Skip to main content
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 Tennessee

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
Tennessee
Specific hospitals up to 10
Average payment across these 33 hospitals
$15,325National $17,392 · Tennessee $15,325
Median hospital
$15,624
Lowest to highest
$8,954–$17,058
Medicare procedures
2,084

33 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
Vanderbilt University Medical CenterNashville, TN · CCN 44003990$8,95449% below the national average$7,569$99,982
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 44005616$13,63622% below the national average$12,004$89,941
Tristar Summit Medical CenterHermitage, TN · CCN 44015047$14,38917% below the national average$12,792$122,920
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 44022850$14,58916% below the national average$12,950$191,840
Physicians Regional Medical CenterPowell, TN · CCN 44012037$14,63816% below the national average$13,006$85,142
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 44003434$14,93614% below the national average$13,304$59,472
Parkwest Medical CenterKnoxville, TN · CCN 440173 · +$204 outlier payments per case189$14,98014% below the national average$13,346$76,484
University Health System, IncKnoxville, TN · CCN 44001544$15,02814% below the national average$13,396$63,796
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125 · +$1,480 outlier payments per case61$15,13013% below the national average$13,498$93,511
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 44017520$15,18013% below the national average$13,548$107,574
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 44013228$15,33912% below the national average$13,707$41,055
Erlanger Medical CenterChattanooga, TN · CCN 44010438$15,52611% below the national average$13,894$56,524
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 44022749$15,53311% below the national average$13,901$131,593
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 44001733$15,54311% below the national average$13,911$106,798
Maury Regional HospitalColumbia, TN · CCN 440073116$15,60610% below the national average$13,972$67,901
Saint Thomas Hospital For Spinal SurgeryNashville, TN · CCN 440218235$15,61010% below the national average$13,977$83,403
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 44005336$15,62410% below the national average$13,992$91,763
Methodist Hospitals Of MemphisMemphis, TN · CCN 44004927$15,658About average$14,018$115,566
Memorial Healthcare System, IncChattanooga, TN · CCN 44009182$15,681About average$14,049$73,434
Baptist Memorial HospitalMemphis, TN · CCN 440048166$15,695About average$14,063$53,295
St Francis HospitalMemphis, TN · CCN 44018319$15,713About average$14,081$177,096
Affiliate Of Vitruvian HealthCleveland, TN · CCN 44018518$15,850About average$14,218$264,959
Parkridge Medical CenterChattanooga, TN · CCN 44015631$15,850About average$14,218$106,211
Tristar Centennial Medical CenterNashville, TN · CCN 44016185$15,854About average$14,222$106,601
Ascension Saint Thomas HospitalNashville, TN · CCN 44008291$15,866About average$14,233$91,570
Williamson Medical CenterFranklin, TN · CCN 440029123$15,920About average$14,296$58,629
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 44001252$15,977About average$14,345$158,959
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 44019437$16,023About average$14,391$109,348
Blount Memorial HospitalMaryville, TN · CCN 44001147$16,157About average$14,525$65,659
Cumberland Medical CenterCrossville, TN · CCN 44000913$16,426About average$14,794$61,619
Jackson-Madison County General HospitalJackson, TN · CCN 44000281$16,677About average$15,045$68,354
Cookeville Regional Medical CenterCookeville, TN · CCN 44005940$17,058About average$15,426$55,959
Vanderbilt Clarksville HospitalClarksville, TN · CCN 44003549$17,058About average$15,426$134,056

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.