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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

Hospitals in Ohio

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
Ohio
Specific hospitals up to 10
Average payment across these 86 hospitals
$1,346National $1,511 · Ohio $1,346
Median hospital
$1,370
Lowest to highest
$841–$1,545
Medicare procedures
3,612

86 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–86. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Kettering Health DaytonDayton, OH · CCN 36013368$1,374About average$1,086$14,319
Mercy Health St Ritas Medical CenterLima, OH · CCN 36006614$1,375About average$1,082$18,670
Fisher-Titus HospitalNorwalk, OH · CCN 36006513$1,375About average$1,095$8,808
Mercy Health - Tiffin HospitalTiffin, OH · CCN 36008914$1,375About average$1,095$10,404
Marion General HospitalMarion, OH · CCN 36001122$1,375About average$1,090$13,484
Christ HospitalCincinnati, OH · CCN 360163115$1,376About average$1,093$7,082
Bethesda NorthCincinnati, OH · CCN 36017953$1,380About average$1,093$7,131
Ohio Valley Surgical HospitalSpringfield, OH · CCN 36035536$1,381About average$1,080$5,925
Southern Ohio Medical CenterPortsmouth, OH · CCN 36000815$1,387About average$1,089$13,071
Miami Valley HospitalDayton, OH · CCN 360051144$1,394About average$1,105$13,514
Atrium Medical CenterFranklin, OH · CCN 36007618$1,395About average$1,112$10,928
Adena Regional Medical CenterChillicothe, OH · CCN 36015999$1,396About average$1,109$13,846
Good Samaritan HospitalCincinnati, OH · CCN 36013471$1,398About average$1,114$4,074
Avita OntarioOntario, OH · CCN 36036522$1,398About average$1,114$7,315
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 36001615$1,398About average$1,114$20,860
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005626$1,398About average$1,110$14,398
Mercy Health - West HospitalCincinnati, OH · CCN 36023418$1,398About average$1,109$13,375
Mercy Health-Anderson HospitalCincinnati, OH · CCN 36000128$1,398About average$1,108$12,728
McCullough-Hyde Memorial HospitalOxford, OH · CCN 36004628$1,398About average$1,105$11,054
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 36020324$1,404About average$1,103$9,596
University Of Toledo Medical CenterToledo, OH · CCN 36004854$1,406About average$1,109$8,543
Mercy St Vincent Medical CenterToledo, OH · CCN 36011280$1,407About average$1,106$17,115
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011817$1,407About average$1,121$8,426
Grant Medical CenterColumbus, OH · CCN 36001753$1,424About average$1,130$14,742
Doctors HospitalColumbus, OH · CCN 36015212$1,429About average$1,128$13,024
Fairfield Medical CenterLancaster, OH · CCN 36007216$1,437About average$1,145$7,817
Licking Memorial HospitalNewark, OH · CCN 36021831$1,437About average$1,145$9,161
Mount Carmel St Ann'sWesterville, OH · CCN 36001217$1,437About average$1,145$10,295
Riverside Methodist HospitalColumbus, OH · CCN 36000632$1,437About average$1,145$9,871
Memorial HospitalMarysville, OH · CCN 36009216$1,437About average$1,143$15,635
Mount Carmel East & WestColumbus, OH · CCN 36003520$1,438About average$1,130$11,483
Kettering Health Main CampusKettering, OH · CCN 36007923$1,442About average$1,149$14,015
Ohio State University State Health SystemColumbus, OH · CCN 36008564$1,442About average$1,148$11,176
Wilson Memorial HospitalSidney, OH · CCN 36001322$1,443About average$1,146$10,517
Knox Community HospitalMount Vernon, OH · CCN 36004039$1,490About average$1,177$8,319
Mary Rutan HospitalBellefontaine, OH · CCN 36019711$1,545About average$1,231$15,736

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6501$686$655–$932
Mississippi15447$1,143$1,298–$1,315
South Carolina381,868$1,302$1,339–$1,387
Alabama28868$1,311$1,300–$1,349
Tennessee371,298$1,317$1,309–$1,381
Louisiana281,063$1,333$1,306–$1,360
West Virginia19586$1,333$1,293–$1,363
Georgia541,512$1,343$1,358–$1,465
Ohio863,612$1,346$1,332–$1,398
Kentucky27971$1,363$1,334–$1,395
Oklahoma381,936$1,366$1,353–$1,397
Arkansas241,351$1,375$1,351–$1,434
Michigan592,063$1,378$1,377–$1,435
Kansas271,211$1,391$1,372–$1,429
Iowa20704$1,392$1,363–$1,434
Missouri481,646$1,397$1,373–$1,447
Indiana461,499$1,414$1,433–$1,463
Texas1355,815$1,414$1,395–$1,449
Idaho13667$1,418$1,446–$1,498
Nebraska16776$1,424$1,405–$1,462
Florida1013,550$1,425$1,428–$1,456
Virginia522,383$1,426$1,384–$1,500
North Carolina552,093$1,428$1,399–$1,447
Utah25731$1,432$1,395–$1,440
Maine11315$1,451$1,402–$1,496
Pennsylvania894,368$1,454$1,422–$1,538
Wisconsin481,852$1,461$1,441–$1,491
Illinois662,210$1,486$1,455–$1,526
New Mexico10474$1,502$1,400–$1,499
Colorado27746$1,510$1,530–$1,533
Montana9389$1,516$1,499–$1,519
New Hampshire10475$1,522$1,505–$1,539
South Dakota131,029$1,525$1,498–$1,614
Minnesota411,407$1,528$1,487–$1,546
North Dakota5594$1,541$1,507–$1,572
Arizona401,437$1,570$1,566–$1,568
Wyoming6118$1,584$1,527–$1,614
Delaware5335$1,610$1,613–$1,613
Rhode Island7233$1,617$1,583–$1,631
District of Columbia5172$1,623$1,644–$1,644
Washington402,105$1,649$1,603–$1,690
New Jersey381,533$1,689$1,675–$1,704
Alaska6195$1,697$1,668–$1,720
Massachusetts473,693$1,708$1,695–$1,726
Nevada16427$1,711$1,699–$1,722
Oregon26779$1,720$1,651–$1,730
New York894,787$1,731$1,704–$1,815
Connecticut21595$1,788$1,762–$1,809
Hawaii9274$1,893$1,809–$1,980
California1385,100$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.