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 Michigan

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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Michigan

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Average payment across these 44 hospitals: $16,380National $17,392 · Michigan $16,380
Median hospital: $16,364
Lowest to highest: $11,371–$17,533
Medicare procedures: 1,746

44 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
Surgeons Choice Medical CenterSouthfield, MI · CCN 230301	14	$11,371	35% below the national average	$9,872	$34,408
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	39	$14,710	15% below the national average	$13,078	$73,298
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	23	$14,935	14% below the national average	$13,303	$52,997
Borgess Medical CenterKalamazoo, MI · CCN 230117	27	$15,123	13% below the national average	$13,490	$69,399
Henry Ford Health HospitalDetroit, MI · CCN 230053	25	$15,211	13% below the national average	$13,601	$70,730
Holland HospitalHolland, MI · CCN 230072	15	$15,230	12% below the national average	$13,598	$57,791
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	12	$15,358	12% below the national average	$13,726	$85,123
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	13	$15,454	11% below the national average	$13,822	$66,546
McLaren MacombMount Clemens, MI · CCN 230227	16	$15,458	11% below the national average	$13,826	$109,610
University Of Michigan Health - WestWyoming, MI · CCN 230236	46	$15,732	About average	$14,100	$58,933
Spectrum HealthGrand Rapids, MI · CCN 230038	91	$15,779	About average	$14,151	$57,866
McLaren Port HuronPort Huron, MI · CCN 230216	22	$15,787	About average	$14,187	$47,957
Covenant Medical CenterSaginaw, MI · CCN 230070	47	$15,939	About average	$14,295	$45,404
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	73	$15,975	About average	$14,343	$69,593
Beaumont Hospital, TroyTroy, MI · CCN 230269	68	$16,142	About average	$14,510	$72,182
Oaklawn HospitalMarshall, MI · CCN 230217 · +$487 outlier payments per case	36	$16,226	About average	$14,594	$126,195
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	84	$16,267	About average	$14,635	$37,573
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	28	$16,283	About average	$14,651	$37,382
McLaren Central MichiganMount Pleasant, MI · CCN 230080	24	$16,305	About average	$14,673	$65,470
McLaren Greater LansingLansing, MI · CCN 230167	56	$16,338	About average	$14,706	$75,533
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	25	$16,361	About average	$14,719	$89,533
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	21	$16,361	About average	$14,717	$85,108
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302 · +$424 outlier payments per case	63	$16,368	About average	$14,736	$70,291
McLaren OaklandPontiac, MI · CCN 230207	14	$16,379	About average	$14,747	$69,100
Trinity Health Livingston HospitalHowell, MI · CCN 230069	27	$16,415	About average	$14,783	$53,044
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	113	$16,442	About average	$14,808	$86,752
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	26	$16,575	About average	$14,943	$65,344
McLaren Bay RegionBay City, MI · CCN 230041	48	$16,575	About average	$14,943	$64,988
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	60	$16,575	About average	$14,943	$61,116
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	24	$16,606	About average	$14,974	$34,380
Henry Ford Allegiance HealthJackson, MI · CCN 230092	20	$16,606	About average	$14,974	$72,963
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	94	$16,606	About average	$14,974	$51,669
Munson Medical CenterTraverse City, MI · CCN 230097	64	$17,104	About average	$15,472	$43,201
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	45	$17,180	About average	$15,548	$57,333
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	13	$17,200	About average	$15,568	$66,617
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$1,140 outlier payments per case	75	$17,202	About average	$15,567	$86,802
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	75	$17,202	About average	$15,562	$61,213
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	13	$17,350	About average	$15,718	$52,805
McLaren Northern MichiganPetoskey, MI · CCN 230105	19	$17,461	About average	$15,829	$50,482
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	29	$17,461	About average	$15,829	$35,626
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	44	$17,461	About average	$15,829	$36,388
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	39	$17,467	About average	$15,835	$68,678
Chelsea HospitalChelsea, MI · CCN 230259	25	$17,484	About average	$15,852	$50,505
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	11	$17,533	About average	$15,901	$42,438

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.