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 801–850. 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
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	42	$1,446	About average	$1,152	$14,446
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	27	$1,446	About average	$1,143	$17,936
Legent Surgical Hospital PlanoPlano, TX · CCN 670322	44	$1,446	About average	$1,152	$20,753
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	15	$1,446	About average	$1,152	$13,147
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	12	$1,446	About average	$1,152	$20,661
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	12	$1,446	About average	$1,152	$10,839
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	16	$1,446	About average	$1,152	$11,425
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 450874	12	$1,446	About average	$1,152	$8,376
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 130074	12	$1,446	About average	$1,152	$9,638
Methodist McKinney HospitalMckinney, TX · CCN 670069	24	$1,446	About average	$1,152	$12,528
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	20	$1,446	About average	$1,152	$11,632
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	27	$1,446	About average	$1,152	$15,249
Medical City PlanoPlano, TX · CCN 450651	29	$1,446	About average	$1,150	$39,416
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018	27	$1,446	About average	$1,149	$13,814
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 450891	45	$1,446	About average	$1,148	$9,677
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	47	$1,446	About average	$1,148	$9,554
West Valley Medical CenterCaldwell, ID · CCN 130014	23	$1,446	About average	$1,147	$14,855
Hunt Regional Medical CenterGreenville, TX · CCN 450352	22	$1,447	About average	$1,144	$7,134
Treasure Valley HospitalBoise, ID · CCN 130063	34	$1,447	About average	$1,144	$8,078
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	20	$1,447	About average	$1,143	$13,842
Methodist Charlton Medical CenterDallas, TX · CCN 450723	17	$1,447	About average	$1,135	$11,617
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	13	$1,447	About average	$1,153	$25,809
Ascension ProvidenceWaco, TX · CCN 450042	22	$1,447	About average	$1,153	$15,039
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	17	$1,447	About average	$1,153	$5,807
Rex HospitalRaleigh, NC · CCN 340114	35	$1,447	About average	$1,153	$7,916
WakeMed, Cary HospitalCary, NC · CCN 340173	48	$1,447	About average	$1,144	$13,677
Citizens Memorial HospitalBolivar, MO · CCN 260195	36	$1,447	About average	$1,153	$7,619
Cox Medical Center BransonBranson, MO · CCN 260094	25	$1,447	About average	$1,153	$8,340
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	13	$1,447	About average	$1,153	$6,171
Ozarks HealthcareWest Plains, MO · CCN 260078	23	$1,447	About average	$1,152	$7,127
Oss Orthopaedic HospitalYork, PA · CCN 390325	254	$1,447	About average	$1,149	$6,180
Lake Regional Health SystemOsage Beach, MO · CCN 260186	43	$1,447	About average	$1,147	$6,310
Memorial Hermann Surgical Hospital KingwoodKingwood, TX · CCN 670005	54	$1,448	About average	$1,144	$13,782
Aurora Medical CenterGrafton, WI · CCN 520207	83	$1,448	About average	$1,150	$19,782
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	25	$1,448	About average	$1,145	$10,477
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	128	$1,448	About average	$1,152	$9,281
Northside Hospital DuluthDuluth, GA · CCN 110252	23	$1,448	About average	$1,134	$17,549
Bryan Medical CenterLincoln, NE · CCN 280003	31	$1,448	About average	$1,145	$9,296
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	25	$1,449	About average	$1,154	$5,455
CHI Health MidlandsPapillion, NE · CCN 280105	17	$1,449	About average	$1,135	$17,143
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	21	$1,449	About average	$1,154	$9,089
Baptist Health PaducahPaducah, KY · CCN 180104	55	$1,449	About average	$1,143	$15,349
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	23	$1,449	About average	$1,136	$5,791
Houston Methodist West HospitalHouston, TX · CCN 670077	131	$1,449	About average	$1,150	$24,772
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	16	$1,450	About average	$1,121	$12,909
Duke Regional HospitalDurham, NC · CCN 340155	19	$1,450	About average	$1,155	$6,984
North Carolina Specialty HospitalDurham, NC · CCN 340049	14	$1,450	About average	$1,155	$2,835
AdventHealth OrlandoOrlando, FL · CCN 100007	187	$1,450	About average	$1,148	$18,492
St Johns HospitalSpringfield, IL · CCN 140053	31	$1,450	About average	$1,145	$13,447
Ecu Health North HospitalRoanoke Rapids, NC · CCN 340151	25	$1,450	About average	$1,140	$8,709

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.