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 501–550. 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
Northwest Texas HospitalAmarillo, TX · CCN 450209	15	$1,395	About average	$1,111	$31,625
Sierra Medical CenterEl Paso, TX · CCN 450668	14	$1,395	About average	$1,111	$31,956
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	12	$1,395	About average	$1,111	$35,251
Woodland Heights Medical CenterLufkin, TX · CCN 450484	17	$1,395	About average	$1,111	$40,217
Covenant Medical CenterLubbock, TX · CCN 450040	38	$1,395	About average	$1,111	$27,107
Baptist Medical CenterSan Antonio, TX · CCN 450058	57	$1,395	About average	$1,109	$32,923
Henrico Doctors' HospitalRichmond, VA · CCN 490118	86	$1,395	About average	$1,111	$40,807
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	52	$1,395	About average	$1,108	$22,481
Midland Memorial HospitalMidland, TX · CCN 450133	50	$1,395	About average	$1,105	$13,122
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	27	$1,395	About average	$1,103	$9,607
Holy Cross Hospital-DavisLayton, UT · CCN 460041	45	$1,395	About average	$1,089	$6,122
Atrium Medical CenterFranklin, OH · CCN 360076	18	$1,395	About average	$1,112	$10,928
St Mary's Regional Medical CenterLewiston, ME · CCN 200034	16	$1,395	About average	$1,111	$12,719
Adena Regional Medical CenterChillicothe, OH · CCN 360159	99	$1,396	About average	$1,109	$13,846
Johnston HealthSmithfield, NC · CCN 340090	23	$1,396	About average	$1,102	$10,236
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	24	$1,396	About average	$1,099	$5,163
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	17	$1,397	About average	$1,097	$6,054
Kansas City Orthopaedic InstituteLeawood, KS · CCN 170188	136	$1,397	About average	$1,107	$13,570
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 450883	44	$1,397	About average	$1,108	$8,728
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	83	$1,397	About average	$1,113	$11,405
Good Samaritan HospitalCincinnati, OH · CCN 360134	71	$1,398	About average	$1,114	$4,074
Avita OntarioOntario, OH · CCN 360365	22	$1,398	About average	$1,114	$7,315
Georgetown Community HospitalGeorgetown, KY · CCN 180101	12	$1,398	About average	$1,114	$15,327
St Elizabeth FlorenceFlorence, KY · CCN 180045	12	$1,398	About average	$1,114	$5,503
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	11	$1,398	About average	$1,114	$5,901
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	15	$1,398	About average	$1,114	$20,860
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	26	$1,398	About average	$1,110	$14,398
Mercy Health - West HospitalCincinnati, OH · CCN 360234	18	$1,398	About average	$1,109	$13,375
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	28	$1,398	About average	$1,108	$12,728
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	28	$1,398	About average	$1,105	$11,054
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	11	$1,398	About average	$1,081	$8,878
Chesapeake General HospitalChesapeake, VA · CCN 490120	14	$1,398	About average	$1,114	$7,445
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	19	$1,398	About average	$1,114	$10,112
Stillwater Medical CenterStillwater, OK · CCN 370049	49	$1,398	About average	$1,104	$9,174
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	15	$1,398	About average	$1,112	$23,444
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	27	$1,399	About average	$1,108	$13,278
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	12	$1,399	About average	$1,114	$8,540
Caldwell Memorial HospitalLenoir, NC · CCN 340041	35	$1,399	About average	$1,114	$7,024
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	30	$1,399	About average	$1,114	$3,777
Vidant Edgecombe HospitalTarboro, NC · CCN 340107	23	$1,399	About average	$1,114	$11,469
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	62	$1,399	About average	$1,114	$7,545
Harris Regional HospitalSylva, NC · CCN 340016	47	$1,399	About average	$1,112	$11,318
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	11	$1,399	About average	$1,112	$15,589
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	68	$1,399	About average	$1,112	$11,085
Haywood Regional Medical CenterClyde, NC · CCN 340184	23	$1,399	About average	$1,110	$12,437
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	24	$1,399	About average	$1,109	$11,301
Saint Joseph Medical CenterJoliet, IL · CCN 140007	12	$1,399	About average	$1,114	$15,388
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	18	$1,399	About average	$1,100	$9,706
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	11	$1,399	About average	$1,114	$22,905
Northern Regional HospitalMount Airy, NC · CCN 340003	13	$1,399	About average	$1,104	$3,719

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.