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 1,001–1,050. 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
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	52	$1,468	About average	$1,161	$28,020
Trinity Health Livingston HospitalHowell, MI · CCN 230069	39	$1,468	About average	$1,170	$12,740
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	24	$1,469	About average	$1,164	$25,177
Northern Light Mercy HospitalPortland, ME · CCN 200008	29	$1,469	About average	$1,155	$6,565
Dunes Surgical HospitalDakota Dunes, SD · CCN 430089	32	$1,469	About average	$1,163	$16,074
Ascension St Vincent KokomoKokomo, IN · CCN 150010	12	$1,469	About average	$1,171	$11,238
Memorial HospitalBelleville, IL · CCN 140185	74	$1,469	About average	$1,160	$8,918
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	20	$1,469	About average	$1,136	$17,585
Salina Regional Health CenterSalina, KS · CCN 170012	64	$1,470	About average	$1,171	$7,849
University Of Kansas Health System Great Bend CampusGreat Bend, KS · CCN 170191	47	$1,470	About average	$1,171	$5,427
Pratt Regional Medical CenterPratt, KS · CCN 170027	33	$1,470	About average	$1,162	$6,770
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	51	$1,470	About average	$1,172	$11,480
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	25	$1,470	About average	$1,167	$11,676
York HospitalYork, ME · CCN 200020	28	$1,471	About average	$1,160	$7,038
Highlands Medical CenterScottsboro, AL · CCN 010061	11	$1,472	About average	$1,173	$6,534
Northeast Regional Medical CenterKirksville, MO · CCN 260022	21	$1,472	About average	$1,159	$16,787
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	14	$1,473	About average	$1,161	$5,186
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	36	$1,474	About average	$1,167	$9,454
Anmed HealthAnderson, SC · CCN 420027	67	$1,474	About average	$1,175	$13,482
Newberry County Memorial HospitalNewberry, SC · CCN 420053	12	$1,474	About average	$1,175	$7,360
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	17	$1,474	About average	$1,174	$19,671
Essentia HealthFargo, ND · CCN 350070	37	$1,474	About average	$1,168	$6,862
Houston Methodist HospitalHouston, TX · CCN 450358	153	$1,475	About average	$1,171	$18,900
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	54	$1,475	About average	$1,165	$7,553
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	84	$1,476	About average	$1,175	$4,629
Berkeley Medical CenterMartinsburg, WV · CCN 510008	17	$1,476	About average	$1,176	$7,342
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	49	$1,476	About average	$1,176	$10,714
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	39	$1,476	About average	$1,169	$7,196
National Park Medical CenterHot Springs, AR · CCN 040078	25	$1,476	About average	$1,176	$36,104
Robert Packer HospitalSayre, PA · CCN 390079	75	$1,476	About average	$1,173	$6,648
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	106	$1,476	About average	$1,166	$8,470
Texas Orthopedic HospitalHouston, TX · CCN 450804	174	$1,477	About average	$1,174	$22,097
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	91	$1,477	About average	$1,172	$14,351
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	194	$1,477	About average	$1,175	$6,507
Northern Maine Medical CenterFort Kent, ME · CCN 200052	12	$1,477	About average	$1,168	$5,989
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	17	$1,477	About average	$1,175	$6,266
Summit Medical CenterCasper, WY · CCN 530034	13	$1,478	About average	$1,177	$8,917
Self Regional HealthcareGreenwood, SC · CCN 420071	16	$1,478	About average	$1,177	$6,326
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	57	$1,478	About average	$1,173	$12,298
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	22	$1,478	About average	$1,161	$6,853
Columbus Regional HospitalColumbus, IN · CCN 150112	11	$1,479	About average	$1,173	$6,368
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	18	$1,479	About average	$1,148	$9,363
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	24	$1,479	About average	$1,168	$12,399
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	78	$1,480	About average	$1,176	$8,963
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	11	$1,480	About average	$1,156	$15,668
Ashley Regional Medical CenterVernal, UT · CCN 460030	20	$1,481	About average	$1,156	$14,094
Twin County Regional HospitalGalax, VA · CCN 490115	15	$1,482	About average	$1,181	$14,862
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	12	$1,482	About average	$1,178	$13,347
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	37	$1,482	About average	$1,181	$11,793
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	177	$1,482	About average	$1,176	$12,186

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.