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 1,101–1,150. 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
Covenant Hospital PlainviewPlainview, TX · CCN 450539	22	$1,494	About average	$1,190	$12,163
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	12	$1,494	About average	$1,190	$5,637
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	21	$1,494	About average	$1,181	$19,820
MacNeal HospitalBerwyn, IL · CCN 140054	18	$1,494	About average	$1,168	$18,227
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	69	$1,495	About average	$1,191	$8,465
Lancaster General HospitalLancaster, PA · CCN 390100	60	$1,495	About average	$1,191	$12,038
Parkview Medical Center, IncPueblo, CO · CCN 060020	71	$1,496	About average	$1,185	$17,571
Essentia Health VirginiaVirginia, MN · CCN 240084	21	$1,496	About average	$1,192	$5,702
Essentia Health DuluthDuluth, MN · CCN 240019	66	$1,496	About average	$1,189	$3,480
Range Regional Health ServicesHibbing, MN · CCN 240040	22	$1,496	About average	$1,189	$5,532
United Hospital Center, IncBridgeport, WV · CCN 510006	65	$1,496	About average	$1,184	$4,396
Advocate Sherman HospitalElgin, IL · CCN 140030	17	$1,496	About average	$1,177	$13,928
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	118	$1,497	About average	$1,188	$8,666
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	14	$1,498	About average	$1,193	$4,460
Portneuf Medical CenterPocatello, ID · CCN 130028	24	$1,498	About average	$1,175	$17,936
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 430090	132	$1,498	About average	$1,189	$10,309
Onslow Memorial HospitalJacksonville, NC · CCN 340042	15	$1,498	About average	$1,193	$8,253
Watauga Medical CenterBoone, NC · CCN 340051	21	$1,498	About average	$1,193	$7,285
Carolina East Medical CenterNew Bern, NC · CCN 340131	61	$1,498	About average	$1,192	$6,934
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 340109	13	$1,498	About average	$1,190	$11,400
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	19	$1,498	About average	$1,184	$11,042
Sheridan Memorial HospitalSheridan, WY · CCN 530006	15	$1,498	About average	$1,177	$7,939
Christus Southern New MexicoAlamogordo, NM · CCN 320004	19	$1,499	About average	$1,194	$29,767
Covenant Health Hobbs HospitalHobbs, NM · CCN 320065	12	$1,499	About average	$1,194	$14,073
Billings Clinic HospitalBillings, MT · CCN 270004	115	$1,499	About average	$1,193	$2,463
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	18	$1,499	About average	$1,157	$9,277
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	15	$1,499	About average	$1,168	$14,953
Up Health System PortageHancock, MI · CCN 230108	14	$1,500	About average	$1,195	$8,295
Munson Healthcare Grayling HospitalGrayling, MI · CCN 230058	22	$1,500	About average	$1,189	$8,166
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 230133	19	$1,500	About average	$1,185	$7,985
The Monroe ClinicMonroe, WI · CCN 520028	17	$1,500	About average	$1,195	$13,080
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	189	$1,500	About average	$1,187	$8,416
United Regional Health Care SystemWichita Falls, TX · CCN 450010	23	$1,500	About average	$1,187	$8,362
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	203	$1,501	About average	$1,194	$5,165
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	39	$1,502	About average	$1,187	$16,087
Reid HealthRichmond, IN · CCN 150048	38	$1,502	About average	$1,190	$11,069
Hurley Medical CenterFlint, MI · CCN 230132	11	$1,503	About average	$1,197	$17,102
Edward HospitalNaperville, IL · CCN 140231	53	$1,503	About average	$1,185	$15,474
Golden Valley Memorial HospitalClinton, MO · CCN 260175	33	$1,503	About average	$1,198	$7,706
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	22	$1,503	About average	$1,156	$16,657
Bothwell Regional Health CenterSedalia, MO · CCN 260009	24	$1,503	About average	$1,192	$6,777
LmhLawrence, KS · CCN 170137	16	$1,503	About average	$1,185	$9,541
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	21	$1,504	About average	$1,186	$10,724
Wentworth-Douglass HospitalDover, NH · CCN 300018	33	$1,504	About average	$1,183	$11,253
Methodist Fremont HealthFremont, NE · CCN 280077	23	$1,504	About average	$1,198	$8,831
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	75	$1,505	About average	$1,188	$7,646
AdventHealth LittletonLittleton, CO · CCN 060113	17	$1,506	About average	$1,195	$19,490
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	29	$1,506	About average	$1,192	$28,938
Community Medical CenterMissoula, MT · CCN 270023	11	$1,507	About average	$1,201	$7,692
Sanford Medical Center AberdeenAberdeen, SD · CCN 430097	19	$1,507	About average	$1,201	$7,303

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.