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 1,551–1,600. 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
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	11	$1,721	14% above the national average	$1,371	$28,523
University Medical CenterLas Vegas, NV · CCN 290007	18	$1,721	14% above the national average	$1,371	$34,039
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	27	$1,721	14% above the national average	$1,370	$22,415
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	27	$1,721	14% above the national average	$1,364	$25,549
Valley Hospital Medical CenterLas Vegas, NV · CCN 290021	12	$1,722	14% above the national average	$1,360	$41,935
Henderson HospitalHenderson, NV · CCN 290057	15	$1,722	14% above the national average	$1,359	$37,162
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	11	$1,722	14% above the national average	$1,336	$27,069
Newton-Wellesley HospitalNewton, MA · CCN 220101	349	$1,722	14% above the national average	$1,369	$7,247
Confluence Health HospitalWenatchee, WA · CCN 500016	179	$1,725	14% above the national average	$1,370	$5,263
Anna Jaques HospitalNewburyport, MA · CCN 220029	38	$1,726	14% above the national average	$1,375	$4,893
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	62	$1,726	14% above the national average	$1,375	$4,944
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	28	$1,726	14% above the national average	$1,375	$8,536
Boston Medical CenterBoston, MA · CCN 220031	45	$1,726	14% above the national average	$1,375	$7,600
Cambridge Health AllianceCambridge, MA · CCN 220011	35	$1,726	14% above the national average	$1,375	$4,423
Cape Cod HospitalHyannis, MA · CCN 220012	34	$1,726	14% above the national average	$1,375	$7,932
Falmouth HospitalFalmouth, MA · CCN 220135	46	$1,726	14% above the national average	$1,375	$6,527
Holyoke Medical CenterHolyoke, MA · CCN 220024	25	$1,726	14% above the national average	$1,375	$5,846
Marlborough HospitalMarlborough, MA · CCN 220049	13	$1,726	14% above the national average	$1,375	$7,116
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	43	$1,726	14% above the national average	$1,375	$10,033
MelroseWakefield HealthcareMelrose, MA · CCN 220070	33	$1,726	14% above the national average	$1,375	$7,991
Milford Regional Medical CenterMilford, MA · CCN 220090	51	$1,726	14% above the national average	$1,374	$2,917
Heywood Hospital -Gardner, MA · CCN 220095	34	$1,726	14% above the national average	$1,373	$6,415
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	39	$1,726	14% above the national average	$1,373	$4,050
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	86	$1,726	14% above the national average	$1,373	$7,999
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	97	$1,726	14% above the national average	$1,372	$7,979
Holy Family HospitalMethuen, MA · CCN 220080	17	$1,726	14% above the national average	$1,372	$4,684
North Shore Medical Center -Salem, MA · CCN 220035	32	$1,726	14% above the national average	$1,371	$9,434
Emerson Hospital -W Concord, MA · CCN 220084	46	$1,726	14% above the national average	$1,370	$5,712
Northeast Hospital CorporationBeverly, MA · CCN 220033	35	$1,726	14% above the national average	$1,370	$6,195
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	16	$1,727	14% above the national average	$1,349	$6,520
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	51	$1,728	14% above the national average	$1,376	$9,314
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	56	$1,728	14% above the national average	$1,373	$11,969
Samaritan HospitalMoses Lake, WA · CCN 500033	23	$1,728	14% above the national average	$1,372	$9,564
Bartlett Regional HospitalJuneau, AK · CCN 020008	29	$1,728	14% above the national average	$1,367	$7,177
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	72	$1,733	15% above the national average	$1,381	$12,033
Pali Momi Medical CenterAiea, HI · CCN 120026	26	$1,735	15% above the national average	$1,354	$5,913
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	28	$1,738	15% above the national average	$1,385	$11,247
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	41	$1,740	15% above the national average	$1,384	$19,524
Mercy Medical CenterRoseburg, OR · CCN 380027	93	$1,741	15% above the national average	$1,384	$6,819
Danbury HospitalDanbury, CT · CCN 070033	25	$1,749	16% above the national average	$1,389	$10,514
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	78	$1,751	16% above the national average	$1,376	$15,243
Northern Westchester HospitalMount Kisco, NY · CCN 330162	34	$1,752	16% above the national average	$1,374	$8,956
Palomar Health Downtown CampusEscondido, CA · CCN 050115	21	$1,755	16% above the national average	$1,331	$21,976
Bay Area HospitalCoos Bay, OR · CCN 380090	18	$1,756	16% above the national average	$1,399	$11,402
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	37	$1,756	16% above the national average	$1,390	$15,803
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	80	$1,757	16% above the national average	$1,392	$6,662
Montefiore Medical CenterBronx, NY · CCN 330059	87	$1,760	17% above the national average	$1,389	$20,678
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	24	$1,761	17% above the national average	$1,393	$8,056
North Shore University HospitalManhasset, NY · CCN 330106	160	$1,762	17% above the national average	$1,393	$16,851
Saint Mary's HospitalWaterbury, CT · CCN 070016	46	$1,762	17% above the national average	$1,392	$13,277

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.