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 951–1,000. 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
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	12	$1,456	About average	$1,130	$22,608
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	17	$1,456	About average	$1,129	$18,335
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	33	$1,457	About average	$1,145	$5,171
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	128	$1,459	About average	$1,159	$25,213
Dupont Hospital LLCFort Wayne, IN · CCN 150150	13	$1,459	About average	$1,163	$24,172
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167	18	$1,459	About average	$1,163	$10,633
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	71	$1,461	About average	$1,158	$15,576
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	25	$1,461	About average	$1,141	$5,571
Southwest Medical CenterLiberal, KS · CCN 170068	14	$1,461	About average	$1,163	$8,966
Integris Grove HospitalGrove, OK · CCN 370113	11	$1,462	About average	$1,165	$13,410
Integris Health Ponca CityPonca City, OK · CCN 370006	14	$1,462	About average	$1,165	$17,624
Great Plains Regional Medical CenterElk City, OK · CCN 370019	30	$1,462	About average	$1,161	$5,475
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	19	$1,462	About average	$1,160	$8,243
North Houston Surgical Hospital LLCSpring, TX · CCN 670280	18	$1,462	About average	$1,137	$42,154
Mcalester Regional Health CenterMcalester, OK · CCN 370034	15	$1,462	About average	$1,149	$4,787
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	24	$1,462	About average	$1,157	$10,520
Wellspan York HospitalYork, PA · CCN 390046	15	$1,462	About average	$1,165	$13,057
Memorial Medical CenterSpringfield, IL · CCN 140148	53	$1,463	About average	$1,157	$10,217
White County Medical CenterSearcy, AR · CCN 040014	47	$1,463	About average	$1,164	$5,390
Frisbie Memorial HospitalRochester, NH · CCN 300014	15	$1,464	About average	$1,150	$19,550
Parkland Health CenterFarmington, MO · CCN 260163	18	$1,464	About average	$1,153	$9,218
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	44	$1,464	About average	$1,167	$14,499
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	19	$1,464	About average	$1,167	$8,602
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	46	$1,464	About average	$1,163	$8,781
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 520205	35	$1,464	About average	$1,152	$15,776
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	92	$1,465	About average	$1,159	$25,891
Schneck Medical CenterSeymour, IN · CCN 150065	17	$1,465	About average	$1,161	$7,528
Indiana University HealthIndianapolis, IN · CCN 150056	20	$1,465	About average	$1,157	$14,924
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	21	$1,465	About average	$1,148	$9,228
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	14	$1,465	About average	$1,167	$18,108
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	30	$1,465	About average	$1,167	$6,391
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	11	$1,465	About average	$1,155	$9,424
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	47	$1,465	About average	$1,157	$15,535
AdventHealth GordonCalhoun, GA · CCN 110023	16	$1,465	About average	$1,168	$21,654
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	16	$1,465	About average	$1,168	$22,285
Hamilton Medical CenterDalton, GA · CCN 110001	17	$1,465	About average	$1,168	$12,609
St Mary's HospitalAthens, GA · CCN 110006	22	$1,465	About average	$1,168	$16,187
Aurora Medical Center - SummitSummit, WI · CCN 520206	17	$1,465	About average	$1,168	$8,981
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	14	$1,465	About average	$1,168	$4,825
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	52	$1,465	About average	$1,166	$6,403
Decatur Memorial HospitalDecatur, IL · CCN 140135	109	$1,465	About average	$1,157	$9,709
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	35	$1,465	About average	$1,165	$9,322
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	12	$1,466	About average	$1,168	$11,164
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	97	$1,466	About average	$1,161	$18,874
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	26	$1,466	About average	$1,151	$11,778
Bartow Regional Medical CenterBartow, FL · CCN 100121	20	$1,466	About average	$1,149	$9,388
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	57	$1,466	About average	$1,155	$16,533
AdventHealth Central TexasKilleen, TX · CCN 450152	24	$1,467	About average	$1,161	$17,391
St. Patrick HospitalMissoula, MT · CCN 270014	30	$1,467	About average	$1,154	$4,279
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	51	$1,467	About average	$1,162	$21,465

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.