499	$61,505
Northwest Medical CenterTucson, AZ · CCN 030085	119	$18,131	About average	$16,499	$143,050
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	29	$18,131	About average	$16,499	$136,587
O.A.S.I.S. HospitalPhoenix, AZ · CCN 030131 · +$1,539 outlier payments per case	55	$18,131	About average	$16,499	$167,309
Oro Valley HospitalOro Valley, AZ · CCN 030114	53	$18,131	About average	$16,499	$136,946
Tucson Medical CenterTucson, AZ · CCN 030006	98	$18,131	About average	$16,499	$50,420
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	21	$18,131	About average	$16,499	$193,858
Banner Ocotillo Medical CenterChandler, AZ · CCN 030147	18	$18,131	About average	$16,499	$84,375
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	18	$18,131	About average	$16,499	$111,600
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	14	$18,131	About average	$16,499	$91,228
Dignity Health Arizona General HospitalMesa, AZ · CCN 030139	18	$18,131	About average	$16,499	$67,288
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	55	$18,131	About average	$16,495	$145,916
Valley View Medical CenterFort Mohave, AZ · CCN 030117	19	$18,397	About average	$16,765	$144,710
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	57	$19,104	About average	$17,472	$84,466
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	113	$19,173	10% above the national average	$17,547	$51,479
Yuma Regional Medical CenterYuma, AZ · CCN 030013	46	$19,416	12% above the national average	$17,784	$104,046
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	13	$19,416	12% above the national average	$17,784	$130,738
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	15	$19,416	12% above the national average	$17,784	$51,418
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	60	$19,416	12% above the national average	$17,783	$88,192
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	65	$19,838	14% above the national average	$18,205	$149,278

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 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

Average payment by state for Level 6 Musculoskeletal Procedures, 2024
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.