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 1,351–1,400. 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
Blessing HospitalQuincy, IL · CCN 140015	34	$1,591	About average	$1,263	$13,820
UPMC ChautauquaJamestown, NY · CCN 330239	36	$1,591	About average	$1,239	$5,289
Christiana HospitalNewark, DE · CCN 080001	59	$1,592	About average	$1,261	$6,537
MedStar Washington Hospital CenterWashington, DC · CCN 090011	72	$1,594	About average	$1,252	$11,757
St Mary Medical CenterLanghorne, PA · CCN 390258	69	$1,597	About average	$1,270	$10,604
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	115	$1,598	About average	$1,261	$7,862
Delta County Memorial HospitalDelta, CO · CCN 060071	32	$1,598	About average	$1,252	$4,539
Newark-Wayne Community HospitalNewark, NY · CCN 330030	13	$1,600	About average	$1,253	$8,333
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	12	$1,602	About average	$1,277	$6,429
Sanford Worthington Medical CenterWorthington, MN · CCN 240022	13	$1,602	About average	$1,277	$9,286
Winona Health ServicesWinona, MN · CCN 240044	24	$1,602	About average	$1,276	$3,393
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	64	$1,602	About average	$1,273	$4,298
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	13	$1,604	About average	$1,278	$15,851
OHSU Hospital And ClinicsPortland, OR · CCN 380009	80	$1,604	About average	$1,273	$8,818
Swedish IssaquahIssaquah, WA · CCN 500152	28	$1,605	About average	$1,270	$13,236
UNC Health Care WayneGoldsboro, NC · CCN 340010	40	$1,605	About average	$1,272	$8,367
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	79	$1,606	About average	$1,278	$3,554
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	37	$1,606	About average	$1,272	$13,214
Yuma Regional Medical CenterYuma, AZ · CCN 030013	77	$1,607	About average	$1,274	$12,679
Alaska Regional HospitalAnchorage, AK · CCN 020017	16	$1,607	About average	$1,280	$19,574
JFK University Medical CenterEdison, NJ · CCN 310108	18	$1,610	About average	$1,283	$11,019
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	20	$1,612	About average	$1,270	$24,182
Kent County Memorial HospitalWarwick, RI · CCN 410009	63	$1,612	About average	$1,279	$8,560
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 030016	20	$1,612	About average	$1,258	$9,855
Beebe Medical CenterLewes, DE · CCN 080007	84	$1,613	About average	$1,284	$7,912
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	32	$1,613	About average	$1,281	$5,314
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	56	$1,613	About average	$1,280	$5,471
Deaconess Medical CenterSpokane, WA · CCN 500044	16	$1,613	About average	$1,285	$9,246
Providence Holy Family HospitalSpokane, WA · CCN 500077	75	$1,613	About average	$1,283	$8,711
University Of Washington Medical CenterSeattle, WA · CCN 500008	99	$1,613	About average	$1,282	$8,789
Kadlec Regional Medical CenterRichland, WA · CCN 500058	41	$1,613	About average	$1,281	$10,208
Oneida Health HospitalOneida, NY · CCN 330115	15	$1,614	About average	$1,260	$6,924
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	37	$1,614	About average	$1,286	$8,728
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	94	$1,614	About average	$1,286	$8,558
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 430005	41	$1,614	About average	$1,286	$5,184
Banner Wyoming Medical CenterCasper, WY · CCN 530012	17	$1,614	About average	$1,286	$6,475
Brookings Health SystemBrookings, SD · CCN 430008	17	$1,614	About average	$1,286	$5,196
St Johns Medical CenterJackson, WY · CCN 530015	15	$1,614	About average	$1,284	$6,495
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	45	$1,614	About average	$1,284	$12,302
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	52	$1,614	About average	$1,284	$9,002
Avera St Mary's HospitalPierre, SD · CCN 430015	43	$1,614	About average	$1,284	$5,753
Avera Sacred Heart HospitalYankton, SD · CCN 430012	25	$1,614	About average	$1,283	$3,788
Logan Health Medical CenterKalispell, MT · CCN 270051	36	$1,614	About average	$1,281	$6,927
Memorial Hospital Sweetwater CountyRock Springs, WY · CCN 530011	13	$1,614	About average	$1,271	$6,836
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	104	$1,617	About average	$1,286	$5,808
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	35	$1,619	About average	$1,290	$11,738
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	97	$1,619	About average	$1,290	$20,748
Temple University HospitalPhiladelphia, PA · CCN 390027	48	$1,619	About average	$1,290	$36,872
Hutchinson HealthHutchinson, MN · CCN 240187	32	$1,620	About average	$1,289	$7,613
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	21	$1,622	About average	$1,277	$16,578

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.