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 1,151–1,200. 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
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	24	$1,507	About average	$1,200	$5,970
Avera St LukesAberdeen, SD · CCN 430014	59	$1,507	About average	$1,200	$8,535
Sanford Medical Center FargoFargo, ND · CCN 350011	215	$1,507	About average	$1,198	$5,974
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	48	$1,507	About average	$1,197	$11,551
Sanford Medical Center BismarckBismarck, ND · CCN 350015	44	$1,507	About average	$1,194	$5,084
Inova Loudoun HospitalLeesburg, VA · CCN 490043	33	$1,507	About average	$1,201	$12,031
Mary Washington HospitalFredericksburg, VA · CCN 490022	16	$1,507	About average	$1,201	$10,370
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	12	$1,507	About average	$1,201	$15,918
Virginia Hospital CenterArlington, VA · CCN 490050	45	$1,507	About average	$1,199	$5,855
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	29	$1,507	About average	$1,194	$10,200
Inova Fairfax HospitalFalls Church, VA · CCN 490063	78	$1,507	About average	$1,192	$10,662
Fauquier HospitalWarrenton, VA · CCN 490023	30	$1,507	About average	$1,192	$14,190
Stonesprings Hospital CenterDulles, VA · CCN 490145	13	$1,507	About average	$1,186	$13,519
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	21	$1,508	About average	$1,189	$25,066
Physicians Care Surgical HospitalRoyersford, PA · CCN 390324	93	$1,508	About average	$1,193	$14,390
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	24	$1,508	About average	$1,193	$4,982
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	38	$1,509	About average	$1,181	$19,113
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	29	$1,509	About average	$1,201	$6,386
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	24	$1,509	About average	$1,201	$8,737
McLaren FlintFlint, MI · CCN 230141	27	$1,510	About average	$1,196	$5,556
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	41	$1,510	About average	$1,194	$7,959
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	30	$1,510	About average	$1,203	$6,225
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	69	$1,510	About average	$1,197	$13,566
Southern Maine Health CareBiddeford, ME · CCN 200019	14	$1,510	About average	$1,198	$6,898
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	11	$1,511	About average	$1,204	$13,431
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	16	$1,512	About average	$1,204	$11,961
Franciscan Health Crown PointCrown Point, IN · CCN 150126	17	$1,512	About average	$1,204	$14,859
Froedtert South Inc.Kenosha, WI · CCN 520021	27	$1,512	About average	$1,204	$11,512
Riverside Medical CenterKankakee, IL · CCN 140186	13	$1,512	About average	$1,204	$14,160
St Mary Medical Center IncHobart, IN · CCN 150034	17	$1,512	About average	$1,193	$14,068
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	44	$1,512	About average	$1,204	$8,032
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	34	$1,512	About average	$1,205	$10,356
Penn Highlands DuboisDubois, PA · CCN 390086	48	$1,512	About average	$1,197	$5,803
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	27	$1,512	About average	$1,202	$3,963
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	220	$1,513	About average	$1,198	$11,146
Phelps County Regional Medical CenterRolla, MO · CCN 260017	68	$1,514	About average	$1,203	$11,072
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	73	$1,514	About average	$1,203	$5,718
St Peters HealthHelena, MT · CCN 270003	40	$1,519	About average	$1,198	$4,989
Trios HealthKennewick, WA · CCN 500053	14	$1,521	About average	$1,193	$6,156
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	211	$1,522	About average	$1,205	$9,119
HCA Florida Lake City HospitalLake City, FL · CCN 100156	21	$1,522	About average	$1,204	$23,620
Reston Hospital CenterReston, VA · CCN 490107	38	$1,523	About average	$1,210	$16,622
United Memorial Medical CenterBatavia, NY · CCN 330073	17	$1,524	About average	$1,210	$8,115
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	25	$1,524	About average	$1,213	$10,298
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	29	$1,524	About average	$1,200	$5,846
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	20	$1,525	About average	$1,215	$7,758
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	52	$1,525	About average	$1,215	$6,914
St Lukes HospitalDuluth, MN · CCN 240047	40	$1,525	About average	$1,215	$5,917
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 390322	60	$1,525	About average	$1,209	$26,755
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	55	$1,525	About average	$1,213	$6,279

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.