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

Compare hospitals

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.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,651–1,700. 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
Valley HospitalParamus, NJ · CCN 310012	117	$1,821	21% above the national average	$1,445	$11,024
New York-Presbyterian HospitalNew York, NY · CCN 330101	302	$1,824	21% above the national average	$1,450	$14,355
Auburn Community HospitalAuburn, NY · CCN 330235	25	$1,825	21% above the national average	$1,454	$4,713
Jones Memorial HospitalWellsville, NY · CCN 330096	18	$1,825	21% above the national average	$1,454	$4,230
Samaritan Medical CenterWatertown, NY · CCN 330157	28	$1,825	21% above the national average	$1,454	$5,469
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	30	$1,825	21% above the national average	$1,452	$5,962
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	90	$1,825	21% above the national average	$1,451	$2,771
Bassett HealthcareCooperstown, NY · CCN 330136	70	$1,825	21% above the national average	$1,449	$3,236
St James HospitalHornell, NY · CCN 330151	19	$1,825	21% above the national average	$1,444	$3,467
Olean General HospitalOlean, NY · CCN 330103	17	$1,825	21% above the national average	$1,443	$3,016
USC Arcadia HospitalArcadia, CA · CCN 050238	21	$1,826	21% above the national average	$1,412	$15,375
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	17	$1,829	21% above the national average	$1,457	$39,312
Holy Name Medical CenterTeaneck, NJ · CCN 310008	29	$1,829	21% above the national average	$1,457	$9,108
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	18	$1,829	21% above the national average	$1,457	$13,920
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	17	$1,829	21% above the national average	$1,457	$8,522
Jersey City Medical CenterJersey City, NJ · CCN 310074	16	$1,829	21% above the national average	$1,457	$13,081
Maimonides Medical CenterBrooklyn, NY · CCN 330194	24	$1,829	21% above the national average	$1,457	$13,284
Mount Sinai HospitalNew York, NY · CCN 330024	28	$1,829	21% above the national average	$1,457	$14,074
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	47	$1,829	21% above the national average	$1,456	$10,116
Elmhurst Hospital CenterElmhurst, NY · CCN 330128	18	$1,829	21% above the national average	$1,454	$9,176
New York-Presbyterian/QueensFlushing, NY · CCN 330055	69	$1,829	21% above the national average	$1,453	$14,542
Bellevue Hospital CenterNew York, NY · CCN 330204	26	$1,829	21% above the national average	$1,450	$11,294
Richmond University Medical CenterStaten Island, NY · CCN 330028	23	$1,829	21% above the national average	$1,448	$15,045
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	11	$1,830	21% above the national average	$1,418	$6,796
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	12	$1,845	22% above the national average	$1,443	$31,717
Straub Clinic And HospitalHonolulu, HI · CCN 120022	19	$1,848	22% above the national average	$1,473	$7,405
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	14	$1,865	23% above the national average	$1,403	$10,461
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	15	$1,871	24% above the national average	$1,469	$14,773
Providence St. Joseph HospitalOrange, CA · CCN 050069	15	$1,871	24% above the national average	$1,467	$18,544
Doctors Medical CenterModesto, CA · CCN 050464	15	$1,871	24% above the national average	$1,461	$47,605
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	19	$1,893	25% above the national average	$1,490	$19,534
Northern Nevada Medical CenterSparks, NV · CCN 290032	27	$1,894	25% above the national average	$1,490	$28,116
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	13	$1,900	26% above the national average	$1,514	$15,101
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	122	$1,911	27% above the national average	$1,519	$16,109
Kaweah Health Medical CenterVisalia, CA · CCN 050057	28	$1,920	27% above the national average	$1,515	$11,666
Sharon HospitalSharon, CT · CCN 070004	43	$1,920	27% above the national average	$1,530	$4,211
University Of California Davis Medical CenterSacramento, CA · CCN 050599	145	$1,920	27% above the national average	$1,530	$24,408
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	22	$1,922	27% above the national average	$1,531	$13,387
Sharp Memorial HospitalSan Diego, CA · CCN 050100	55	$1,922	27% above the national average	$1,516	$20,507
Mercy HospitalBakersfield, CA · CCN 050295	30	$1,923	27% above the national average	$1,522	$14,717
Wilcox Memorial HospitalLihue, HI · CCN 120014	64	$1,931	28% above the national average	$1,526	$7,777
Adventist Health BakersfieldBakersfield, CA · CCN 050455	23	$1,933	28% above the national average	$1,532	$16,167
Patients' Hospital Of ReddingRedding, CA · CCN 050697	13	$1,938	28% above the national average	$1,544	$10,503
North Hawaii Community Hospital, IncKamuela, HI · CCN 120028	33	$1,938	28% above the national average	$1,519	$11,473
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	39	$1,941	28% above the national average	$1,531	$16,740
Memorial Medical CenterModesto, CA · CCN 050557	53	$1,946	29% above the national average	$1,545	$11,929
Uci Health-OrangeOrange, CA · CCN 050348	41	$1,947	29% above the national average	$1,550	$12,673
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	63	$1,951	29% above the national average	$1,546	$11,064
Providence Medford Medical CenterMedford, OR · CCN 380075	15	$1,951	29% above the national average	$1,555	$10,260
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	22	$1,952	29% above the national average	$1,546	$11,179

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.