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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

Compare hospitals

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
Specific hospitals up to 10

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 16007921$1,386About average$1,098$10,877
Bronson Methodist HospitalKalamazoo, MI · CCN 230017105$1,386About average$1,099$5,318
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 42003712$1,386About average$1,105$14,524
Prisma Health Baptist Easley HospitalEasley, SC · CCN 42001521$1,386About average$1,105$14,291
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 42003313$1,386About average$1,105$13,392
Prisma Health Patewood HospitalGreenville, SC · CCN 42010214$1,386About average$1,105$11,710
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 45088031$1,386About average$1,090$10,848
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 42006565$1,387About average$1,099$8,856
Mount Pleasant HospitalMount Pleasant, SC · CCN 42010464$1,387About average$1,102$9,909
Trident Medical CenterCharleston, SC · CCN 42007929$1,387About average$1,098$17,223
Southern Ohio Medical CenterPortsmouth, OH · CCN 36000815$1,387About average$1,089$13,071
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009237$1,387About average$1,102$8,287
Peterson Regional Medical CenterKerrville, TX · CCN 450007153$1,387About average$1,099$7,056
UNM HospitalAlbuquerque, NM · CCN 32000199$1,388About average$1,090$5,368
Tristar Greenview Regional HospitalBowling Green, KY · CCN 18012414$1,389About average$1,106$17,207
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003223$1,389About average$1,103$12,193
The Medical Center (Bowling Green)Bowling Green, KY · CCN 18001312$1,389About average$1,089$14,189
HCA Florida Citrus HospitalInverness, FL · CCN 10002311$1,390About average$1,099$30,585
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034121$1,390About average$1,101$8,892
Jefferson Regional Medical CenterPine Bluff, AR · CCN 04007116$1,391About average$1,086$5,924
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 45085334$1,391About average$1,099$14,416
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008234$1,391About average$1,098$12,447
St Anthonys HospitalSaint Petersburg, FL · CCN 10006718$1,391About average$1,095$13,795
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 10016618$1,391About average$1,095$32,361
Cumberland Medical CenterCrossville, TN · CCN 44000940$1,391About average$1,095$2,764
Christus St Frances Cabrini HospitalAlexandria, LA · CCN 19001917$1,391About average$1,109$11,229
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004484$1,391About average$1,097$5,758
Baptist Health LexingtonLexington, KY · CCN 18010321$1,392About average$1,109$14,869
Uniontown HospitalUniontown, PA · CCN 39004133$1,392About average$1,106$3,971
Covenant Medical CenterSaginaw, MI · CCN 23007020$1,392About average$1,091$9,804
AdventHealth DelandDeland, FL · CCN 10004516$1,392About average$1,097$18,980
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 23027725$1,392About average$1,095$20,687
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101108$1,393About average$1,096$9,466
St Josephs HospitalTampa, FL · CCN 10007560$1,393About average$1,097$11,547
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 34009147$1,393About average$1,100$8,864
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 42011019$1,393About average$1,110$6,430
Willis Knighton Medical CenterShreveport, LA · CCN 19011144$1,393About average$1,092$15,477
AllianceHealth DurantDurant, OK · CCN 37001415$1,393About average$1,110$49,073
Presbyterian HospitalAlbuquerque, NM · CCN 32002157$1,394About average$1,096$5,201
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011537$1,394About average$1,104$7,482
Piedmont Athens Regional Medical CenterAthens, GA · CCN 11007448$1,394About average$1,096$19,991
Miami Valley HospitalDayton, OH · CCN 360051144$1,394About average$1,105$13,514
Carolinas Medical Center-NortheastConcord, NC · CCN 34000123$1,394About average$1,092$12,077
Hill Country Memorial HospitalFredericksburg, TX · CCN 45060457$1,395About average$1,111$16,821
Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX · CCN 67007813$1,395About average$1,111$19,661
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023724$1,395About average$1,111$15,977
Cornerstone Regional HospitalEdinburg, TX · CCN 45082513$1,395About average$1,111$23,251
Grace Surgical HospitalLubbock, TX · CCN 45016224$1,395About average$1,111$13,612
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010711$1,395About average$1,111$41,001
Lubbock Heart Hospital LpLubbock, TX · CCN 45087631$1,395About average$1,111$8,790

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6501$686$655–$932
Mississippi15447$1,143$1,298–$1,315
South Carolina381,868$1,302$1,339–$1,387
Alabama28868$1,311$1,300–$1,349
Tennessee371,298$1,317$1,309–$1,381
Louisiana281,063$1,333$1,306–$1,360
West Virginia19586$1,333$1,293–$1,363
Georgia541,512$1,343$1,358–$1,465
Ohio863,612$1,346$1,332–$1,398
Kentucky27971$1,363$1,334–$1,395
Oklahoma381,936$1,366$1,353–$1,397
Arkansas241,351$1,375$1,351–$1,434
Michigan592,063$1,378$1,377–$1,435
Kansas271,211$1,391$1,372–$1,429
Iowa20704$1,392$1,363–$1,434
Missouri481,646$1,397$1,373–$1,447
Indiana461,499$1,414$1,433–$1,463
Texas1355,815$1,414$1,395–$1,449
Idaho13667$1,418$1,446–$1,498
Nebraska16776$1,424$1,405–$1,462
Florida1013,550$1,425$1,428–$1,456
Virginia522,383$1,426$1,384–$1,500
North Carolina552,093$1,428$1,399–$1,447
Utah25731$1,432$1,395–$1,440
Maine11315$1,451$1,402–$1,496
Pennsylvania894,368$1,454$1,422–$1,538
Wisconsin481,852$1,461$1,441–$1,491
Illinois662,210$1,486$1,455–$1,526
New Mexico10474$1,502$1,400–$1,499
Colorado27746$1,510$1,530–$1,533
Montana9389$1,516$1,499–$1,519
New Hampshire10475$1,522$1,505–$1,539
South Dakota131,029$1,525$1,498–$1,614
Minnesota411,407$1,528$1,487–$1,546
North Dakota5594$1,541$1,507–$1,572
Arizona401,437$1,570$1,566–$1,568
Wyoming6118$1,584$1,527–$1,614
Delaware5335$1,610$1,613–$1,613
Rhode Island7233$1,617$1,583–$1,631
District of Columbia5172$1,623$1,644–$1,644
Washington402,105$1,649$1,603–$1,690
New Jersey381,533$1,689$1,675–$1,704
Alaska6195$1,697$1,668–$1,720
Massachusetts473,693$1,708$1,695–$1,726
Nevada16427$1,711$1,699–$1,722
Oregon26779$1,720$1,651–$1,730
New York894,787$1,731$1,704–$1,815
Connecticut21595$1,788$1,762–$1,809
Hawaii9274$1,893$1,809–$1,980
California1385,100$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.