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

Sort by

Order

Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 701–750. 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
Franciscan Health LafayetteLafayette, IN · CCN 150109	18	$1,433	About average	$1,141	$15,190
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	28	$1,433	About average	$1,141	$12,943
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	50	$1,433	About average	$1,140	$8,665
Mayo ClinicJacksonville, FL · CCN 100151	151	$1,433	About average	$1,137	$9,738
Pikeville Medical CenterPikeville, KY · CCN 180044	44	$1,433	About average	$1,137	$11,840
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	86	$1,434	About average	$1,140	$10,231
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	20	$1,434	About average	$1,107	$15,243
Marion Communtiy HospitalOcala, FL · CCN 100212	53	$1,434	About average	$1,132	$30,386
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	88	$1,434	About average	$1,130	$13,668
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	36	$1,434	About average	$1,143	$11,050
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	53	$1,434	About average	$1,136	$14,206
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	27	$1,435	About average	$1,143	$13,999
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	21	$1,435	About average	$1,143	$14,753
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	11	$1,435	About average	$1,143	$6,926
Sinai-Grace HospitalDetroit, MI · CCN 230024	14	$1,435	About average	$1,143	$25,809
CHI Health St. ElizabethLincoln, NE · CCN 280020	14	$1,435	About average	$1,140	$9,312
ACMH HospitalKittanning, PA · CCN 390163	11	$1,436	About average	$1,144	$7,568
Allegheny General HospitalPittsburgh, PA · CCN 390050	20	$1,436	About average	$1,144	$13,930
Allegheny Valley HospitalNatrona, PA · CCN 390032	13	$1,436	About average	$1,144	$7,287
Forbes HospitalMonroeville, PA · CCN 390267	14	$1,436	About average	$1,144	$11,451
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	11	$1,436	About average	$1,144	$5,591
Grove City Medical CenterGrove City, PA · CCN 390266	14	$1,436	About average	$1,144	$10,295
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	15	$1,436	About average	$1,144	$6,411
St Clair HospitalPittsburgh, PA · CCN 390228	36	$1,436	About average	$1,144	$6,871
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	49	$1,436	About average	$1,142	$11,180
UPMC EastMonroeville, PA · CCN 390328	14	$1,436	About average	$1,141	$17,408
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	78	$1,436	About average	$1,141	$17,001
Advanced Surgical HospitalWashington, PA · CCN 390323	16	$1,436	About average	$1,140	$9,782
UPMC MercyPittsburgh, PA · CCN 390028	28	$1,436	About average	$1,137	$11,124
UPMC JamesonNew Castle, PA · CCN 390016	54	$1,436	About average	$1,137	$5,767
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	22	$1,436	About average	$1,133	$5,183
Jefferson HospitalJefferson Hills, PA · CCN 390265	23	$1,436	About average	$1,131	$10,650
Community HospitalMunster, IN · CCN 150125	61	$1,436	About average	$1,121	$12,330
UPMC NorthwestSeneca, PA · CCN 390091	11	$1,436	About average	$1,116	$8,216
Parkview Huntington HospitalHuntington, IN · CCN 150091	14	$1,436	About average	$1,144	$6,044
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	82	$1,437	About average	$1,137	$17,166
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	14	$1,437	About average	$1,145	$13,458
Fairfield Medical CenterLancaster, OH · CCN 360072	16	$1,437	About average	$1,145	$7,817
Licking Memorial HospitalNewark, OH · CCN 360218	31	$1,437	About average	$1,145	$9,161
Mount Carmel St Ann'sWesterville, OH · CCN 360012	17	$1,437	About average	$1,145	$10,295
Riverside Methodist HospitalColumbus, OH · CCN 360006	32	$1,437	About average	$1,145	$9,871
Memorial HospitalMarysville, OH · CCN 360092	16	$1,437	About average	$1,143	$15,635
Mount Carmel East & WestColumbus, OH · CCN 360035	20	$1,438	About average	$1,130	$11,483
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	20	$1,438	About average	$1,145	$15,787
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	40	$1,438	About average	$1,145	$11,617
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	22	$1,438	About average	$1,126	$16,876
Howard Young Medical CenterWoodruff, WI · CCN 520091	12	$1,438	About average	$1,125	$7,176
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	57	$1,438	About average	$1,146	$8,684
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	12	$1,438	About average	$1,146	$8,477
Aspirus Wausau HospitalWausau, WI · CCN 520030	20	$1,438	About average	$1,146	$9,898

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.