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 1,451–1,500. 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
Lowell General HospitalLowell, MA · CCN 220063	25	$1,671	11% above the national average	$1,313	$5,312
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	16	$1,672	11% above the national average	$1,332	$12,147
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 380020	20	$1,672	11% above the national average	$1,325	$12,878
Glens Falls HospitalGlens Falls, NY · CCN 330191	78	$1,673	11% above the national average	$1,313	$5,964
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	32	$1,674	11% above the national average	$1,306	$14,582
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	45	$1,674	11% above the national average	$1,323	$8,253
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	85	$1,678	11% above the national average	$1,327	$11,738
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	101	$1,678	11% above the national average	$1,329	$14,200
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	26	$1,678	11% above the national average	$1,337	$6,827
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	35	$1,678	11% above the national average	$1,337	$8,167
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	30	$1,679	11% above the national average	$1,331	$7,529
Baystate Wing HospitalPalmer, MA · CCN 220030	37	$1,679	11% above the national average	$1,338	$5,119
Mountainview HospitalLas Vegas, NV · CCN 290039	21	$1,680	11% above the national average	$1,332	$25,430
St Vincent HospitalWorcester, MA · CCN 220176	29	$1,681	11% above the national average	$1,330	$19,706
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	36	$1,683	11% above the national average	$1,341	$13,061
Inspira Medical Center VinelandVineland, NJ · CCN 310032	12	$1,683	11% above the national average	$1,341	$12,294
Newton Medical CenterNewton, NJ · CCN 310028	25	$1,683	11% above the national average	$1,341	$25,430
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	21	$1,683	11% above the national average	$1,341	$11,793
Shore Medical CenterSomers Point, NJ · CCN 310047	21	$1,683	11% above the national average	$1,341	$13,291
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	44	$1,683	11% above the national average	$1,339	$10,978
Ahs Hospital CorpHackettstown, NJ · CCN 310115	35	$1,683	11% above the national average	$1,339	$16,877
Ocean Medical CenterBrick, NJ · CCN 310052	50	$1,683	11% above the national average	$1,333	$9,649
West Jersey HospitalVoorhees, NJ · CCN 310022	39	$1,683	11% above the national average	$1,333	$22,567
Jefferson Stratford HospitalStratford, NJ · CCN 310086	20	$1,683	11% above the national average	$1,331	$17,941
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	19	$1,683	11% above the national average	$1,331	$13,099
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	17	$1,683	11% above the national average	$1,330	$19,245
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	32	$1,683	11% above the national average	$1,332	$5,393
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	28	$1,685	12% above the national average	$1,319	$19,182
Providence St Vincent Medical CenterPortland, OR · CCN 380004	29	$1,686	12% above the national average	$1,344	$8,244
Hillsboro Medical CenterHillsboro, OR · CCN 380021	23	$1,686	12% above the national average	$1,344	$7,660
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	14	$1,686	12% above the national average	$1,344	$10,790
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	22	$1,686	12% above the national average	$1,344	$20,784
Providence Portland Medical CenterPortland, OR · CCN 380061	22	$1,686	12% above the national average	$1,344	$9,020
Adventist Health PortlandPortland, OR · CCN 380060	16	$1,686	12% above the national average	$1,344	$15,761
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	19	$1,686	12% above the national average	$1,343	$9,303
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	18	$1,687	12% above the national average	$1,336	$8,968
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	20	$1,687	12% above the national average	$1,334	$12,181
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	34	$1,687	12% above the national average	$1,336	$7,417
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	19	$1,687	12% above the national average	$1,321	$9,124
Hackensack University Medical CenterHackensack, NJ · CCN 310001	91	$1,692	12% above the national average	$1,341	$13,251
Brown University Health Morton HospitalTaunton, MA · CCN 220073	51	$1,693	12% above the national average	$1,343	$5,184
Chenango Memorial HospitalNorwich, NY · CCN 330033	11	$1,693	12% above the national average	$1,322	$10,888
Warren General HospitalWarren, PA · CCN 390146	17	$1,694	12% above the national average	$1,342	$3,839
UPMC HamotErie, PA · CCN 390063	31	$1,694	12% above the national average	$1,332	$13,032
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	87	$1,694	12% above the national average	$1,326	$12,470
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	35	$1,696	12% above the national average	$1,329	$18,323
Morristown Medical CenterMorristown, NJ · CCN 310015	193	$1,696	12% above the national average	$1,344	$12,921
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	48	$1,697	12% above the national average	$1,347	$4,815
Baystate Noble HospitalWestfield, MA · CCN 220065	34	$1,698	12% above the national average	$1,343	$3,711
St Charles Medical Center - BendBend, OR · CCN 380047	28	$1,698	12% above the national average	$1,351	$10,255

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.