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 51–100. 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
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	54	$1,226	19% below the national average	$958	$7,997
St Joseph Medical CenterKansas City, MO · CCN 260085	12	$1,231	19% below the national average	$944	$15,612
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	22	$1,231	19% below the national average	$946	$12,744
Baptist Medical Center SouthMontgomery, AL · CCN 010023	15	$1,244	18% below the national average	$965	$9,725
Singing River Health SystemPascagoula, MS · CCN 250040	14	$1,248	17% below the national average	$979	$17,370
Marshall Medical CentersBoaz, AL · CCN 010005	13	$1,251	17% below the national average	$980	$5,432
St Vincent's BirminghamBirmingham, AL · CCN 010056	39	$1,252	17% below the national average	$974	$17,259
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	12	$1,253	17% below the national average	$964	$46,714
Henry Ford Health HospitalDetroit, MI · CCN 230053	151	$1,257	17% below the national average	$998	$3,502
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	12	$1,258	17% below the national average	$985	$13,823
Glenwood Regional Medical CenterWest Monroe, LA · CCN 190160	13	$1,258	17% below the national average	$945	$12,242
Spring View HospitalLebanon, KY · CCN 180024	12	$1,259	17% below the national average	$985	$17,472
Hillcrest Medical CenterTulsa, OK · CCN 370001	25	$1,260	17% below the national average	$971	$23,867
Candler HospitalSavannah, GA · CCN 110024	11	$1,260	17% below the national average	$984	$14,126
Cooper University HospitalCamden, NJ · CCN 310014	55	$1,260	17% below the national average	$1,004	$12,314
University Of Kentucky HospitalLexington, KY · CCN 180067	55	$1,265	16% below the national average	$1,004	$12,492
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	20	$1,269	16% below the national average	$989	$11,021
Crozer Chester Medical CenterUpland, PA · CCN 390180	109	$1,269	16% below the national average	$1,009	$10,233
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	19	$1,271	16% below the national average	$998	$8,340
Beckley ARH HospitalBeckley, WV · CCN 510062	12	$1,272	16% below the national average	$995	$15,167
Russell Medical CenterAlexander City, AL · CCN 010065	19	$1,273	16% below the national average	$1,003	$5,009
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	25	$1,273	16% below the national average	$1,012	$9,675
Sentara Obici HospitalSuffolk, VA · CCN 490044	23	$1,275	16% below the national average	$1,016	$9,753
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	14	$1,276	16% below the national average	$983	$7,435
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	13	$1,276	16% below the national average	$970	$8,750
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	29	$1,277	15% below the national average	$1,002	$7,231
Oaklawn HospitalMarshall, MI · CCN 230217	18	$1,278	15% below the national average	$984	$12,603
Camden Clark Medical CenterParkersburg, WV · CCN 510058	41	$1,279	15% below the national average	$1,010	$5,440
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	31	$1,279	15% below the national average	$1,013	$13,700
Baptist Health RichmondRichmond, KY · CCN 180049	17	$1,279	15% below the national average	$998	$14,890
Edward W Sparrow HospitalLansing, MI · CCN 230230	35	$1,281	15% below the national average	$1,014	$9,696
East Jefferson General HospitalMetairie, LA · CCN 190176	17	$1,282	15% below the national average	$1,006	$30,996
North Oaks Medical CenterHammond, LA · CCN 190015	11	$1,282	15% below the national average	$1,010	$14,026
Medina HospitalMedina, OH · CCN 360091	48	$1,283	15% below the national average	$1,001	$7,788
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	21	$1,286	15% below the national average	$1,013	$10,691
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	41	$1,289	15% below the national average	$1,005	$11,285
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	72	$1,289	15% below the national average	$1,012	$8,601
University Health System, IncKnoxville, TN · CCN 440015	29	$1,289	15% below the national average	$1,002	$8,937
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	94	$1,290	15% below the national average	$1,025	$3,680
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	14	$1,290	15% below the national average	$1,006	$7,965
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	25	$1,292	15% below the national average	$1,029	$5,381
Firelands Regional Medical CenterSandusky, OH · CCN 360025	29	$1,293	14% below the national average	$1,006	$7,725
Mercy HospitalCoon Rapids, MN · CCN 240115	43	$1,293	14% below the national average	$1,025	$5,017
St Lukes HospitalCedar Rapids, IA · CCN 160045	15	$1,294	14% below the national average	$1,031	$8,858
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	18	$1,294	14% below the national average	$1,019	$11,287
University Of Missouri Health CareColumbia, MO · CCN 260141	130	$1,295	14% below the national average	$1,021	$9,102
Piedmont Medical CenterRock Hill, SC · CCN 420002	23	$1,295	14% below the national average	$968	$20,262
Weirton Medical Center, IncWeirton, WV · CCN 510023	22	$1,296	14% below the national average	$1,023	$11,310
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	22	$1,297	14% below the national average	$1,023	$13,389
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	22	$1,297	14% below the national average	$1,001	$13,981

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.