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 851–900. 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
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	35	$1,451	About average	$1,150	$7,086
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	182	$1,451	About average	$1,151	$25,107
Benefis Hospitals IncGreat Falls, MT · CCN 270012	48	$1,451	About average	$1,142	$4,684
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	235	$1,451	About average	$1,155	$14,405
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	21	$1,451	About average	$1,156	$12,332
Medical City WeatherfordWeatherford, TX · CCN 450203	46	$1,451	About average	$1,156	$28,192
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	15	$1,451	About average	$1,156	$12,724
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	34	$1,451	About average	$1,156	$8,739
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	94	$1,451	About average	$1,155	$8,608
Medical City DentonDenton, TX · CCN 450634	42	$1,451	About average	$1,154	$39,593
Madison Memorial HospitalRexburg, ID · CCN 130025	28	$1,451	About average	$1,149	$3,935
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	20	$1,451	About average	$1,144	$6,703
Ascension St Vincent AndersonAnderson, IN · CCN 150088	12	$1,452	About average	$1,157	$11,444
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	13	$1,452	About average	$1,157	$9,677
Henry County Memorial HospitalNew Castle, IN · CCN 150030	14	$1,452	About average	$1,157	$8,023
IU Health West HospitalAvon, IN · CCN 150158	21	$1,452	About average	$1,157	$13,915
Major HospitalShelbyville, IN · CCN 150097	16	$1,452	About average	$1,157	$13,941
Hancock Regional HospitalGreenfield, IN · CCN 150037	20	$1,452	About average	$1,156	$10,284
Community Hospital NorthIndianapolis, IN · CCN 150169	16	$1,452	About average	$1,153	$8,625
Riverview HealthNoblesville, IN · CCN 150059	54	$1,452	About average	$1,152	$9,118
Orthoindy HospitalIndianapolis, IN · CCN 150160	135	$1,452	About average	$1,152	$9,333
Witham Health ServicesLebanon, IN · CCN 150104	18	$1,452	About average	$1,151	$7,587
Hendricks Regional HealthDanville, IN · CCN 150005	25	$1,452	About average	$1,149	$12,889
Franciscan Health MooresvilleMooresville, IN · CCN 150057	12	$1,452	About average	$1,148	$18,671
Magnolia HospitalMagnolia, AR · CCN 040067	11	$1,452	About average	$1,157	$5,177
Baxter HealthMountain Home, AR · CCN 040027	109	$1,452	About average	$1,154	$6,875
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	21	$1,452	About average	$1,151	$4,635
Carle Health Proctor HospitalPeoria, IL · CCN 140013	36	$1,453	About average	$1,139	$20,229
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	17	$1,453	About average	$1,158	$38,023
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	14	$1,453	About average	$1,153	$13,187
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	15	$1,453	About average	$1,158	$11,584
Hays Medical CenterHays, KS · CCN 170013	50	$1,453	About average	$1,150	$6,900
UNC HospitalsChapel Hill, NC · CCN 340061	90	$1,455	About average	$1,156	$10,752
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	15	$1,455	About average	$1,136	$6,899
Union General HospitalBlairsville, GA · CCN 110051	42	$1,455	About average	$1,159	$9,142
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	31	$1,455	About average	$1,159	$16,098
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	18	$1,455	About average	$1,149	$8,897
UPMC CarlisleCarlisle, PA · CCN 390058	25	$1,455	About average	$1,152	$7,336
Mary Lanning HealthcareHastings, NE · CCN 280032	18	$1,455	About average	$1,160	$7,744
Carteret General HospitalMorehead City, NC · CCN 340142	34	$1,456	About average	$1,160	$3,270
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	47	$1,456	About average	$1,160	$26,305
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	72	$1,456	About average	$1,160	$12,635
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	28	$1,456	About average	$1,160	$19,313
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	41	$1,456	About average	$1,160	$9,765
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	36	$1,456	About average	$1,160	$21,424
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	29	$1,456	About average	$1,160	$18,120
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	24	$1,456	About average	$1,160	$16,416
AdventHealth OcalaOcala, FL · CCN 100062	23	$1,456	About average	$1,160	$47,932
AdventHealth TampaTampa, FL · CCN 100173	22	$1,456	About average	$1,160	$40,628
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	26	$1,456	About average	$1,160	$25,134

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.