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

Compare hospitals

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

Specific hospitals up to 10

Sort by

Order

Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,051–1,100. 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
Marshfield Medical CenterMarshfield, WI · CCN 520037	74	$1,482	About average	$1,175	$3,977
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	13	$1,482	About average	$1,166	$6,699
McLaren Northern MichiganPetoskey, MI · CCN 230105	39	$1,482	About average	$1,160	$3,706
UnityPoint Health - MeriterMadison, WI · CCN 520089	42	$1,482	About average	$1,181	$13,345
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	87	$1,482	About average	$1,174	$6,689
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	15	$1,483	About average	$1,180	$5,991
Columbus Community Hospital, IncColumbus, NE · CCN 280111	65	$1,483	About average	$1,182	$12,637
Regional West Medical CenterScottsbluff, NE · CCN 280061	33	$1,483	About average	$1,176	$10,527
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	32	$1,484	About average	$1,176	$9,929
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	16	$1,484	About average	$1,163	$13,095
Goshen HospitalGoshen, IN · CCN 150026	12	$1,484	About average	$1,182	$7,694
Wellspan Surgery And Rehabilitation HospitalYork, PA · CCN 390327	76	$1,485	About average	$1,183	$11,518
Saint Joseph Regional Medical Center - PlymouthPlymouth, IN · CCN 150076	12	$1,485	About average	$1,155	$13,211
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	20	$1,485	About average	$1,158	$10,908
St Catherine Hospital IncEast Chicago, IN · CCN 150008	45	$1,485	About average	$1,175	$14,537
Inova Alexandria HospitalAlexandria, VA · CCN 490040	54	$1,485	About average	$1,175	$8,335
Alton Memorial HospitalAlton, IL · CCN 140002	26	$1,485	About average	$1,183	$10,740
Carle Bromenn Medical CenterNormal, IL · CCN 140127	13	$1,485	About average	$1,183	$4,825
Heartland Regional Medical CenterMarion, IL · CCN 140184	13	$1,485	About average	$1,183	$25,472
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	22	$1,485	About average	$1,183	$10,554
Saint Francis Medical CenterPeoria, IL · CCN 140067	30	$1,485	About average	$1,183	$17,001
St Joseph Medical CenterBloomington, IL · CCN 140162	15	$1,485	About average	$1,183	$9,214
St Josephs HospitalBreese, IL · CCN 140145	22	$1,485	About average	$1,183	$11,385
Trinity Rock IslandRock Island, IL · CCN 140280	14	$1,485	About average	$1,183	$7,116
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	15	$1,486	About average	$1,167	$8,634
Kootenai HealthCoeur D'Alene, ID · CCN 130049	172	$1,486	About average	$1,169	$6,862
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	21	$1,487	About average	$1,184	$8,737
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	138	$1,487	About average	$1,185	$8,867
St Francis Regional Medical CenterShakopee, MN · CCN 240104	25	$1,487	About average	$1,175	$5,883
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	56	$1,488	About average	$1,174	$19,382
Knox Community HospitalMount Vernon, OH · CCN 360040	39	$1,490	About average	$1,177	$8,319
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	88	$1,490	About average	$1,187	$10,696
HCA Houston Healthcare TomballTomball, TX · CCN 450670	27	$1,490	About average	$1,187	$43,146
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	11	$1,490	About average	$1,187	$16,845
St Luke's Hospital At The VintageHouston, TX · CCN 670075	18	$1,490	About average	$1,187	$16,855
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	50	$1,490	About average	$1,183	$12,587
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	69	$1,490	About average	$1,177	$4,278
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	51	$1,491	About average	$1,174	$10,827
Palos Community HospitalPalos Heights, IL · CCN 140062	79	$1,491	About average	$1,183	$11,083
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	14	$1,492	About average	$1,188	$6,582
Emory University HospitalAtlanta, GA · CCN 110010	17	$1,492	About average	$1,188	$8,069
Northside HospitalAtlanta, GA · CCN 110161	21	$1,492	About average	$1,188	$14,017
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	21	$1,492	About average	$1,188	$20,513
Piedmont Henry HospitalStockbridge, GA · CCN 110191	18	$1,492	About average	$1,188	$19,726
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	17	$1,492	About average	$1,188	$19,812
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	19	$1,492	About average	$1,188	$17,774
Grady Memorial HospitalAtlanta, GA · CCN 110079	12	$1,492	About average	$1,188	$31,918
Northside Hospital ForsythCumming, GA · CCN 110005	37	$1,492	About average	$1,188	$11,158
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	25	$1,492	About average	$1,181	$16,871
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	14	$1,492	About average	$1,162	$15,413

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.