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 Texas

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.

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Average payment across these 135 hospitals: $1,414National $1,511 · Texas $1,414
Median hospital: $1,415
Lowest to highest: $698–$1,554
Medicare procedures: 5,815

135 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
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	11	$1,399	About average	$1,114	$22,905
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	28	$1,400	About average	$1,106	$28,712
The Physicians CentreBryan, TX · CCN 450834	11	$1,400	About average	$1,106	$8,581
JPS Health NetworkFort Worth, TX · CCN 450039	21	$1,402	About average	$1,101	$12,900
De Tar Hospital NavarroVictoria, TX · CCN 450147	12	$1,403	About average	$1,113	$23,840
Lake Granbury Medical CenterGranbury, TX · CCN 450596	24	$1,403	About average	$1,108	$33,064
Longview Regional Medical CenterLongview, TX · CCN 450702	62	$1,404	About average	$1,107	$25,740
North Central Surgical Center LLPDallas, TX · CCN 670049	113	$1,408	About average	$1,120	$8,849
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	44	$1,409	About average	$1,106	$14,621
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132	56	$1,410	About average	$1,115	$8,240
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	30	$1,412	About average	$1,118	$15,370
Ascension Seton HaysKyle, TX · CCN 670056	13	$1,415	About average	$1,127	$18,798
Ascension Seton NorthwestAustin, TX · CCN 450867	13	$1,415	About average	$1,127	$29,513
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	19	$1,415	About average	$1,127	$7,261
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	12	$1,415	About average	$1,127	$25,571
Round Rock Medical CenterRound Rock, TX · CCN 450718	20	$1,415	About average	$1,127	$20,377
St David's Medical CenterAustin, TX · CCN 450431	38	$1,415	About average	$1,119	$18,931
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	21	$1,415	About average	$1,118	$15,880
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	19	$1,415	About average	$1,113	$20,171
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	13	$1,418	About average	$1,130	$15,761
Baylor University Medical CenterDallas, TX · CCN 450021	45	$1,421	About average	$1,132	$13,382
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	147	$1,423	About average	$1,128	$8,312
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 450888	45	$1,425	About average	$1,128	$9,375
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	84	$1,427	About average	$1,127	$24,591
Shannon Medical CenterSan Angelo, TX · CCN 450571	162	$1,432	About average	$1,128	$14,729
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	57	$1,438	About average	$1,146	$8,684
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	37	$1,438	About average	$1,127	$40,901
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	23	$1,439	About average	$1,128	$20,187
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	44	$1,443	About average	$1,144	$13,691
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	25	$1,444	About average	$1,140	$16,972
Texoma Medical CenterDenison, TX · CCN 450324	22	$1,446	About average	$1,165	$23,895
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	27	$1,446	About average	$1,143	$17,936
Legent Surgical Hospital PlanoPlano, TX · CCN 670322	44	$1,446	About average	$1,152	$20,753
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	15	$1,446	About average	$1,152	$13,147
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	12	$1,446	About average	$1,152	$20,661
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	12	$1,446	About average	$1,152	$10,839
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	16	$1,446	About average	$1,152	$11,425
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 450874	12	$1,446	About average	$1,152	$8,376
Methodist McKinney HospitalMckinney, TX · CCN 670069	24	$1,446	About average	$1,152	$12,528
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	20	$1,446	About average	$1,152	$11,632
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	27	$1,446	About average	$1,152	$15,249
Medical City PlanoPlano, TX · CCN 450651	29	$1,446	About average	$1,150	$39,416
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 450891	45	$1,446	About average	$1,148	$9,677
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	47	$1,446	About average	$1,148	$9,554
Hunt Regional Medical CenterGreenville, TX · CCN 450352	22	$1,447	About average	$1,144	$7,134
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	20	$1,447	About average	$1,143	$13,842
Methodist Charlton Medical CenterDallas, TX · CCN 450723	17	$1,447	About average	$1,135	$11,617
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	13	$1,447	About average	$1,153	$25,809
Ascension ProvidenceWaco, TX · CCN 450042	22	$1,447	About average	$1,153	$15,039
Memorial Hermann Surgical Hospital KingwoodKingwood, TX · CCN 670005	54	$1,448	About average	$1,144	$13,782

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.