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 Texas

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
Texas
Specific hospitals up to 10
Average payment across these 127 hospitals
$16,373National $17,392 · Texas $16,373
Median hospital
$16,369
Lowest to highest
$10,496–$18,465
Medicare procedures
5,228

127 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Townsen Memorial HospitalHumble, TX · CCN 67026636$10,49640% below the national average$9,003$154,349
Medical City Fort WorthFort Worth, TX · CCN 45067212$14,28218% below the national average$12,630$320,095
The Hospitals Of Providence Transmountain CampusEl Paso, TX · CCN 67012011$14,81815% below the national average$13,186$195,180
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 45089117$14,95814% below the national average$13,326$83,758
Methodist Dallas Medical CenterDallas, TX · CCN 45005119$15,14513% below the national average$13,513$52,578
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 45088338$15,29312% below the national average$13,661$54,844
Midland Memorial HospitalMidland, TX · CCN 45013346$15,29512% below the national average$13,658$58,513
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 45056332$15,36812% below the national average$13,736$73,777
Medical Center HospitalOdessa, TX · CCN 45013219$15,37412% below the national average$13,742$79,875
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 45086919$15,37412% below the national average$13,730$126,546
Ascension Seton HaysKyle, TX · CCN 67005615$15,38612% below the national average$13,754$192,423
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 45037211$15,41111% below the national average$13,779$67,521
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864125$15,44111% below the national average$13,809$74,378
Methodist Southlake Medical CenterSouthlake, TX · CCN 67013211$15,46611% below the national average$13,834$57,703
Resolute Health HospitalNew Braunfels, TX · CCN 67009824$15,56611% below the national average$13,934$137,400
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 67007624$15,62310% below the national average$13,991$75,763
The Physicians CentreBryan, TX · CCN 45083428$15,677About average$14,045$49,620
Baptist Medical CenterSan Antonio, TX · CCN 450058113$15,752About average$14,120$222,215
Citizens Medical CenterVictoria, TX · CCN 45002331$15,791About average$14,159$44,908
North Austin Medical CenterAustin, TX · CCN 45080927$15,823About average$14,191$288,401
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008348$15,835About average$14,201$124,300
Christus Mother Frances HospitalTyler, TX · CCN 450102161$15,867About average$14,233$177,789
Methodist Richardson Medical CenterRichardson, TX · CCN 45053723$15,876About average$14,244$55,950
Kell West Regional HospitalWichita Falls, TX · CCN 45082715$15,896About average$14,264$31,691
Longview Regional Medical CenterLongview, TX · CCN 45070250$15,948About average$14,308$265,815
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 45086011$15,996About average$14,447$44,942
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875111$16,006About average$14,374$92,621
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 67006835$16,025About average$14,393$80,050
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 45088965$16,044About average$14,402$72,234
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880142$16,046About average$14,410$52,801
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006 · +$1,116 outlier payments per case40$16,052About average$14,420$131,089
Baylor University Medical CenterDallas, TX · CCN 450021 · +$509 outlier payments per case169$16,111About average$14,479$73,106
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 45021116$16,137About average$14,505$124,445
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023772$16,137About average$14,505$145,475
Christus St Michael Health SystemTexarkana, TX · CCN 45080124$16,137About average$14,505$147,698
Covenant Medical CenterLubbock, TX · CCN 45004056$16,137About average$14,505$158,911
Doctors Hospital Of LaredoLaredo, TX · CCN 45064311$16,137About average$14,505$149,496
Grace Surgical HospitalLubbock, TX · CCN 450162 · +$445 outlier payments per case116$16,137About average$14,505$92,932
Guadalupe Regional Medical CenterSeguin, TX · CCN 45010415$16,137About average$14,505$42,805
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010719$16,137About average$14,505$313,149
Lubbock Heart Hospital LpLubbock, TX · CCN 45087644$16,137About average$14,505$54,460
Methodist HospitalSan Antonio, TX · CCN 45038867$16,137About average$14,505$165,835
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005533$16,137About average$14,505$197,904
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 45085611$16,137About average$14,505$60,990
University Medical CenterLubbock, TX · CCN 45068629$16,137About average$14,505$112,963
Woodland Heights Medical CenterLufkin, TX · CCN 45048411$16,137About average$14,505$380,510
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604 · +$3,153 outlier payments per case55$16,137About average$14,503$126,960
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112 · +$1,413 outlier payments per case79$16,137About average$14,502$156,632
Peterson Regional Medical CenterKerrville, TX · CCN 45000739$16,137About average$14,500$73,306
Lake Granbury Medical CenterGranbury, TX · CCN 45059625$16,182About average$14,550$177,221

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.