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 1,501–1,550. 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
Swedish Medical CenterSeattle, WA · CCN 500027	59	$1,699	12% above the national average	$1,346	$11,948
Mount Auburn HospitalCambridge, MA · CCN 220002	51	$1,699	12% above the national average	$1,343	$4,788
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	101	$1,700	13% above the national average	$1,339	$8,984
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	52	$1,700	13% above the national average	$1,345	$8,265
Southcoast Hospitals GroupFall River, MA · CCN 220074	237	$1,701	13% above the national average	$1,348	$5,458
Olympic Medical CenterPort Angeles, WA · CCN 500072	146	$1,701	13% above the national average	$1,348	$3,560
Winchester HospitalWinchester, MA · CCN 220105	146	$1,702	13% above the national average	$1,350	$5,056
CentraState Medical CenterFreehold, NJ · CCN 310111	32	$1,704	13% above the national average	$1,357	$12,083
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	31	$1,704	13% above the national average	$1,347	$12,015
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	19	$1,704	13% above the national average	$1,358	$6,709
Kaleida HealthBuffalo, NY · CCN 330005	14	$1,704	13% above the national average	$1,358	$5,851
Rome Memorial Hospital, IncRome, NY · CCN 330215	16	$1,704	13% above the national average	$1,358	$10,748
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	22	$1,704	13% above the national average	$1,358	$5,105
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	13	$1,704	13% above the national average	$1,358	$11,806
St Marys HealthcareAmsterdam, NY · CCN 330047	13	$1,704	13% above the national average	$1,358	$5,687
Arnot Ogden Medical CenterElmira, NY · CCN 330090	26	$1,704	13% above the national average	$1,358	$5,896
Ellis HospitalSchenectady, NY · CCN 330153	29	$1,704	13% above the national average	$1,358	$10,729
F F Thompson HospitalCanandaigua, NY · CCN 330074	29	$1,704	13% above the national average	$1,358	$3,613
Unity HospitalRochester, NY · CCN 330226	11	$1,704	13% above the national average	$1,358	$8,011
Highland HospitalRochester, NY · CCN 330164	16	$1,704	13% above the national average	$1,356	$10,426
Saratoga HospitalSaratoga Springs, NY · CCN 330222	50	$1,704	13% above the national average	$1,356	$6,488
Bayshore Medical CenterHolmdel, NJ · CCN 310112	19	$1,704	13% above the national average	$1,338	$12,688
Columbia Memorial HospitalHudson, NY · CCN 330094	67	$1,704	13% above the national average	$1,354	$6,293
St Peter's HospitalAlbany, NY · CCN 330057	27	$1,704	13% above the national average	$1,353	$9,694
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	13	$1,704	13% above the national average	$1,350	$2,229
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	24	$1,704	13% above the national average	$1,349	$15,736
Erie County Medical CenterBuffalo, NY · CCN 330219	37	$1,704	13% above the national average	$1,347	$6,302
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	11	$1,705	13% above the national average	$1,359	$46,695
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	28	$1,705	13% above the national average	$1,358	$8,686
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	85	$1,705	13% above the national average	$1,358	$10,160
Putnam Hospital CenterCarmel, NY · CCN 330273	31	$1,707	13% above the national average	$1,335	$8,403
Palomar Medical Center PowayPoway, CA · CCN 050636	11	$1,708	13% above the national average	$1,271	$29,141
Hartford HospitalHartford, CT · CCN 070025	17	$1,709	13% above the national average	$1,344	$14,457
Saint Anne's HospitalFall River, MA · CCN 220020	150	$1,709	13% above the national average	$1,345	$6,599
Baystate Medical CenterSpringfield, MA · CCN 220077	83	$1,710	13% above the national average	$1,358	$4,852
Huntington HospitalHuntington, NY · CCN 330045	57	$1,710	13% above the national average	$1,345	$15,321
Renown South Meadows Medical CenterReno, NV · CCN 290049	66	$1,711	13% above the national average	$1,361	$16,848
South Shore HospitalSouth Weymouth, MA · CCN 220100	189	$1,712	13% above the national average	$1,360	$4,678
St Michael Medical CenterSilverdale, WA · CCN 500039	64	$1,712	13% above the national average	$1,356	$21,129
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	171	$1,713	13% above the national average	$1,363	$5,289
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	38	$1,714	13% above the national average	$1,335	$13,317
Brigham And Women's HospitalBoston, MA · CCN 220110	134	$1,716	14% above the national average	$1,364	$9,893
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	13	$1,717	14% above the national average	$1,345	$12,403
Yakima Valley MemorialYakima, WA · CCN 500036	128	$1,717	14% above the national average	$1,364	$9,902
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	98	$1,717	14% above the national average	$1,368	$6,000
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	17	$1,718	14% above the national average	$1,365	$6,760
Central Peninsula General HospitalSoldotna, AK · CCN 020024	47	$1,718	14% above the national average	$1,362	$8,333
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	16	$1,720	14% above the national average	$1,352	$6,918
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	36	$1,721	14% above the national average	$1,363	$10,222
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	18	$1,721	14% above the national average	$1,371	$33,450

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.