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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Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. 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
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	156	$1,297	14% below the national average	$1,026	$16,893
Merit Health River RegionVicksburg, MS · CCN 250031	17	$1,299	14% below the national average	$999	$28,369
Magnolia Regional Health CenterCorinth, MS · CCN 250009	52	$1,300	14% below the national average	$1,031	$6,805
Physicians Regional Medical CenterPowell, TN · CCN 440120	41	$1,300	14% below the national average	$1,030	$12,849
UH St John Medical CenterWestlake, OH · CCN 360123	78	$1,302	14% below the national average	$1,031	$11,345
Akron General Medical CenterAkron, OH · CCN 360027	25	$1,302	14% below the national average	$1,030	$8,317
University Of Mississippi Medical CenterJackson, MS · CCN 250001	24	$1,303	14% below the national average	$1,029	$11,934
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	44	$1,303	14% below the national average	$1,021	$12,110
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	25	$1,303	14% below the national average	$1,022	$8,233
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	31	$1,305	14% below the national average	$1,039	$26,253
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	51	$1,305	14% below the national average	$1,021	$11,173
Tristar Skyline Medical CenterNashville, TN · CCN 440006	14	$1,306	14% below the national average	$1,024	$40,271
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	54	$1,306	14% below the national average	$1,037	$7,126
Mercy Regional Medical CenterLorain, OH · CCN 360172	16	$1,306	14% below the national average	$1,011	$12,659
Mercy Medical CenterCanton, OH · CCN 360070	17	$1,306	14% below the national average	$1,021	$9,948
Ochsner Rush HospitalMeridian, MS · CCN 250069	46	$1,307	14% below the national average	$1,036	$6,376
Carle Foundation HospitalUrbana, IL · CCN 140091	15	$1,307	13% below the national average	$1,040	$9,837
Corewell Health Watervliet HospitalWatervliet, MI · CCN 230078	12	$1,307	13% below the national average	$1,023	$4,241
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	16	$1,308	13% below the national average	$1,007	$8,270
University Medical CenterLubbock, TX · CCN 450686	62	$1,308	13% below the national average	$1,025	$16,015
Grandview Medical CenterBirmingham, AL · CCN 010104	106	$1,308	13% below the national average	$1,032	$56,835
Maury Regional HospitalColumbia, TN · CCN 440073	22	$1,309	13% below the national average	$1,033	$9,013
Our Lady Of The Lake Surgical HospitalSlidell, LA · CCN 190270	19	$1,309	13% below the national average	$1,024	$22,426
Flowers HospitalDothan, AL · CCN 010055	20	$1,311	13% below the national average	$1,045	$15,711
Blanchard Valley HospitalFindlay, OH · CCN 360095	18	$1,311	13% below the national average	$1,022	$7,181
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	17	$1,311	13% below the national average	$1,017	$8,887
Forrest General HospitalHattiesburg, MS · CCN 250078	30	$1,313	13% below the national average	$1,042	$10,487
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	14	$1,313	13% below the national average	$1,040	$10,150
Reynolds Memorial Hospital, IncGlen Dale, WV · CCN 510013	11	$1,313	13% below the national average	$1,046	$6,619
Baldwin HealthFoley, AL · CCN 010083	33	$1,314	13% below the national average	$1,047	$33,665
Callahan Eye HospitalBirmingham, AL · CCN 010018	39	$1,314	13% below the national average	$1,039	$10,095
Charleston Area Medical CenterCharleston, WV · CCN 510022	45	$1,314	13% below the national average	$1,027	$10,787
UPMC LititzLititz, PA · CCN 390068	20	$1,315	13% below the national average	$1,047	$11,370
Parkridge Medical CenterChattanooga, TN · CCN 440156	79	$1,315	13% below the national average	$1,031	$14,423
Chelsea HospitalChelsea, MI · CCN 230259	60	$1,315	13% below the national average	$1,043	$12,150
Helen Keller HospitalSheffield, AL · CCN 010019	20	$1,316	13% below the national average	$1,049	$5,807
Medical Center EnterpriseEnterprise, AL · CCN 010049	17	$1,316	13% below the national average	$1,049	$48,719
King's Daughters' Medical CenterAshland, KY · CCN 180009	37	$1,317	13% below the national average	$1,029	$10,152
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	16	$1,318	13% below the national average	$1,036	$13,146
South Central Regional Medical CenterLaurel, MS · CCN 250058	16	$1,318	13% below the national average	$1,050	$5,067
Crestwood Medical CenterHuntsville, AL · CCN 010131	74	$1,318	13% below the national average	$1,025	$29,932
Piedmont Augusta HospitalAugusta, GA · CCN 110028	26	$1,318	13% below the national average	$1,039	$11,284
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	53	$1,319	13% below the national average	$1,044	$9,216
University Of Kansas HospitalKansas City, KS · CCN 170040	82	$1,320	13% below the national average	$1,042	$8,428
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	30	$1,320	13% below the national average	$1,037	$26,949
Baptist Health Medical Center- ConwayConway, AR · CCN 040154	19	$1,320	13% below the national average	$1,040	$12,448
Freestone Medical CenterFairfield, TX · CCN 450658	15	$1,320	13% below the national average	$1,037	$10,032
Coastal Carolina HospitalHardeeville, SC · CCN 420101	39	$1,321	13% below the national average	$1,031	$23,393
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	52	$1,321	13% below the national average	$1,037	$15,620
ProMedica Toledo HospitalToledo, OH · CCN 360068	49	$1,321	13% below the national average	$1,027	$16,008

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.