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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

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,301–1,350. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 14025827$1,563About average$1,245$12,895
Beloit Health SystemBeloit, WI · CCN 52010028$1,563About average$1,245$9,989
Rush University Medical CenterChicago, IL · CCN 14011911$1,563About average$1,245$11,383
Saint Anthony Medical CenterRockford, IL · CCN 14023320$1,563About average$1,245$11,491
St Alexius Medical CenterHoffman Estates, IL · CCN 14029013$1,563About average$1,245$13,260
The University Of Chicago Medical CenterChicago, IL · CCN 14008844$1,563About average$1,245$16,694
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015014$1,563About average$1,245$14,488
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 14000826$1,563About average$1,242$12,120
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 14028611$1,563About average$1,242$13,874
Northwestern Memorial HospitalChicago, IL · CCN 140281104$1,563About average$1,241$15,338
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004157$1,565About average$1,240$9,043
Abrazo Scottsdale CampusPhoenix, AZ · CCN 03008314$1,567About average$1,249$21,843
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 03011211$1,567About average$1,249$7,605
Banner Boswell Medical CenterSun City, AZ · CCN 03006126$1,567About average$1,249$9,463
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 03009345$1,567About average$1,249$10,966
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 03013011$1,567About average$1,249$9,968
Chandler Regional Medical CenterChandler, AZ · CCN 03003642$1,567About average$1,249$17,445
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 03012114$1,567About average$1,249$20,100
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 03001423$1,567About average$1,249$20,112
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 03003838$1,567About average$1,249$19,368
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011920$1,567About average$1,249$14,720
Oro Valley HospitalOro Valley, AZ · CCN 03011425$1,567About average$1,249$21,768
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 03010121$1,567About average$1,249$28,435
St Joseph's HospitalTucson, AZ · CCN 03001116$1,567About average$1,248$28,185
Kingman Regional Medical CenterKingman, AZ · CCN 03005517$1,567About average$1,246$25,812
Dignity Health Arizona General HospitalMesa, AZ · CCN 03013912$1,567About average$1,241$6,997
Northwest Medical CenterTucson, AZ · CCN 03008544$1,567About average$1,240$22,864
Abrazo West CampusGoodyear, AZ · CCN 03011016$1,567About average$1,237$32,113
Banner Ocotillo Medical CenterChandler, AZ · CCN 03014711$1,567About average$1,236$10,921
Banner Desert Medical CenterMesa, AZ · CCN 03006518$1,568About average$1,233$12,308
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 03014818$1,568About average$1,233$26,977
Banner Baywood Medical CenterMesa, AZ · CCN 03008828$1,568About average$1,228$9,150
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 39020111$1,568About average$1,232$15,338
Skagit Valley HospitalMount Vernon, WA · CCN 50000380$1,568About average$1,241$7,356
Copley Memorial HospitalAurora, IL · CCN 14002940$1,569About average$1,245$13,094
Southern NH Medical CenterNashua, NH · CCN 30002026$1,570About average$1,243$11,660
Altru HospitalGrand Forks, ND · CCN 350019189$1,572About average$1,246$9,212
Monmouth Medical CenterLong Branch, NJ · CCN 31007520$1,574About average$1,218$10,399
Missouri Delta Medical CenterSikeston, MO · CCN 26011326$1,575About average$1,255$11,520
Nyack HospitalNyack, NY · CCN 33010490$1,575About average$1,251$14,613
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005469$1,578About average$1,245$8,043
Maine General Medical CenterAugusta, ME · CCN 20003941$1,578About average$1,255$3,828
Lake Region Healthcare CorporationFergus Falls, MN · CCN 24005239$1,582About average$1,260$10,756
Multicare Auburn Medical CenterAuburn, WA · CCN 50001522$1,582About average$1,248$17,043
Harborview Medical CenterSeattle, WA · CCN 50006444$1,584About average$1,252$10,849
Virginia Mason Medical CenterSeattle, WA · CCN 500005121$1,590About average$1,259$8,051
Trinity HospitalsMinot, ND · CCN 350006109$1,590About average$1,259$8,094
Valley View Medical CenterFort Mohave, AZ · CCN 03011711$1,591About average$1,249$30,438
Legacy Emanuel Medical CenterPortland, OR · CCN 38000714$1,591About average$1,234$10,838
Graham Hospital AssociationCanton, IL · CCN 14000111$1,591About average$1,267$10,544

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6501$686$655–$932
Mississippi15447$1,143$1,298–$1,315
South Carolina381,868$1,302$1,339–$1,387
Alabama28868$1,311$1,300–$1,349
Tennessee371,298$1,317$1,309–$1,381
Louisiana281,063$1,333$1,306–$1,360
West Virginia19586$1,333$1,293–$1,363
Georgia541,512$1,343$1,358–$1,465
Ohio863,612$1,346$1,332–$1,398
Kentucky27971$1,363$1,334–$1,395
Oklahoma381,936$1,366$1,353–$1,397
Arkansas241,351$1,375$1,351–$1,434
Michigan592,063$1,378$1,377–$1,435
Kansas271,211$1,391$1,372–$1,429
Iowa20704$1,392$1,363–$1,434
Missouri481,646$1,397$1,373–$1,447
Indiana461,499$1,414$1,433–$1,463
Texas1355,815$1,414$1,395–$1,449
Idaho13667$1,418$1,446–$1,498
Nebraska16776$1,424$1,405–$1,462
Florida1013,550$1,425$1,428–$1,456
Virginia522,383$1,426$1,384–$1,500
North Carolina552,093$1,428$1,399–$1,447
Utah25731$1,432$1,395–$1,440
Maine11315$1,451$1,402–$1,496
Pennsylvania894,368$1,454$1,422–$1,538
Wisconsin481,852$1,461$1,441–$1,491
Illinois662,210$1,486$1,455–$1,526
New Mexico10474$1,502$1,400–$1,499
Colorado27746$1,510$1,530–$1,533
Montana9389$1,516$1,499–$1,519
New Hampshire10475$1,522$1,505–$1,539
South Dakota131,029$1,525$1,498–$1,614
Minnesota411,407$1,528$1,487–$1,546
North Dakota5594$1,541$1,507–$1,572
Arizona401,437$1,570$1,566–$1,568
Wyoming6118$1,584$1,527–$1,614
Delaware5335$1,610$1,613–$1,613
Rhode Island7233$1,617$1,583–$1,631
District of Columbia5172$1,623$1,644–$1,644
Washington402,105$1,649$1,603–$1,690
New Jersey381,533$1,689$1,675–$1,704
Alaska6195$1,697$1,668–$1,720
Massachusetts473,693$1,708$1,695–$1,726
Nevada16427$1,711$1,699–$1,722
Oregon26779$1,720$1,651–$1,730
New York894,787$1,731$1,704–$1,815
Connecticut21595$1,788$1,762–$1,809
Hawaii9274$1,893$1,809–$1,980
California1385,100$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.