Other musculoskeletal system and connective tissue operating room procedures without complications
What 130 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517), from 2024 Medicare claims.
Average charge
$84,317
Hospital list price billed
Average payment
$14,140
Medicare + patient + other payers
Medicare paid
$11,134
Average per stay
Volume
2,059
Medicare hospital stays
Hospitals in the U.S. billed an average of $84,317 for other musculoskeletal system and connective tissue operating room procedures without complications, about 6.0 times the average total payment of $14,140.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,140Billed $84,317
About 17¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kansas Spine Hospital LLCWichita, KS | $9,453 |
|---|---|
| Crystal Clinic Orthopaedic CenterAkron, OH | $9,537 |
| Methodist Stone Oak HospitalSan Antonio, TX | $10,134 |
| Sarasota Memorial HospitalSarasota, FL | $11,262 |
| Salina Regional Health CenterSalina, KS | $11,410 |
| Deaconess Hospital INCEvansville, IN | $11,432 |
| Adventhealth OrlandoOrlando, FL | $11,600 |
| Baptist Medical CenterJacksonville, FL | $11,764 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $11,896 |
| Baptist Medical CenterSan Antonio, TX | $11,965 |
Highest
| NYU Hospitals CenterNew York, NY | $21,804 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $20,127 |
| Hospital for Special SurgeryNew York, NY | $19,582 |
| New York-Presbyterian HospitalNew York, NY | $19,019 |
| Massachusetts General HospitalBoston, MA | $18,398 |
| Scripps Green HospitalLa Jolla, CA | $17,729 |
| Hospital of the Univ of PaPhiladelphia, PA | $17,498 |
| Duke University Medical CenterDurham, NC | $16,879 |
| Riverside Methodist HospitalColumbus, OH | $16,267 |
| Orlando Regional HealthcareOrlando, FL | $14,800 |
Other musculoskeletal system and connective tissue operating room procedures without complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 3 | $89,466 | $13,793 | $13,448 – $14,218 |
| Arizona | 2 | $72,352 | $15,625 | $11,931 – $19,320 |
| Arkansas | 1 | $15,843 | $9,569 | – |
| California | 14 | $117,768 | $17,760 | $14,169 – $26,105 |
| Colorado | 1 | $193,944 | $13,537 | – |
| Delaware | 1 | $52,962 | $13,370 | – |
| Florida | 20 | $107,683 | $12,292 | $9,781 – $16,342 |
| Georgia | 4 | $71,794 | $14,209 | $11,054 – $16,404 |
| Idaho | 1 | $41,067 | $11,543 | – |
| Illinois | 4 | $56,743 | $14,020 | $11,234 – $18,827 |
| Indiana | 1 | $36,679 | $11,432 | – |
| Iowa | 1 | $48,587 | $10,272 | – |
| Kansas | 5 | $49,672 | $11,019 | $9,453 – $12,760 |
| Kentucky | 2 | $64,612 | $11,680 | $10,626 – $12,734 |
| Louisiana | 1 | $57,440 | $9,928 | – |
| Maryland | 1 | $30,541 | $27,201 | – |
| Massachusetts | 5 | $63,706 | $17,340 | $12,067 – $22,203 |
| Michigan | 5 | $49,977 | $12,990 | $11,420 – $14,804 |
| Minnesota | 2 | $42,845 | $15,864 | $11,896 – $20,127 |
| Missouri | 1 | $64,376 | $15,419 | – |
| Montana | 1 | $33,540 | $12,100 | – |
| Nebraska | 2 | $53,799 | $10,551 | $10,034 – $11,116 |
| Nevada | 1 | $47,205 | $13,933 | – |
| New Hampshire | 1 | $39,969 | $11,990 | – |
| New Jersey | 1 | $68,873 | $14,529 | – |
| New York | 5 | $95,340 | $19,438 | $17,738 – $21,804 |
| North Carolina | 5 | $45,571 | $13,527 | $11,533 – $16,879 |
| North Dakota | 1 | $35,129 | $12,265 | – |
| Ohio | 4 | $64,727 | $12,881 | $9,537 – $16,267 |
| Oklahoma | 2 | $51,325 | $11,858 | $10,544 – $12,695 |
| Pennsylvania | 6 | $82,551 | $15,675 | $11,678 – $18,078 |
| South Carolina | 2 | $76,457 | $16,064 | $13,214 – $18,154 |
| Tennessee | 4 | $57,625 | $13,568 | $11,848 – $16,046 |
| Texas | 14 | $110,166 | $12,239 | $9,396 – $19,295 |
| Virginia | 4 | $163,512 | $12,426 | $10,039 – $17,232 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Massachusetts General HospitalBoston, MA | 35 | $87,676 | $18,398 |
| Cjw Medical CenterRichmond, VA | 33 | $199,440 | $12,174 |
| Scripps Green HospitalLa Jolla, CA | 31 | $136,363 | $17,729 |
| North Florida Regional Medical CenterGainesville, FL | 31 | $182,971 | $13,070 |
| New York-Presbyterian HospitalNew York, NY | 31 | $90,707 | $19,019 |
| Sarasota Memorial HospitalSarasota, FL | 29 | $87,486 | $11,262 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 29 | $36,370 | $11,896 |
| Baptist Medical CenterJacksonville, FL | 28 | $73,481 | $11,764 |
| Adventhealth OrlandoOrlando, FL | 27 | $114,799 | $11,600 |
| Kansas Spine Hospital LLCWichita, KS | 27 | $20,848 | $9,453 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 27 | $49,799 | $20,127 |
| Crystal Clinic Orthopaedic CenterAkron, OH | 27 | $42,206 | $9,537 |
| Deaconess Hospital INCEvansville, IN | 26 | $36,679 | $11,432 |
| Riverside Methodist HospitalColumbus, OH | 26 | $84,388 | $16,267 |
| Saint John's Health CenterSanta Monica, CA | 23 | $58,913 | $14,169 |
Questions
How much does other musculoskeletal system and connective tissue operating room procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517) at 130 hospitals in the U.S. was billed at $84,317 on average, while the average total payment was $14,140, of which Medicare paid $11,134. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other musculoskeletal system and connective tissue operating room procedures without complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($19,438), California ($17,760), Massachusetts ($17,340) and lowest in Kansas ($11,019), Texas ($12,239), Florida ($12,292).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 6.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.