Outpatient procedure · APC 5112 · Surgery or procedure

Level 2 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $1,511 per procedure at 1,819 hospitals. Half of hospitals averaged between $1,386 and $1,603.

Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery

National figures, 2024

Average payment per case: $1,511
Typical range (middle half of hospitals): $1,386–$1,603
Medicare’s share: $1,19679% of the payment
Average billed charge: $12,397
Hospitals reporting: 1,81974,793 procedures

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1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Central Vermont Medical CenterBarre, VT · CCN 470001	136	$552	63% below the national average	$264	$4,753
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	216	$602	60% below the national average	$326	$6,078
Memorial Hospital At GulfportGulfport, MS · CCN 250019	112	$633	58% below the national average	$494	$12,151
Townsen Memorial HospitalHumble, TX · CCN 670266	35	$698	54% below the national average	$556	$35,085
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	55	$754	50% below the national average	$600	$19,198
MUSC Medical CenterCharleston, SC · CCN 420004	212	$783	48% below the national average	$619	$11,311
Athens Limestone HospitalAthens, AL · CCN 010079	25	$792	48% below the national average	$622	$6,468
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	30	$814	46% below the national average	$497	$4,124
MetroHealth SystemCleveland, OH · CCN 360059	63	$841	44% below the national average	$562	$8,797
Gettysburg HospitalGettysburg, PA · CCN 390065	64	$841	44% below the national average	$667	$5,429
Marietta Memorial HospitalMarietta, OH · CCN 360147	23	$852	44% below the national average	$616	$7,006
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	28	$878	42% below the national average	$551	$5,711
Conway Medical CenterConway, SC · CCN 420049	44	$907	40% below the national average	$723	$8,472
University Of Michigan Health - WestWyoming, MI · CCN 230236	43	$908	40% below the national average	$721	$4,802
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	21	$923	39% below the national average	$736	$6,260
Sacred Heart HospitalPensacola, FL · CCN 100025	92	$934	38% below the national average	$742	$6,842
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	54	$945	37% below the national average	$752	$8,012
Rutland Regional Medical CenterRutland, VT · CCN 470005	53	$950	37% below the national average	$633	$5,683
Stonewall Jackson Memorial Hospital CompanyWeston, WV · CCN 510038	15	$963	36% below the national average	$767	$5,684
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	70	$968	36% below the national average	$770	$7,953
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	19	$975	35% below the national average	$769	$4,887
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	28	$987	35% below the national average	$778	$9,279
Strong Memorial HospitalRochester, NY · CCN 330285	110	$988	35% below the national average	$780	$8,252
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	56	$1,012	33% below the national average	$799	$27,359
Northside Hospital CherokeeCanton, GA · CCN 110008	114	$1,027	32% below the national average	$812	$12,037
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	38	$1,029	32% below the national average	$733	$5,175
Baptist HospitalPensacola, FL · CCN 100093	44	$1,039	31% below the national average	$825	$13,834
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	23	$1,088	28% below the national average	$867	$7,679
St Luke's Regional Medical CenterBoise, ID · CCN 130006	113	$1,101	27% below the national average	$875	$5,419
Kearney Regional Medical CenterKearney, NE · CCN 280134	26	$1,108	27% below the national average	$882	$6,278
Vanderbilt University Medical CenterNashville, TN · CCN 440039	161	$1,111	26% below the national average	$874	$15,415
White Plains Hospital CenterWhite Plains, NY · CCN 330304	118	$1,118	26% below the national average	$889	$13,076
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	76	$1,123	26% below the national average	$886	$20,356
Tristar Summit Medical CenterHermitage, TN · CCN 440150	14	$1,147	24% below the national average	$914	$25,530
Hendrick Medical CenterAbilene, TX · CCN 450229	48	$1,154	24% below the national average	$920	$19,975
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	11	$1,156	23% below the national average	$880	$5,851
Piedmont Hospital, IncAtlanta, GA · CCN 110083	48	$1,166	23% below the national average	$915	$19,349
Memorial HospitalFremont, OH · CCN 360156	17	$1,179	22% below the national average	$898	$7,129
Lake HealthConcord, OH · CCN 360098	13	$1,182	22% below the national average	$925	$10,478
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	50	$1,185	22% below the national average	$928	$15,446
Parkwest Medical CenterKnoxville, TN · CCN 440173	16	$1,186	21% below the national average	$917	$6,130
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	13	$1,203	20% below the national average	$959	$10,784
Anderson Regional Medical CenterMeridian, MS · CCN 250104	17	$1,205	20% below the national average	$935	$6,945
Javon Bea HospitalRockford, IL · CCN 140239	17	$1,206	20% below the national average	$947	$9,785
Saint Joseph EastLexington, KY · CCN 180143	12	$1,207	20% below the national average	$924	$9,118
University Medical Center Of El PasoEl Paso, TX · CCN 450024	24	$1,209	20% below the national average	$954	$9,156
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	15	$1,214	20% below the national average	$926	$12,872
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	186	$1,220	19% below the national average	$963	$22,928
University Of Alabama HospitalBirmingham, AL · CCN 010033	27	$1,223	19% below the national average	$966	$21,121
Genesis HospitalZanesville, OH · CCN 360039	62	$1,224	19% below the national average	$968	$8,358

