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 601–650. 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
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	44	$1,409	About average	$1,106	$14,621
McLaren Central MichiganMount Pleasant, MI · CCN 230080	17	$1,409	About average	$1,108	$5,866
UPMC PassavantPittsburgh, PA · CCN 390107	76	$1,410	About average	$1,117	$17,153
UPMC WilliamsportWilliamsport, PA · CCN 390045	37	$1,410	About average	$1,113	$13,836
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	21	$1,410	About average	$1,123	$17,028
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	12	$1,410	About average	$1,123	$13,801
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132	56	$1,410	About average	$1,115	$8,240
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249	19	$1,410	About average	$1,109	$29,410
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	36	$1,411	About average	$1,121	$6,774
Allina United HospitalSaint Paul, MN · CCN 240038	93	$1,411	About average	$1,119	$7,183
Milton S Hershey Medical CenterHershey, PA · CCN 390256	34	$1,412	About average	$1,109	$16,670
UPMC HanoverHanover, PA · CCN 390233	18	$1,412	About average	$1,125	$7,852
Colleton Medical CenterWalterboro, SC · CCN 420030	15	$1,412	About average	$1,104	$28,817
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	45	$1,412	About average	$1,118	$12,256
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	30	$1,412	About average	$1,118	$15,370
Viera HospitalMelbourne, FL · CCN 100315	27	$1,413	About average	$1,117	$16,696
Marion General HospitalMarion, IN · CCN 150011	11	$1,413	About average	$1,126	$11,397
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	95	$1,413	About average	$1,111	$14,854
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	25	$1,414	About average	$1,127	$15,283
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	14	$1,414	About average	$1,127	$15,934
Regional Hospital Of ScrantonScranton, PA · CCN 390237	53	$1,414	About average	$1,122	$16,316
Garden City HospitalGarden City, MI · CCN 230244	14	$1,414	About average	$1,114	$12,571
Ascension Seton HaysKyle, TX · CCN 670056	13	$1,415	About average	$1,127	$18,798
Ascension Seton NorthwestAustin, TX · CCN 450867	13	$1,415	About average	$1,127	$29,513
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	19	$1,415	About average	$1,127	$7,261
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	12	$1,415	About average	$1,127	$25,571
Round Rock Medical CenterRound Rock, TX · CCN 450718	20	$1,415	About average	$1,127	$20,377
St David's Medical CenterAustin, TX · CCN 450431	38	$1,415	About average	$1,119	$18,931
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	21	$1,415	About average	$1,118	$15,880
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	19	$1,415	About average	$1,113	$20,171
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	57	$1,415	About average	$1,112	$12,014
McLaren Port HuronPort Huron, MI · CCN 230216	19	$1,416	About average	$1,128	$3,997
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	32	$1,416	About average	$1,128	$6,299
McLaren MacombMount Clemens, MI · CCN 230227	39	$1,416	About average	$1,123	$9,332
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	101	$1,416	About average	$1,119	$16,428
St Mark's HospitalSalt Lake City, UT · CCN 460047	31	$1,417	About average	$1,129	$15,453
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	64	$1,417	About average	$1,124	$8,912
Catawba Valley Medical CenterHickory, NC · CCN 340143	16	$1,417	About average	$1,129	$5,212
Elliot HospitalManchester, NH · CCN 300012	17	$1,417	About average	$1,127	$11,866
Penn State Health St. JosephReading, PA · CCN 390096	24	$1,417	About average	$1,108	$16,646
Midwest Surgical Hospital LLCOmaha, NE · CCN 280131	83	$1,417	About average	$1,113	$6,879
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	145	$1,418	About average	$1,123	$3,884
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	88	$1,418	About average	$1,114	$12,695
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	13	$1,418	About average	$1,130	$15,761
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	62	$1,418	About average	$1,125	$9,519
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	31	$1,418	About average	$1,123	$16,071
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	18	$1,418	About average	$1,117	$13,613
UPMC St MargaretPittsburgh, PA · CCN 390102	68	$1,419	About average	$1,124	$14,660
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	131	$1,419	About average	$1,128	$9,874
Ascension All Saints HospitalRacine, WI · CCN 520096	26	$1,420	About average	$1,112	$13,818

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.