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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

Hospitals in Missouri

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
Missouri
Specific hospitals up to 10
Average payment across these 35 hospitals
$16,103National $17,392 · Missouri $16,103
Median hospital
$16,256
Lowest to highest
$15,295–$17,723
Medicare procedures
1,775

35 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
University Of Missouri Health CareColumbia, MO · CCN 26014184$15,29512% below the national average$13,663$103,676
Mercy Hospital SoutheastCape Girardeau, MO · CCN 26011036$15,30412% below the national average$13,672$100,501
Freeman Health System - Freeman WestJoplin, MO · CCN 26013745$15,32812% below the national average$13,696$91,421
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065118$15,40211% below the national average$13,770$53,815
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 26013836$15,43611% below the national average$13,798$93,025
Cox Medical CentersSpringfield, MO · CCN 26004085$15,47411% below the national average$13,841$62,395
Boone Hospital CenterColumbia, MO · CCN 260068122$15,59310% below the national average$13,961$55,109
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 26010453$15,704About average$14,072$42,640
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 26001111$15,738About average$14,106$80,068
Barnes Jewish HospitalSaint Louis, MO · CCN 260032108$15,860About average$14,228$69,034
Missouri Baptist Medical CenterSaint Louis, MO · CCN 26010854$15,985About average$14,351$80,689
Nkc HealthNorth Kansas City, MO · CCN 260096127$16,128About average$14,494$73,381
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
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
SSM St Clare Health CenterFenton, MO · CCN 26008163$16,256About average$14,622$51,839
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176105$16,266About average$14,634$66,647
Mercy Hospital St LouisSaint Louis, MO · CCN 26002049$16,278About average$14,646$45,708
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018325$16,398About average$14,766$116,385
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162172$16,471About average$14,839$60,708
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 26019124$16,551About average$14,919$62,899
Mercy Hospital SouthSaint Louis, MO · CCN 26007721$16,551About average$14,919$40,607
Mercy Hospital WashingtonWashington, MO · CCN 26005223$16,551About average$14,919$46,422
Progress West HospitalOfallon, MO · CCN 26021923$16,551About average$14,919$58,844
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020021$16,551About average$14,919$56,254
St Lukes HospitalChesterfield, MO · CCN 26017987$16,551About average$14,919$45,989
Citizens Memorial HospitalBolivar, MO · CCN 26019526$16,747About average$15,115$50,526
Cox Medical Center BransonBranson, MO · CCN 26009419$16,747About average$15,115$73,945
Lake Regional Health SystemOsage Beach, MO · CCN 26018613$16,747About average$15,115$75,494
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 26000649$17,168About average$15,536$55,224
Bothwell Regional Health CenterSedalia, MO · CCN 26000911$17,392About average$15,760$51,676
Hannibal Regional HospitalHannibal, MO · CCN 26002535$17,723About average$16,091$118,914
Phelps County Regional Medical CenterRolla, MO · CCN 26001723$17,723About average$16,088$96,777

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.