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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Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 551–600. 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
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	65	$1,399	About average	$1,107	$6,143
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	32	$1,399	About average	$1,108	$8,200
Memorial Medical CenterLas Cruces, NM · CCN 320018	26	$1,400	About average	$1,111	$28,451
Mountain View Regional Medical CenterLas Cruces, NM · CCN 320085	28	$1,400	About average	$1,108	$23,643
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	28	$1,400	About average	$1,106	$28,712
The Physicians CentreBryan, TX · CCN 450834	11	$1,400	About average	$1,106	$8,581
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	23	$1,400	About average	$1,116	$9,785
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	26	$1,400	About average	$1,109	$7,726
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	16	$1,400	About average	$1,108	$17,371
CHI Health ImmanuelOmaha, NE · CCN 280081	24	$1,400	About average	$1,095	$16,927
Labette HealthParsons, KS · CCN 170120	39	$1,402	About average	$1,111	$4,214
JPS Health NetworkFort Worth, TX · CCN 450039	21	$1,402	About average	$1,101	$12,900
De Tar Hospital NavarroVictoria, TX · CCN 450147	12	$1,403	About average	$1,113	$23,840
Buffalo HospitalBuffalo, MN · CCN 240076	23	$1,403	About average	$1,118	$6,406
Lake Granbury Medical CenterGranbury, TX · CCN 450596	24	$1,403	About average	$1,108	$33,064
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	16	$1,404	About average	$1,097	$6,498
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	13	$1,404	About average	$1,118	$16,453
Liberty HospitalLiberty, MO · CCN 260177	38	$1,404	About average	$1,118	$9,106
Overland Park Regional Medical CenterOverland Park, KS · CCN 170176	14	$1,404	About average	$1,118	$35,494
Providence Medical CenterKansas City, KS · CCN 170146	12	$1,404	About average	$1,118	$13,347
Saint Luke's East HospitalLees Summit, MO · CCN 260216	16	$1,404	About average	$1,118	$16,226
Saint Lukes North HospitalKansas City, MO · CCN 260062	23	$1,404	About average	$1,118	$14,153
Saint Luke's South HospitalOverland Park, KS · CCN 170185	16	$1,404	About average	$1,118	$15,407
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	19	$1,404	About average	$1,118	$22,246
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	15	$1,404	About average	$1,118	$4,989
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	21	$1,404	About average	$1,114	$22,568
Centerpoint Medical CenterIndependence, MO · CCN 260095	14	$1,404	About average	$1,110	$30,986
Menorah Medical CenterOverland Park, KS · CCN 170182	15	$1,404	About average	$1,108	$19,000
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	24	$1,404	About average	$1,103	$9,596
Longview Regional Medical CenterLongview, TX · CCN 450702	62	$1,404	About average	$1,107	$25,740
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	19	$1,404	About average	$1,100	$17,716
Surgeons Choice Medical CenterSouthfield, MI · CCN 230301	101	$1,404	About average	$1,110	$10,349
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	27	$1,405	About average	$1,104	$38,863
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	31	$1,405	About average	$1,119	$8,555
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	23	$1,405	About average	$1,110	$10,956
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	23	$1,405	About average	$1,110	$34,102
University Of Toledo Medical CenterToledo, OH · CCN 360048	54	$1,406	About average	$1,109	$8,543
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	23	$1,406	About average	$1,097	$21,878
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	32	$1,406	About average	$1,120	$3,727
Lee Memorial HospitalFort Myers, FL · CCN 100012	124	$1,407	About average	$1,115	$15,901
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	80	$1,407	About average	$1,106	$17,115
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	17	$1,407	About average	$1,121	$8,426
Duke University HospitalDurham, NC · CCN 340030	61	$1,407	About average	$1,117	$10,921
Bellevue Medical CenterBellevue, NE · CCN 280132	28	$1,407	About average	$1,106	$6,360
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	19	$1,407	About average	$1,121	$6,541
Memorial HealthcareOwosso, MI · CCN 230121	11	$1,407	About average	$1,121	$9,396
North Central Surgical Center LLPDallas, TX · CCN 670049	113	$1,408	About average	$1,120	$8,849
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	16	$1,408	About average	$1,107	$18,406
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	21	$1,409	About average	$1,111	$9,516
Northeastern Health SystemTahlequah, OK · CCN 370089	22	$1,409	About average	$1,109	$7,338

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.