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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 Pennsylvania

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
Pennsylvania
Specific hospitals up to 10
Average payment across these 89 hospitals
$1,454National $1,511 · Pennsylvania $1,454
Median hospital
$1,447
Lowest to highest
$754–$1,694
Medicare procedures
4,368

89 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–89. Download as CSV

HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Robert Packer HospitalSayre, PA · CCN 39007975$1,476About average$1,173$6,648
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 39014216$1,484About average$1,163$13,095
Wellspan Surgery And Rehabilitation HospitalYork, PA · CCN 39032776$1,485About average$1,183$11,518
Jefferson Lansdale HospitalLansdale, PA · CCN 39001269$1,490About average$1,177$4,278
Lancaster General HospitalLancaster, PA · CCN 39010060$1,495About average$1,191$12,038
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011575$1,505About average$1,188$7,646
Physicians Care Surgical HospitalRoyersford, PA · CCN 39032493$1,508About average$1,193$14,390
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 39032924$1,508About average$1,193$4,982
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 39003569$1,510About average$1,197$13,566
Penn Highlands DuboisDubois, PA · CCN 39008648$1,512About average$1,197$5,803
Wellspan Good Samaritan HospitalLebanon, PA · CCN 39006625$1,524About average$1,213$10,298
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 39032260$1,525About average$1,209$26,755
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017468$1,533About average$1,221$11,085
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 39011014$1,537About average$1,225$7,674
UPMC AltoonaAltoona, PA · CCN 39007322$1,537About average$1,225$7,182
Meadville Medical CenterMeadville, PA · CCN 390113102$1,537About average$1,223$6,547
UPMC KaneKane, PA · CCN 39010413$1,538About average$1,210$6,156
Indiana Regional Medical CenterIndiana, PA · CCN 39017312$1,540About average$1,227$10,849
Phoenixville HospitalPhoenixville, PA · CCN 39012783$1,541About average$1,228$9,835
Wayne Memorial HospitalHonesdale, PA · CCN 39012513$1,542About average$1,229$9,387
St Lukes HospitalBethlehem, PA · CCN 390049158$1,543About average$1,222$12,785
Lehigh Valley HospitalAllentown, PA · CCN 390133303$1,547About average$1,228$11,463
Bryn Mawr HospitalBryn Mawr, PA · CCN 39013934$1,551About average$1,235$13,588
Chester County HospitalWest Chester, PA · CCN 39017928$1,551About average$1,235$13,211
Doylestown HospitalDoylestown, PA · CCN 39020334$1,551About average$1,235$9,382
Paoli HospitalPaoli, PA · CCN 39015335$1,551About average$1,235$11,159
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 39005716$1,551About average$1,235$8,781
Main Line Hospital LankenauWynnewood, PA · CCN 39019559$1,551About average$1,232$10,105
Riddle Memorial HospitalMedia, PA · CCN 39022219$1,561About average$1,244$10,204
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 39020111$1,568About average$1,232$15,338
St Mary Medical CenterLanghorne, PA · CCN 39025869$1,597About average$1,270$10,604
Wellspan Chambersburg HospitalChambersburg, PA · CCN 39015113$1,604About average$1,278$15,851
Pennsylvania HospitalPhiladelphia, PA · CCN 39022635$1,619About average$1,290$11,738
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022397$1,619About average$1,290$20,748
Temple University HospitalPhiladelphia, PA · CCN 39002748$1,619About average$1,290$36,872
Mount Nittany Medical CenterState College, PA · CCN 39026821$1,622About average$1,292$9,315
Saint Vincent HospitalErie, PA · CCN 39000944$1,633About average$1,288$12,013
Warren General HospitalWarren, PA · CCN 39014617$1,69412% above$1,342$3,839
UPMC HamotErie, PA · CCN 39006331$1,69412% above$1,332$13,032

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
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
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.