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 72,034 procedures at 1,920 hospitals · 2021: 76,736 procedures at 1,979 hospitals · 2022: 76,304 procedures at 1,953 hospitals · 2023: 74,709 procedures at 1,886 hospitals · 2024: 74,793 procedures at 1,819 hospitals

View data as a table

National average payment and billed charge for Level 2 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$1,336	$9,994
2021	$1,385	$10K
2022	$1,402	$11K
2023	$1,399	$12K
2024	$1,511	$12K

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 2 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	501	$686	$655–$932
Mississippi	15	447	$1,143	$1,298–$1,315
South Carolina	38	1,868	$1,302	$1,339–$1,387
Alabama	28	868	$1,311	$1,300–$1,349
Tennessee	37	1,298	$1,317	$1,309–$1,381
Louisiana	28	1,063	$1,333	$1,306–$1,360
West Virginia	19	586	$1,333	$1,293–$1,363
Georgia	54	1,512	$1,343	$1,358–$1,465
Ohio	86	3,612	$1,346	$1,332–$1,398
Kentucky	27	971	$1,363	$1,334–$1,395
Oklahoma	38	1,936	$1,366	$1,353–$1,397
Arkansas	24	1,351	$1,375	$1,351–$1,434
Michigan	59	2,063	$1,378	$1,377–$1,435
Kansas	27	1,211	$1,391	$1,372–$1,429
Iowa	20	704	$1,392	$1,363–$1,434
Missouri	48	1,646	$1,397	$1,373–$1,447
Indiana	46	1,499	$1,414	$1,433–$1,463
Texas	135	5,815	$1,414	$1,395–$1,449
Idaho	13	667	$1,418	$1,446–$1,498
Nebraska	16	776	$1,424	$1,405–$1,462
Florida	101	3,550	$1,425	$1,428–$1,456
Virginia	52	2,383	$1,426	$1,384–$1,500
North Carolina	55	2,093	$1,428	$1,399–$1,447
Utah	25	731	$1,432	$1,395–$1,440
Maine	11	315	$1,451	$1,402–$1,496
Pennsylvania	89	4,368	$1,454	$1,422–$1,538
Wisconsin	48	1,852	$1,461	$1,441–$1,491
Illinois	66	2,210	$1,486	$1,455–$1,526
New Mexico	10	474	$1,502	$1,400–$1,499
Colorado	27	746	$1,510	$1,530–$1,533
Montana	9	389	$1,516	$1,499–$1,519
New Hampshire	10	475	$1,522	$1,505–$1,539
South Dakota	13	1,029	$1,525	$1,498–$1,614
Minnesota	41	1,407	$1,528	$1,487–$1,546
North Dakota	5	594	$1,541	$1,507–$1,572
Arizona	40	1,437	$1,570	$1,566–$1,568
Wyoming	6	118	$1,584	$1,527–$1,614
Delaware	5	335	$1,610	$1,613–$1,613
Rhode Island	7	233	$1,617	$1,583–$1,631
District of Columbia	5	172	$1,623	$1,644–$1,644
Washington	40	2,105	$1,649	$1,603–$1,690
New Jersey	38	1,533	$1,689	$1,675–$1,704
Alaska	6	195	$1,697	$1,668–$1,720
Massachusetts	47	3,693	$1,708	$1,695–$1,726
Nevada	16	427	$1,711	$1,699–$1,722
Oregon	26	779	$1,720	$1,651–$1,730
New York	89	4,787	$1,731	$1,704–$1,815
Connecticut	21	595	$1,788	$1,762–$1,809
Hawaii	9	274	$1,893	$1,809–$1,980
California	138	5,100	$2,038	$1,976–$2,116

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.