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 651–700. 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
UF Health Shands HospitalGainesville, FL · CCN 100113	97	$1,420	About average	$1,121	$13,396
Carlsbad Medical CenterCarlsbad, NM · CCN 320063	14	$1,421	About average	$1,102	$21,934
Baylor University Medical CenterDallas, TX · CCN 450021	45	$1,421	About average	$1,132	$13,382
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	18	$1,421	About average	$1,119	$11,776
UNC Health NashRocky Mount, NC · CCN 340147	55	$1,421	About average	$1,132	$12,266
Union Hospital IncTerre Haute, IN · CCN 150023	76	$1,421	About average	$1,125	$19,452
Fairview Park HospitalDublin, GA · CCN 110125	38	$1,421	About average	$1,132	$33,351
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	65	$1,421	About average	$1,121	$8,186
Geisinger Medical CenterDanville, PA · CCN 390006	80	$1,422	About average	$1,128	$30,756
Piedmont Newton HospitalCovington, GA · CCN 110018	17	$1,422	About average	$1,118	$19,749
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	16	$1,422	About average	$1,133	$5,809
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	85	$1,422	About average	$1,128	$10,503
Orlando HealthOrlando, FL · CCN 100006	34	$1,422	About average	$1,126	$26,994
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	12	$1,423	About average	$1,129	$23,655
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	147	$1,423	About average	$1,128	$8,312
Grant Medical CenterColumbus, OH · CCN 360017	53	$1,424	About average	$1,130	$14,742
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	131	$1,424	About average	$1,128	$21,732
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	22	$1,424	About average	$1,105	$12,655
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	96	$1,424	About average	$1,131	$18,091
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	67	$1,424	About average	$1,119	$7,543
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	12	$1,425	About average	$1,114	$10,638
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 450888	45	$1,425	About average	$1,128	$9,375
West Boca Medical CenterBoca Raton, FL · CCN 100268	38	$1,425	About average	$1,124	$28,768
Blue Ridge Medical CenterBlue Ridge, GA · CCN 110780	45	$1,426	About average	$1,150	$25,571
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	14	$1,427	About average	$1,129	$4,562
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	84	$1,427	About average	$1,127	$24,591
Broward Health NorthDeerfield Beach, FL · CCN 100086	16	$1,428	About average	$1,126	$13,724
White River Medical CenterBatesville, AR · CCN 040119	30	$1,428	About average	$1,128	$6,223
Sovah Health DanvilleDanville, VA · CCN 490075	20	$1,428	About average	$1,138	$22,678
Emory Decatur HospitalDecatur, GA · CCN 110076	19	$1,429	About average	$1,126	$8,473
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	13	$1,429	About average	$1,139	$23,824
Uw HealthRockford, IL · CCN 140228	35	$1,429	About average	$1,136	$18,126
Naples Community HospitalNaples, FL · CCN 100018	64	$1,429	About average	$1,124	$18,036
Allina Health Faribault Medical CenterFaribault, MN · CCN 240071	16	$1,429	About average	$1,139	$5,618
Doctors HospitalColumbus, OH · CCN 360152	12	$1,429	About average	$1,128	$13,024
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	45	$1,430	About average	$1,134	$27,236
Progress West HospitalOfallon, MO · CCN 260219	25	$1,430	About average	$1,140	$8,631
Mercy Hospital WashingtonWashington, MO · CCN 260052	14	$1,430	About average	$1,140	$8,193
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	21	$1,430	About average	$1,139	$8,283
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	20	$1,430	About average	$1,138	$8,859
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	26	$1,430	About average	$1,136	$7,066
Mercy Hospital SouthSaint Louis, MO · CCN 260077	32	$1,430	About average	$1,134	$5,348
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	26	$1,430	About average	$1,132	$10,564
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	81	$1,431	About average	$1,134	$11,733
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	86	$1,431	About average	$1,134	$6,273
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	29	$1,432	About average	$1,124	$12,541
Shannon Medical CenterSan Angelo, TX · CCN 450571	162	$1,432	About average	$1,128	$14,729
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	15	$1,432	About average	$1,141	$10,199
McLaren Bay RegionBay City, MI · CCN 230041	19	$1,432	About average	$1,141	$4,651
FHN Memorial HospitalFreeport, IL · CCN 140160	13	$1,433	About average	$1,141	$11,895

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.