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 1,751–1,800. 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
Saint Agnes Medical CenterFresno, CA · CCN 050093	28	$1,976	31% above the national average	$1,561	$12,041
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	13	$1,976	31% above the national average	$1,560	$53,877
San Antonio Regional HospitalUpland, CA · CCN 050099	19	$1,976	31% above the national average	$1,558	$14,950
Adventist Health Twin CitiesTempleton, CA · CCN 050633	23	$1,976	31% above the national average	$1,558	$25,636
Community Regional Medical CenterFresno, CA · CCN 050060	17	$1,976	31% above the national average	$1,552	$13,372
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	46	$1,976	31% above the national average	$1,552	$12,059
Tri-City Medical CenterOceanside, CA · CCN 050128	20	$1,977	31% above the national average	$1,538	$11,284
Marshall Medical CenterPlacerville, CA · CCN 050254	28	$1,980	31% above the national average	$1,564	$10,970
Kona Community HospitalKealakekua, HI · CCN 120019	16	$1,980	31% above the national average	$1,577	$9,863
Maui Memorial Medical CenterWailuku, HI · CCN 120002	41	$1,980	31% above the national average	$1,570	$9,751
Hilo Benioff Medical CenterHilo, HI · CCN 120005	16	$1,980	31% above the national average	$1,566	$10,469
Woodland Memorial HospitalWoodland, CA · CCN 050127	46	$1,982	31% above the national average	$1,560	$12,497
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	23	$1,982	31% above the national average	$1,558	$23,897
Petaluma Valley HospitalPetaluma, CA · CCN 050136	13	$2,014	33% above the national average	$1,578	$21,825
Stanislaus Surgical HospitalModesto, CA · CCN 050726	13	$2,019	34% above the national average	$1,609	$9,767
Emanuel Medical CenterTurlock, CA · CCN 050179	18	$2,019	34% above the national average	$1,590	$50,267
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	266	$2,035	35% above the national average	$1,615	$10,096
Natividad Medical CenterSalinas, CA · CCN 050248	18	$2,043	35% above the national average	$1,595	$18,417
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	17	$2,047	35% above the national average	$1,610	$16,301
Sutter Davis HospitalDavis, CA · CCN 050537	18	$2,053	36% above the national average	$1,635	$12,944
Mercy General HospitalSacramento, CA · CCN 050017	20	$2,053	36% above the national average	$1,632	$17,666
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	14	$2,053	36% above the national average	$1,631	$8,186
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	25	$2,053	36% above the national average	$1,628	$8,939
Mercy Hospital Of FolsomFolsom, CA · CCN 050414	21	$2,053	36% above the national average	$1,627	$10,980
Adventist Health St HelenaSaint Helena, CA · CCN 050013	47	$2,063	37% above the national average	$1,643	$40,433
St Elizabeth Community HospitalRed Bluff, CA · CCN 050042	30	$2,063	37% above the national average	$1,629	$13,655
Adventist Health And RideoutMarysville, CA · CCN 050133	21	$2,066	37% above the national average	$1,646	$16,760
Adventist Health SonoraSonora, CA · CCN 050335	120	$2,081	38% above the national average	$1,657	$8,799
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	63	$2,090	38% above the national average	$1,659	$5,170
Dominican HospitalSanta Cruz, CA · CCN 050242	37	$2,106	39% above the national average	$1,673	$18,785
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	30	$2,116	40% above the national average	$1,686	$11,895
Sutter Coast HospitalCrescent City, CA · CCN 050417	13	$2,116	40% above the national average	$1,686	$10,686
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	15	$2,116	40% above the national average	$1,678	$17,134
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	56	$2,142	42% above the national average	$1,697	$23,123
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	27	$2,145	42% above the national average	$1,709	$13,260
Watsonville Community HospitalWatsonville, CA · CCN 050194	12	$2,148	42% above the national average	$1,692	$27,493
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	18	$2,163	43% above the national average	$1,703	$17,776
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$2,547 outlier payments per case	18	$2,163	43% above the national average	$1,724	$8,076
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	43	$2,168	43% above the national average	$1,701	$11,782
Sutter Amador HospitalJackson, CA · CCN 050014	16	$2,199	46% above the national average	$1,744	$6,697
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	11	$2,205	46% above the national average	$1,757	$39,222
Stanford Health CareStanford, CA · CCN 050441	206	$2,227	47% above the national average	$1,770	$34,192
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	19	$2,232	48% above the national average	$1,778	$9,835
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	22	$2,232	48% above the national average	$1,770	$13,291
Eden Medical CenterCastro Valley, CA · CCN 050488	18	$2,232	48% above the national average	$1,763	$20,077
Highland HospitalOakland, CA · CCN 050320	18	$2,232	48% above the national average	$1,762	$28,151
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	11	$2,238	48% above the national average	$1,783	$30,810
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	47	$2,238	48% above the national average	$1,779	$20,219
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	14	$2,238	48% above the national average	$1,770	$27,459
Novato Community HospitalNovato, CA · CCN 050131	18	$2,245	49% above the national average	$1,785	$9,975

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.