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

Hospitals in California

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.

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Year of care

Average payment across these 138 hospitals: $2,038National $1,511 · California $2,038
Median hospital: $1,976
Lowest to highest: $1,642–$2,312
Medicare procedures: 5,100

138 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–138. 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
Dominican HospitalSanta Cruz, CA · CCN 050242	37	$2,106	39% above the national average	$1,673	$18,785
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	30	$2,116	40% above the national average	$1,686	$11,895
Sutter Coast HospitalCrescent City, CA · CCN 050417	13	$2,116	40% above the national average	$1,686	$10,686
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	15	$2,116	40% above the national average	$1,678	$17,134
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	56	$2,142	42% above the national average	$1,697	$23,123
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	27	$2,145	42% above the national average	$1,709	$13,260
Watsonville Community HospitalWatsonville, CA · CCN 050194	12	$2,148	42% above the national average	$1,692	$27,493
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	18	$2,163	43% above the national average	$1,703	$17,776
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$2,547 outlier payments per case	18	$2,163	43% above the national average	$1,724	$8,076
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	43	$2,168	43% above the national average	$1,701	$11,782
Sutter Amador HospitalJackson, CA · CCN 050014	16	$2,199	46% above the national average	$1,744	$6,697
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	11	$2,205	46% above the national average	$1,757	$39,222
Stanford Health CareStanford, CA · CCN 050441	206	$2,227	47% above the national average	$1,770	$34,192
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	19	$2,232	48% above the national average	$1,778	$9,835
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	22	$2,232	48% above the national average	$1,770	$13,291
Eden Medical CenterCastro Valley, CA · CCN 050488	18	$2,232	48% above the national average	$1,763	$20,077
Highland HospitalOakland, CA · CCN 050320	18	$2,232	48% above the national average	$1,762	$28,151
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	11	$2,238	48% above the national average	$1,783	$30,810
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	47	$2,238	48% above the national average	$1,779	$20,219
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	14	$2,238	48% above the national average	$1,770	$27,459
Novato Community HospitalNovato, CA · CCN 050131	18	$2,245	49% above the national average	$1,785	$9,975
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	72	$2,245	49% above the national average	$1,784	$34,620
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	18	$2,251	49% above the national average	$1,793	$30,454
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	37	$2,251	49% above the national average	$1,773	$31,263
Peninsula Medical CenterBurlingame, CA · CCN 050007	78	$2,251	49% above the national average	$1,783	$13,095
California Pacific Medical Center-Davies Campus HospitalSan Francisco, CA · CCN 050008	44	$2,256	49% above the national average	$1,773	$13,594
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	33	$2,263	50% above the national average	$1,801	$23,526
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	37	$2,263	50% above the national average	$1,803	$10,994
Sequoia HospitalRedwood City, CA · CCN 050197	11	$2,263	50% above the national average	$1,803	$22,610
UCSF Medical CenterSan Francisco, CA · CCN 050454	112	$2,263	50% above the national average	$1,802	$24,197
El Camino HealthMountain View, CA · CCN 050308	35	$2,263	50% above the national average	$1,801	$23,669
Washington HospitalFremont, CA · CCN 050195	48	$2,263	50% above the national average	$1,801	$15,869
Good Samaritan HospitalSan Jose, CA · CCN 050380	24	$2,263	50% above the national average	$1,794	$41,141
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	52	$2,263	50% above the national average	$1,789	$14,254
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	13	$2,264	50% above the national average	$1,775	$45,186
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	28	$2,297	52% above the national average	$1,830	$11,269
California Pacific Medical Center - Mission BernalSan Francisco, CA · CCN 050055	11	$2,298	52% above the national average	$1,801	$13,104
NorthBay Medical CenterFairfield, CA · CCN 050367	24	$2,312	53% above the national average	$1,842	$40,160

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.