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 1,701–1,750. 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
Shasta Regional Medical CenterRedding, CA · CCN 050764	37	$1,953	29% above the national average	$1,539	$25,760
Enloe HealthChico, CA · CCN 050039	73	$1,954	29% above the national average	$1,553	$22,562
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	73	$1,954	29% above the national average	$1,553	$10,200
Fresno Surgical HospitalFresno, CA · CCN 050708	66	$1,955	29% above the national average	$1,548	$13,067
Adventist Health Lodi MemorialLodi, CA · CCN 050336	25	$1,956	29% above the national average	$1,543	$19,306
Mercy Medical Center ReddingRedding, CA · CCN 050280	58	$1,959	30% above the national average	$1,557	$18,097
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	140	$1,965	30% above the national average	$1,561	$47,904
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	304	$1,971	30% above the national average	$1,569	$9,203
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	19	$1,973	31% above the national average	$1,540	$16,016
Adventist Health HanfordHanford, CA · CCN 050121	14	$1,976	31% above the national average	$1,574	$11,403
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	22	$1,976	31% above the national average	$1,574	$24,565
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	22	$1,976	31% above the national average	$1,574	$18,816
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	16	$1,976	31% above the national average	$1,574	$20,908
Grossmont HospitalLa Mesa, CA · CCN 050026	24	$1,976	31% above the national average	$1,574	$18,903
Mad River Community HospitalArcata, CA · CCN 050028	11	$1,976	31% above the national average	$1,574	$16,734
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	16	$1,976	31% above the national average	$1,574	$23,674
Oroville HospitalOroville, CA · CCN 050030	26	$1,976	31% above the national average	$1,574	$8,392
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	12	$1,976	31% above the national average	$1,574	$18,514
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	11	$1,976	31% above the national average	$1,574	$10,056
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	11	$1,976	31% above the national average	$1,574	$19,669
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	33	$1,976	31% above the national average	$1,574	$21,117
Scripps Mercy HospitalSan Diego, CA · CCN 050077	24	$1,976	31% above the national average	$1,574	$32,153
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	16	$1,976	31% above the national average	$1,574	$21,470
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	16	$1,976	31% above the national average	$1,574	$13,577
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	73	$1,976	31% above the national average	$1,574	$11,499
Goleta Valley Cottage HospitalSanta Barbara, CA · CCN 050357	35	$1,976	31% above the national average	$1,574	$11,675
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	76	$1,976	31% above the national average	$1,574	$12,025
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	17	$1,976	31% above the national average	$1,574	$13,769
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	51	$1,976	31% above the national average	$1,574	$20,287
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	43	$1,976	31% above the national average	$1,574	$12,360
Providence St Joseph HospitalEureka, CA · CCN 050006	38	$1,976	31% above the national average	$1,573	$24,763
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	19	$1,976	31% above the national average	$1,573	$23,306
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	73	$1,976	31% above the national average	$1,572	$27,537
Mercy Medical CenterMerced, CA · CCN 050444	46	$1,976	31% above the national average	$1,572	$16,516
Adventist Health TulareTulare, CA · CCN 050784	28	$1,976	31% above the national average	$1,571	$15,406
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	14	$1,976	31% above the national average	$1,570	$40,580
Saint John's Health CenterSanta Monica, CA · CCN 050290	33	$1,976	31% above the national average	$1,569	$11,282
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	35	$1,976	31% above the national average	$1,569	$14,317
Clovis Community Medical CenterClovis, CA · CCN 050492	62	$1,976	31% above the national average	$1,568	$14,454
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	24	$1,976	31% above the national average	$1,567	$15,692
Keck Hospital Of USCLos Angeles, CA · CCN 050696	58	$1,976	31% above the national average	$1,567	$14,266
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	23	$1,976	31% above the national average	$1,567	$23,373
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	13	$1,976	31% above the national average	$1,567	$15,467
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	22	$1,976	31% above the national average	$1,566	$13,569
St Johns Regional Medical CenterOxnard, CA · CCN 050082	21	$1,976	31% above the national average	$1,566	$12,161
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	20	$1,976	31% above the national average	$1,565	$21,534
Riverside Community HospitalRiverside, CA · CCN 050022	18	$1,976	31% above the national average	$1,564	$47,889
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	16	$1,976	31% above the national average	$1,564	$18,110
Huntington HospitalPasadena, CA · CCN 050438	21	$1,976	31% above the national average	$1,563	$20,911
Providence Mission HospitalMission Viejo, CA · CCN 050567	54	$1,976	31% above the national average	$1,563	$24,749

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.