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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Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 901–950. 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
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	13	$1,456	About average	$1,160	$22,000
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	24	$1,456	About average	$1,160	$18,920
Broward Health Imperial PointFort Lauderdale, FL · CCN 100200	13	$1,456	About average	$1,160	$9,628
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	14	$1,456	About average	$1,160	$12,923
Central Florida Lake Monroe HospitalSanford, FL · CCN 100161	13	$1,456	About average	$1,160	$57,190
Cleveland Clinic HospitalWeston, FL · CCN 100289	19	$1,456	About average	$1,160	$9,184
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	18	$1,456	About average	$1,160	$15,894
HCA Florida Aventura HospitalAventura, FL · CCN 100131	20	$1,456	About average	$1,160	$31,061
HCA Florida Blake HospitalBradenton, FL · CCN 100213	19	$1,456	About average	$1,160	$36,902
HCA Florida Highlands HospitalSebring, FL · CCN 100049	11	$1,456	About average	$1,160	$60,242
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	18	$1,456	About average	$1,160	$65,233
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	12	$1,456	About average	$1,160	$36,822
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	13	$1,456	About average	$1,160	$40,577
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 100126	12	$1,456	About average	$1,160	$59,937
Jupiter Medical CenterJupiter, FL · CCN 100253	25	$1,456	About average	$1,160	$11,498
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	15	$1,456	About average	$1,160	$34,318
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	14	$1,456	About average	$1,160	$26,339
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292	15	$1,456	About average	$1,160	$17,478
Santa Rosa Medical CenterMilton, FL · CCN 100124	14	$1,456	About average	$1,160	$26,212
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	12	$1,456	About average	$1,160	$34,064
The Villages Regional HospitalThe Villages, FL · CCN 100290	25	$1,456	About average	$1,160	$15,105
University Hospital And Medical CenterTamarac, FL · CCN 100224	20	$1,456	About average	$1,160	$45,889
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	13	$1,456	About average	$1,158	$51,337
Palm Bay HospitalPalm Bay, FL · CCN 100316	84	$1,456	About average	$1,158	$24,198
Orlando Health South Lake HospitalClermont, FL · CCN 100051	60	$1,456	About average	$1,158	$24,929
Tampa General HospitalTampa, FL · CCN 100128	25	$1,456	About average	$1,157	$21,074
HCA Florida West HospitalPensacola, FL · CCN 100231	39	$1,456	About average	$1,156	$52,431
Morton Plant HospitalClearwater, FL · CCN 100127	35	$1,456	About average	$1,156	$11,951
Shands JacksonvilleJacksonville, FL · CCN 100001	25	$1,456	About average	$1,156	$23,834
AdventHealth CarrollwoodTampa, FL · CCN 100069	21	$1,456	About average	$1,156	$28,177
Doctors HospitalCoral Gables, FL · CCN 100296	21	$1,456	About average	$1,156	$28,768
AdventHealth SebringSebring, FL · CCN 100109	39	$1,456	About average	$1,155	$17,391
Jackson Health SystemMiami, FL · CCN 100022	15	$1,456	About average	$1,155	$10,224
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	16	$1,456	About average	$1,154	$21,743
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	31	$1,456	About average	$1,154	$11,651
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	11	$1,456	About average	$1,154	$12,009
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	21	$1,456	About average	$1,153	$47,272
AdventHealth North PinellasTarpon Springs, FL · CCN 100055	23	$1,456	About average	$1,152	$22,911
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	30	$1,456	About average	$1,151	$13,595
Winter Haven HospitalWinter Haven, FL · CCN 100052	21	$1,456	About average	$1,151	$14,101
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	52	$1,456	About average	$1,149	$10,103
AdventHealth WatermanTavares, FL · CCN 100057	15	$1,456	About average	$1,148	$17,807
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	32	$1,456	About average	$1,148	$19,243
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	16	$1,456	About average	$1,148	$32,382
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	11	$1,456	About average	$1,145	$9,443
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	23	$1,456	About average	$1,144	$22,457
Cape Coral HospitalCape Coral, FL · CCN 100244	18	$1,456	About average	$1,144	$15,229
Manatee Memorial HospitalBradenton, FL · CCN 100035	19	$1,456	About average	$1,140	$28,139
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	29	$1,456	About average	$1,160	$13,084
Mercy Health System CorpJanesville, WI · CCN 520066	63	$1,456	About average	$1,152	$5,661

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.