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 1,251–1,300. 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
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	14	$1,539	About average	$1,173	$32,089
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	38	$1,539	About average	$1,221	$14,688
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 240064	51	$1,540	About average	$1,224	$7,243
Winchester Medical CenterWinchester, VA · CCN 490005	31	$1,540	About average	$1,219	$4,577
Indiana Regional Medical CenterIndiana, PA · CCN 390173	12	$1,540	About average	$1,227	$10,849
Loyola University Medical CenterMaywood, IL · CCN 140276	54	$1,540	About average	$1,222	$10,170
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	40	$1,540	About average	$1,225	$7,011
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	21	$1,540	About average	$1,219	$7,002
Highline Medical CenterBurien, WA · CCN 500011	13	$1,541	About average	$1,207	$13,412
Exeter Hospital IncExeter, NH · CCN 300023	31	$1,541	About average	$1,226	$6,588
Phoenixville HospitalPhoenixville, PA · CCN 390127	83	$1,541	About average	$1,228	$9,835
Community Medical CenterToms River, NJ · CCN 310041	38	$1,542	About average	$1,194	$9,780
Tucson Medical CenterTucson, AZ · CCN 030006	31	$1,542	About average	$1,229	$7,321
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	13	$1,542	About average	$1,229	$5,894
Castleview HospitalPrice, UT · CCN 460011	40	$1,542	About average	$1,228	$10,597
Wayne Memorial HospitalHonesdale, PA · CCN 390125	13	$1,542	About average	$1,229	$9,387
St. George Regional HospitalSt George, UT · CCN 460021	58	$1,542	About average	$1,223	$7,664
St Lukes HospitalBethlehem, PA · CCN 390049	158	$1,543	About average	$1,222	$12,785
Mary Rutan HospitalBellefontaine, OH · CCN 360197	11	$1,545	About average	$1,231	$15,736
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	43	$1,545	About average	$1,231	$18,391
Olmsted Medical CenterRochester, MN · CCN 240006	26	$1,546	About average	$1,232	$4,412
Lehigh Valley HospitalAllentown, PA · CCN 390133	303	$1,547	About average	$1,228	$11,463
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	18	$1,547	About average	$1,233	$12,305
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	23	$1,549	About average	$1,234	$6,821
Roger Williams Medical CenterProvidence, RI · CCN 410004	16	$1,550	About average	$1,218	$3,813
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	34	$1,551	About average	$1,235	$13,588
Chester County HospitalWest Chester, PA · CCN 390179	28	$1,551	About average	$1,235	$13,211
Doylestown HospitalDoylestown, PA · CCN 390203	34	$1,551	About average	$1,235	$9,382
Paoli HospitalPaoli, PA · CCN 390153	35	$1,551	About average	$1,235	$11,159
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	16	$1,551	About average	$1,235	$8,781
Main Line Hospital LankenauWynnewood, PA · CCN 390195	59	$1,551	About average	$1,232	$10,105
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	83	$1,551	About average	$1,223	$8,892
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	37	$1,552	About average	$1,229	$9,504
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	104	$1,552	About average	$1,235	$9,751
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	21	$1,554	About average	$1,238	$7,409
St Joseph Medical CenterTacoma, WA · CCN 500108	63	$1,555	About average	$1,202	$17,501
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	38	$1,555	About average	$1,224	$5,173
Westerly HospitalWesterly, RI · CCN 410013	11	$1,555	About average	$1,206	$8,192
Alomere HealthAlexandria, MN · CCN 240030	34	$1,555	About average	$1,239	$5,993
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	56	$1,556	About average	$1,239	$6,909
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107	114	$1,556	About average	$1,238	$6,469
Good Samaritan Medical CenterBrockton, MA · CCN 220111	58	$1,557	About average	$1,236	$5,784
Jackson HospitalMarianna, FL · CCN 100142	12	$1,559	About average	$1,242	$5,982
Flagler HospitalSaint Augustine, FL · CCN 100090	68	$1,559	About average	$1,237	$11,190
Great Plains HealthNorth Platte, NE · CCN 280065	13	$1,560	About average	$1,243	$7,873
San Juan Regional Medical Center IncFarmington, NM · CCN 320005	12	$1,560	About average	$1,243	$10,638
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	15	$1,560	About average	$1,243	$8,736
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	14	$1,560	About average	$1,233	$8,101
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	30	$1,561	About average	$1,244	$21,296
Riddle Memorial HospitalMedia, PA · CCN 390222	19	$1,561	About average	$1,244	$10,204

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.