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 Washington

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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Washington

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Average payment across these 33 hospitals: $19,062National $17,392 · Washington $19,062
Median hospital: $18,987
Lowest to highest: $17,764–$19,983
Medicare procedures: 1,628

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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Deaconess Medical CenterSpokane, WA · CCN 500044	19	$17,764	About average	$16,132	$110,658
MultiCare Covington Medical CenterCovington, WA · CCN 500154	15	$17,942	About average	$16,310	$82,201
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	25	$17,956	About average	$16,324	$67,944
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	35	$17,975	About average	$16,342	$104,741
Virginia Mason Medical CenterSeattle, WA · CCN 500005	44	$18,234	About average	$16,599	$73,922
Providence Holy Family HospitalSpokane, WA · CCN 500077	89	$18,305	About average	$16,673	$66,984
St Francis Community HospitalFederal Way, WA · CCN 500141	27	$18,348	About average	$16,716	$146,525
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	52	$18,661	About average	$17,029	$117,489
University Of Washington Medical CenterSeattle, WA · CCN 500008	62	$18,661	About average	$17,029	$67,373
Harborview Medical CenterSeattle, WA · CCN 500064	20	$18,661	About average	$17,029	$111,460
Kadlec Regional Medical CenterRichland, WA · CCN 500058	88	$18,661	About average	$17,029	$63,101
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	67	$18,728	About average	$17,093	$110,218
Providence St Peter HospitalOlympia, WA · CCN 500024	100	$18,798	About average	$17,166	$103,965
Island HospitalAnacortes, WA · CCN 500007	46	$18,798	About average	$17,166	$43,199
Skagit Valley HospitalMount Vernon, WA · CCN 500003	41	$18,798	About average	$17,166	$71,383
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	32	$18,987	About average	$17,355	$52,236
Highline Medical CenterBurien, WA · CCN 500011	12	$18,987	About average	$17,355	$202,991
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	11	$18,987	About average	$17,355	$112,889
Swedish IssaquahIssaquah, WA · CCN 500152	44	$18,987	About average	$17,355	$84,805
Valley Medical CenterRenton, WA · CCN 500088	65	$18,987	About average	$17,355	$79,389
Providence Regional Medical Center EverettEverett, WA · CCN 500014	33	$18,987	About average	$17,353	$100,177
St Clare HospitalLakewood, WA · CCN 500021	13	$19,155	10% above the national average	$17,523	$123,505
St Joseph Medical CenterTacoma, WA · CCN 500108	12	$19,155	10% above the national average	$17,523	$127,792
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	54	$19,156	10% above the national average	$17,520	$100,617
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	33	$19,156	10% above the national average	$17,516	$87,334
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	56	$19,507	12% above the national average	$17,875	$52,344
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	58	$19,667	13% above the national average	$18,035	$93,036
Swedish Medical CenterSeattle, WA · CCN 500027	156	$19,686	13% above the national average	$18,054	$88,222
Confluence Health HospitalWenatchee, WA · CCN 500016 · +$433 outlier payments per case	84	$19,690	13% above the national average	$18,058	$80,555
St Michael Medical CenterSilverdale, WA · CCN 500039	120	$19,736	13% above the national average	$18,111	$112,533
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	43	$19,921	15% above the national average	$18,289	$103,520
Yakima Valley MemorialYakima, WA · CCN 500036	47	$19,983	15% above the national average	$18,348	$46,706
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	25	$19,983	15% above the national average	$18,343	$79,041

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.