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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 Oklahoma

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
Oklahoma
Specific hospitals up to 10
Average payment across these 30 hospitals
$15,834National $17,392 · Oklahoma $15,834
Median hospital
$15,817
Lowest to highest
$14,303–$17,159
Medicare procedures
1,351

30 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
Memorial HealthLawton, OK · CCN 37005619$14,30318% below the national average$12,671$85,736
Integris Health Edmond HospitalEdmond, OK · CCN 37023617$15,17713% below the national average$13,545$155,210
Integris Southwest Medical CenterOklahoma City, OK · CCN 37010621$15,33812% below the national average$13,697$133,848
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 37021278$15,37012% below the national average$13,742$40,475
Hillcrest Medical CenterTulsa, OK · CCN 37000123$15,39811% below the national average$13,766$110,720
Hillcrest Hospital SouthTulsa, OK · CCN 37020228$15,50911% below the national average$13,877$81,245
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 37003785$15,52811% below the national average$13,893$71,613
Saint Francis Hospital, IncTulsa, OK · CCN 370091141$15,59310% below the national average$13,960$62,691
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210108$15,666About average$14,024$62,139
Norman RegionalNorman, OK · CCN 37000856$15,766About average$14,133$91,312
Saint Francis Hospital South, LLCTulsa, OK · CCN 37021811$15,794About average$14,162$61,969
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 37021623$15,794About average$14,162$77,756
Ascension St John Broken ArrowBroken Arrow, OK · CCN 37023597$15,794About average$14,161$69,177
St Mary's Regional Medical CenterEnid, OK · CCN 37002646$15,794About average$14,151$102,342
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222126$15,800About average$14,168$47,873
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 37001376$15,834About average$14,202$46,228
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 37002823$15,883About average$14,251$198,011
Ascension St John Jane PhillipsBartlesville, OK · CCN 37001815$15,894About average$14,262$73,229
Community Hospital, LLCOklahoma City, OK · CCN 37020388$16,023About average$14,391$114,095
Oklahoma Spine HospitalOklahoma City, OK · CCN 37020623$16,023About average$14,391$94,001
O U Medical CenterOklahoma City, OK · CCN 37009339$16,023About average$14,391$171,794
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 37020114$16,023About average$14,391$102,473
Integris Canadian Valley HospitalYukon, OK · CCN 37021121$16,023About average$14,385$134,979
Duncan Regional Hospital, IncDuncan, OK · CCN 37002325$16,307About average$14,670$82,253
Northeastern Health SystemTahlequah, OK · CCN 370089 · +$2,427 outlier payments per case50$16,607About average$14,975$84,032
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 37002229$16,728About average$15,096$45,669
Great Plains Regional Medical CenterElk City, OK · CCN 37001924$16,913About average$15,281$53,958
Mercy Hospital AdaAda, OK · CCN 37002014$17,159About average$15,527$56,263
Mercy Hospital Ardmore, IncArdmore, OK · CCN 37004720$17,159About average$15,518$48,762
Stillwater Medical CenterStillwater, OK · CCN 37004911$17,159About average$15,513$54,774

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.