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 751–800. 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
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	20	$1,438	About average	$1,136	$7,185
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	37	$1,438	About average	$1,127	$40,901
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	23	$1,439	About average	$1,128	$20,187
Northwest Specialty HospitalPost Falls, ID · CCN 130066	53	$1,439	About average	$1,134	$7,492
CGH Medical CenterSterling, IL · CCN 140043	16	$1,439	About average	$1,146	$15,077
Mountain View HospitalIdaho Falls, ID · CCN 130065	54	$1,439	About average	$1,143	$4,973
Brigham City Community HospitalBrigham City, UT · CCN 460017	12	$1,440	About average	$1,147	$13,837
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	21	$1,440	About average	$1,147	$6,853
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	16	$1,440	About average	$1,147	$6,254
Lakeview HospitalBountiful, UT · CCN 460042	12	$1,440	About average	$1,147	$12,970
Lone Peak HospitalDraper, UT · CCN 460060	15	$1,440	About average	$1,147	$11,244
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	21	$1,440	About average	$1,146	$8,676
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	19	$1,440	About average	$1,146	$5,803
American Fork HospitalAmerican Fork, UT · CCN 460023	22	$1,440	About average	$1,145	$6,633
Park City HospitalPark City, UT · CCN 460057	50	$1,440	About average	$1,144	$6,188
Orem Community HospitalOrem, UT · CCN 460043	15	$1,440	About average	$1,141	$6,103
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	14	$1,440	About average	$1,147	$9,714
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	68	$1,440	About average	$1,146	$7,773
Ogden Regional Medical CenterOgden, UT · CCN 460005	11	$1,440	About average	$1,122	$18,384
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	40	$1,441	About average	$1,143	$8,067
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	279	$1,441	About average	$1,145	$12,779
North Mississippi Medical CenterTupelo, MS · CCN 250004	30	$1,441	About average	$1,148	$11,793
Orthopaedic Hospital Of WisconsinGlendale, WI · CCN 520194	117	$1,442	About average	$1,141	$9,756
Nebraska Orthopaedic HospitalOmaha, NE · CCN 280129	144	$1,442	About average	$1,144	$4,306
Kettering Health Main CampusKettering, OH · CCN 360079	23	$1,442	About average	$1,149	$14,015
Ohio State University State Health SystemColumbus, OH · CCN 360085	64	$1,442	About average	$1,148	$11,176
Anderson HospitalMaryville, IL · CCN 140289	24	$1,443	About average	$1,141	$9,250
Wilson Memorial HospitalSidney, OH · CCN 360013	22	$1,443	About average	$1,146	$10,517
Sarasota Memorial HospitalSarasota, FL · CCN 100087	69	$1,443	About average	$1,141	$17,551
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	44	$1,443	About average	$1,144	$13,691
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	21	$1,443	About average	$1,138	$11,077
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	20	$1,443	About average	$1,142	$16,042
Atrium Health PinevilleCharlotte, NC · CCN 340098	26	$1,444	About average	$1,151	$10,491
Atrium Health UnionMonroe, NC · CCN 340130	26	$1,444	About average	$1,151	$12,854
Atrium Health University CityCharlotte, NC · CCN 340166	11	$1,444	About average	$1,151	$11,922
Caromont Regional Medical CenterGastonia, NC · CCN 340032	40	$1,444	About average	$1,151	$10,847
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	21	$1,444	About average	$1,151	$8,160
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	15	$1,444	About average	$1,151	$10,032
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	13	$1,444	About average	$1,151	$8,173
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	12	$1,444	About average	$1,151	$7,776
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	34	$1,444	About average	$1,147	$11,603
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	43	$1,444	About average	$1,147	$15,047
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	72	$1,444	About average	$1,142	$8,560
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	25	$1,444	About average	$1,140	$16,972
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	27	$1,445	About average	$1,151	$7,517
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	43	$1,445	About average	$1,151	$9,907
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	64	$1,445	About average	$1,147	$15,841
Holy Family MemorialManitowoc, WI · CCN 520107	22	$1,445	About average	$1,152	$6,821
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	21	$1,445	About average	$1,152	$13,888
Texoma Medical CenterDenison, TX · CCN 450324	22	$1,446	About average	$1,165	$23,895

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.