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 Indiana

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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Average payment across these 47 hospitals: $16,575National $17,392 · Indiana $16,575
Median hospital: $16,684
Lowest to highest: $14,588–$17,488
Medicare procedures: 2,034

47 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
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	13	$14,588	16% below the national average	$12,956	$121,961
Elkhart General HospitalElkhart, IN · CCN 150018	19	$15,536	11% below the national average	$13,904	$103,023
Schneck Medical CenterSeymour, IN · CCN 150065	22	$15,552	11% below the national average	$13,920	$65,711
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	13	$15,823	About average	$14,191	$97,016
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	137	$15,922	About average	$14,304	$180,669
Major HospitalShelbyville, IN · CCN 150097	20	$16,039	About average	$14,407	$102,126
Franciscan Health LafayetteLafayette, IN · CCN 150109 · +$421 outlier payments per case	61	$16,332	About average	$14,697	$157,971
Deaconess Hospital IncEvansville, IN · CCN 150082	124	$16,336	About average	$14,704	$41,754
Union Hospital IncTerre Haute, IN · CCN 150023	66	$16,337	About average	$14,704	$79,775
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	84	$16,399	About average	$14,766	$116,704
Baptist Health FloydNew Albany, IN · CCN 150044	91	$16,412	About average	$14,780	$181,789
Hendricks Regional HealthDanville, IN · CCN 150005	49	$16,487	About average	$14,855	$65,244
Riverview HealthNoblesville, IN · CCN 150059	57	$16,531	About average	$14,899	$102,240
Orthoindy HospitalIndianapolis, IN · CCN 150160	114	$16,547	About average	$14,915	$52,909
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	26	$16,574	About average	$14,938	$77,826
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	27	$16,577	About average	$14,945	$105,509
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	25	$16,577	About average	$14,945	$62,591
Norton Clark HospitalJeffersonville, IN · CCN 150009	24	$16,577	About average	$14,945	$91,301
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	44	$16,577	About average	$14,945	$68,496
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	17	$16,577	About average	$14,945	$82,898
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	21	$16,579	About average	$14,947	$148,411
Northwest Health - PorterValparaiso, IN · CCN 150035	27	$16,588	About average	$14,956	$238,183
Unity Physicians HospitalMishawaka, IN · CCN 150177	86	$16,606	About average	$14,971	$88,285
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	64	$16,684	About average	$15,052	$101,471
Indiana University Health North HospitalCarmel, IN · CCN 150161 · +$2,520 outlier payments per case	27	$16,773	About average	$15,141	$181,852
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167 · +$158 outlier payments per case	147	$16,782	About average	$15,147	$105,445
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	40	$16,797	About average	$15,165	$121,506
Henry County Memorial HospitalNew Castle, IN · CCN 150030	23	$16,797	About average	$15,165	$74,378
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	40	$16,797	About average	$15,165	$152,332
IU Health West HospitalAvon, IN · CCN 150158	25	$16,797	About average	$15,165	$136,235
Ascension St Vincent AndersonAnderson, IN · CCN 150088	11	$16,797	About average	$15,165	$108,760
Community Hospital NorthIndianapolis, IN · CCN 150169	59	$16,797	About average	$15,165	$118,912
Hancock Regional HospitalGreenfield, IN · CCN 150037	13	$16,797	About average	$15,165	$60,230
Witham Health ServicesLebanon, IN · CCN 150104	15	$16,797	About average	$15,165	$61,645
Franciscan Health Orthopedic Hospital CarmelCarmel, IN · CCN 150193	93	$16,797	About average	$15,165	$83,970
Ascension St Vincent CarmelCarmel, IN · CCN 150157	20	$16,797	About average	$15,161	$122,294
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	13	$16,813	About average	$15,181	$168,659
Norton-King's Daughters' HealthMadison, IN · CCN 150069	19	$16,903	About average	$15,258	$91,393
Community Hospital EastIndianapolis, IN · CCN 150074	11	$16,944	About average	$15,312	$115,237
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	15	$16,944	About average	$15,312	$125,669
Indiana University HealthIndianapolis, IN · CCN 150056 · +$2,963 outlier payments per case	18	$16,944	About average	$15,312	$194,967
Reid HealthRichmond, IN · CCN 150048	81	$16,955	About average	$15,323	$61,365
Franciscan Health Crown PointCrown Point, IN · CCN 150126	24	$17,052	About average	$15,428	$87,229
Columbus Regional HospitalColumbus, IN · CCN 150112	26	$17,109	About average	$15,477	$59,418
St Mary Medical Center IncHobart, IN · CCN 150034	27	$17,488	About average	$15,856	$60,458
Community HospitalMunster, IN · CCN 150125	43	$17,488	About average	$15,855	$67,823
Methodist Hospitals IncGary, IN · CCN 150002	13	$17,488	About average	$15,838	$98,949

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.