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 1,401–1,450. 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
Mount Nittany Medical CenterState College, PA · CCN 390268	21	$1,622	About average	$1,292	$9,315
Island HospitalAnacortes, WA · CCN 500007	12	$1,625	About average	$1,295	$6,387
Providence St Peter HospitalOlympia, WA · CCN 500024	53	$1,625	About average	$1,295	$15,797
Wynn HospitalUtica, NY · CCN 330044	13	$1,626	About average	$1,281	$12,134
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	195	$1,628	About average	$1,295	$6,558
Newport HospitalNewport, RI · CCN 410006	23	$1,631	About average	$1,300	$5,170
Rhode Island HospitalProvidence, RI · CCN 410007	71	$1,631	About average	$1,300	$7,257
The Miriam HospitalProvidence, RI · CCN 410012	29	$1,631	About average	$1,293	$8,338
South County Hospital IncWakefield, RI · CCN 410008	20	$1,631	About average	$1,285	$7,086
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	54	$1,632	About average	$1,291	$15,939
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	194	$1,632	About average	$1,298	$10,890
Saint Vincent HospitalErie, PA · CCN 390009	44	$1,633	About average	$1,288	$12,013
Lawrence & Memorial HospitalNew London, CT · CCN 070007	18	$1,634	About average	$1,270	$9,198
New England Baptist HospitalBoston, MA · CCN 220088	74	$1,635	About average	$1,300	$4,921
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 290041	16	$1,636	About average	$1,262	$29,311
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	30	$1,638	About average	$1,296	$19,933
Hunterdon Medical CenterFlemington, NJ · CCN 310005	19	$1,638	About average	$1,305	$9,654
Mercy Regional Medical CenterDurango, CO · CCN 060013	32	$1,639	About average	$1,306	$12,217
Montrose Regional HealthMontrose, CO · CCN 060006	15	$1,639	About average	$1,306	$7,134
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 060008	18	$1,639	About average	$1,299	$7,558
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	16	$1,639	About average	$1,294	$8,860
Vail Health HospitalVail, CO · CCN 060096	13	$1,639	About average	$1,291	$7,542
Cascade Valley HospitalArlington, WA · CCN 500060	11	$1,641	About average	$1,308	$8,209
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	24	$1,641	About average	$1,308	$13,576
Valley Medical CenterRenton, WA · CCN 500088	21	$1,641	About average	$1,308	$10,317
St Francis Community HospitalFederal Way, WA · CCN 500141	21	$1,641	About average	$1,306	$17,292
Providence Regional Medical Center EverettEverett, WA · CCN 500014	23	$1,642	About average	$1,300	$17,534
Concord Hospital- LaconiaLaconia, NH · CCN 300005	14	$1,642	About average	$1,308	$6,317
Crouse HospitalSyracuse, NY · CCN 330203	44	$1,642	About average	$1,296	$5,882
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	15	$1,642	About average	$1,291	$12,136
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	55	$1,644	About average	$1,305	$6,085
Howard University Hospital CorpWashington, DC · CCN 090003	11	$1,644	About average	$1,310	$7,933
MedStar Georgetown University HospitalWashington, DC · CCN 090004	40	$1,644	About average	$1,310	$12,230
Sibley Memorial HospitalWashington, DC · CCN 090005	29	$1,644	About average	$1,310	$9,198
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	32	$1,645	About average	$1,296	$10,975
George Washington University HospitalWashington, DC · CCN 090001	20	$1,645	About average	$1,300	$19,919
Geneva General HospitalGeneva, NY · CCN 330058	23	$1,645	About average	$1,299	$5,271
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	34	$1,647	About average	$1,292	$13,154
Riverview Medical CenterRed Bank, NJ · CCN 310034	24	$1,647	About average	$1,285	$12,845
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	43	$1,648	About average	$1,298	$10,460
Massachusetts General HospitalBoston, MA · CCN 220071	274	$1,648	About average	$1,309	$12,237
Mercy Medical CenterSpringfield, MA · CCN 220066	33	$1,649	About average	$1,293	$6,210
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	55	$1,656	About average	$1,319	$16,319
St Clare HospitalLakewood, WA · CCN 500021	15	$1,656	About average	$1,319	$15,500
St Anthony HospitalGig Harbor, WA · CCN 500151	20	$1,656	About average	$1,305	$17,164
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	32	$1,659	About average	$1,314	$14,451
Albany Medical Center HospitalAlbany, NY · CCN 330013	27	$1,666	10% above the national average	$1,327	$7,392
Corning HospitalCorning, NY · CCN 330277	36	$1,666	10% above the national average	$1,315	$5,887
Tufts Medical CenterBoston, MA · CCN 220116	66	$1,667	10% above the national average	$1,310	$6,794
Samaritan Albany General HospitalAlbany, OR · CCN 380022	13	$1,669	10% above the national average	$1,329	$4,785

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.