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 1,201–1,250. 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
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	15	$1,526	About average	$1,216	$13,408
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	13	$1,526	About average	$1,216	$7,903
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	15	$1,526	About average	$1,216	$7,619
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	48	$1,526	About average	$1,216	$14,624
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	13	$1,526	About average	$1,212	$10,691
Swedish HospitalChicago, IL · CCN 140114	24	$1,526	About average	$1,212	$9,288
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	28	$1,526	About average	$1,211	$15,868
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	40	$1,526	About average	$1,209	$11,206
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	22	$1,526	About average	$1,207	$16,727
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	33	$1,526	About average	$1,207	$15,342
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	62	$1,526	About average	$1,197	$14,078
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	16	$1,526	About average	$1,192	$14,417
Cheshire Medical CenterKeene, NH · CCN 300019	73	$1,527	About average	$1,204	$6,037
Augusta HealthFishersville, VA · CCN 490018	97	$1,528	About average	$1,209	$6,622
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	11	$1,530	About average	$1,203	$11,181
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	48	$1,530	About average	$1,213	$3,977
AdventHealth ParkerParker, CO · CCN 060114	13	$1,530	About average	$1,219	$25,627
Boulder Community HealthBoulder, CO · CCN 060027	35	$1,530	About average	$1,219	$18,091
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	18	$1,530	About average	$1,219	$9,144
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	16	$1,530	About average	$1,219	$11,550
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	11	$1,530	About average	$1,219	$6,730
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	23	$1,530	About average	$1,219	$46,863
Swedish Medical CenterEnglewood, CO · CCN 060034	19	$1,530	About average	$1,219	$40,298
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	29	$1,530	About average	$1,219	$22,199
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	26	$1,530	About average	$1,216	$11,167
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	56	$1,530	About average	$1,216	$13,706
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	15	$1,530	About average	$1,215	$17,383
Medical Center Of The RockiesLoveland, CO · CCN 060119	23	$1,530	About average	$1,210	$9,689
AdventHealth Castle RockCastle Rock, CO · CCN 060125	19	$1,530	About average	$1,209	$12,262
Poudre Valley HospitalFort Collins, CO · CCN 060010	39	$1,530	About average	$1,207	$11,390
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	68	$1,533	About average	$1,221	$11,085
Concord HospitalConcord, NH · CCN 300001	17	$1,533	About average	$1,221	$11,463
Norton-King's Daughters' HealthMadison, IN · CCN 150069	13	$1,534	About average	$1,222	$8,155
Memorial HospitalLogansport, IN · CCN 150072	15	$1,534	About average	$1,220	$12,012
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	11	$1,536	About average	$1,224	$10,471
Renown Regional Medical CenterReno, NV · CCN 290001	26	$1,536	About average	$1,213	$16,312
Cambridge Medical CenterCambridge, MN · CCN 240020	14	$1,536	About average	$1,224	$7,783
Lakeview Memorial HospitalStillwater, MN · CCN 240066	19	$1,536	About average	$1,224	$7,134
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	11	$1,536	About average	$1,224	$7,319
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	17	$1,536	About average	$1,224	$8,721
Ridgeview Medical CenterWaconia, MN · CCN 240056	19	$1,536	About average	$1,224	$5,451
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	48	$1,536	About average	$1,224	$8,523
Regions HospitalSaint Paul, MN · CCN 240106	30	$1,536	About average	$1,224	$7,509
Fairview Lakes Health ServicesWyoming, MN · CCN 240050	12	$1,536	About average	$1,221	$8,685
Northfield HospitalNorthfield, MN · CCN 240014	35	$1,536	About average	$1,217	$7,307
Maple Grove HospitalMaple Grove, MN · CCN 240214	20	$1,536	About average	$1,214	$5,875
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	14	$1,537	About average	$1,225	$7,674
UPMC AltoonaAltoona, PA · CCN 390073	22	$1,537	About average	$1,225	$7,182
Meadville Medical CenterMeadville, PA · CCN 390113	102	$1,537	About average	$1,223	$6,547
UPMC KaneKane, PA · CCN 390104	13	$1,538	About average	$1,210	$6,156

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.