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 Texas

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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Average payment across these 135 hospitals: $1,414National $1,511 · Texas $1,414
Median hospital: $1,415
Lowest to highest: $698–$1,554
Medicare procedures: 5,815

135 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–135. 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
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	25	$1,448	About average	$1,145	$10,477
Houston Methodist West HospitalHouston, TX · CCN 670077	131	$1,449	About average	$1,150	$24,772
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	21	$1,451	About average	$1,156	$12,332
Medical City WeatherfordWeatherford, TX · CCN 450203	46	$1,451	About average	$1,156	$28,192
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	15	$1,451	About average	$1,156	$12,724
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	34	$1,451	About average	$1,156	$8,739
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	94	$1,451	About average	$1,155	$8,608
Medical City DentonDenton, TX · CCN 450634	42	$1,451	About average	$1,154	$39,593
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	17	$1,453	About average	$1,158	$38,023
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	14	$1,453	About average	$1,153	$13,187
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	128	$1,459	About average	$1,159	$25,213
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	71	$1,461	About average	$1,158	$15,576
North Houston Surgical Hospital LLCSpring, TX · CCN 670280	18	$1,462	About average	$1,137	$42,154
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	92	$1,465	About average	$1,159	$25,891
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	97	$1,466	About average	$1,161	$18,874
AdventHealth Central TexasKilleen, TX · CCN 450152	24	$1,467	About average	$1,161	$17,391
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	51	$1,467	About average	$1,162	$21,465
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	52	$1,468	About average	$1,161	$28,020
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	24	$1,469	About average	$1,164	$25,177
Houston Methodist HospitalHouston, TX · CCN 450358	153	$1,475	About average	$1,171	$18,900
Texas Orthopedic HospitalHouston, TX · CCN 450804	174	$1,477	About average	$1,174	$22,097
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	78	$1,480	About average	$1,176	$8,963
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	11	$1,480	About average	$1,156	$15,668
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	88	$1,490	About average	$1,187	$10,696
HCA Houston Healthcare TomballTomball, TX · CCN 450670	27	$1,490	About average	$1,187	$43,146
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	11	$1,490	About average	$1,187	$16,845
St Luke's Hospital At The VintageHouston, TX · CCN 670075	18	$1,490	About average	$1,187	$16,855
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	50	$1,490	About average	$1,183	$12,587
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	51	$1,491	About average	$1,174	$10,827
Covenant Hospital PlainviewPlainview, TX · CCN 450539	22	$1,494	About average	$1,190	$12,163
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	12	$1,494	About average	$1,190	$5,637
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	21	$1,494	About average	$1,181	$19,820
United Regional Health Care SystemWichita Falls, TX · CCN 450010	23	$1,500	About average	$1,187	$8,362
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	29	$1,506	About average	$1,192	$28,938
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	21	$1,554	About average	$1,238	$7,409

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.