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 151–200. 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
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	46	$1,322	13% below the national average	$1,048	$5,522
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	13	$1,322	12% below the national average	$1,053	$10,873
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	19	$1,323	12% below the national average	$1,044	$14,583
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	16	$1,325	12% below the national average	$1,033	$8,852
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	16	$1,325	12% below the national average	$1,042	$15,713
Cox Medical CentersSpringfield, MO · CCN 260040	82	$1,325	12% below the national average	$1,050	$10,886
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	13	$1,325	12% below the national average	$1,056	$3,998
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 440056	11	$1,325	12% below the national average	$1,056	$12,128
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	15	$1,325	12% below the national average	$1,056	$3,252
Wheeling Hospital, IncWheeling, WV · CCN 510050	56	$1,326	12% below the national average	$1,050	$11,217
Spectrum HealthGrand Rapids, MI · CCN 230038	82	$1,326	12% below the national average	$1,038	$5,919
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	43	$1,326	12% below the national average	$1,046	$7,793
Leconte Medical CenterSevierville, TN · CCN 440081	20	$1,326	12% below the national average	$1,020	$3,498
Lake Health Beachwood Medical CenterBeachwood, OH · CCN 360367	48	$1,326	12% below the national average	$1,048	$8,844
Parma Community General HospitalParma, OH · CCN 360041	24	$1,327	12% below the national average	$1,044	$7,532
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	123	$1,327	12% below the national average	$1,050	$9,687
Greeneville Community HospitalGreeneville, TN · CCN 440050	17	$1,327	12% below the national average	$1,040	$13,434
Park Place Surgical HospitalLafayette, LA · CCN 190255	114	$1,327	12% below the national average	$1,053	$7,168
Bailey Medical Center, LLCOwasso, OK · CCN 370228	29	$1,327	12% below the national average	$1,050	$15,658
Pelham Medical CenterGreer, SC · CCN 420103	16	$1,328	12% below the national average	$1,044	$13,544
Fairview HospitalCleveland, OH · CCN 360077	65	$1,328	12% below the national average	$1,045	$7,714
University Health SystemSan Antonio, TX · CCN 450213	46	$1,328	12% below the national average	$1,044	$14,333
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	28	$1,329	12% below the national average	$1,048	$17,742
Southwell Medical, A Campus Of The Regional Medical CenterAdel, GA · CCN 110101	37	$1,329	12% below the national average	$1,053	$8,831
Tift Regional Medical CenterTifton, GA · CCN 110095	23	$1,329	12% below the national average	$1,050	$7,349
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	51	$1,330	12% below the national average	$1,053	$7,635
Holland HospitalHolland, MI · CCN 230072	16	$1,330	12% below the national average	$1,046	$6,414
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	21	$1,331	12% below the national average	$1,050	$6,616
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	34	$1,332	12% below the national average	$1,056	$7,173
Slidell Memorial HospitalSlidell, LA · CCN 190040	23	$1,332	12% below the national average	$1,053	$11,074
Cullman Regional Medical CenterCullman, AL · CCN 010035	29	$1,332	12% below the national average	$1,037	$5,989
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	21	$1,332	12% below the national average	$1,051	$11,627
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	33	$1,332	12% below the national average	$1,055	$14,433
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	11	$1,333	12% below the national average	$1,055	$53,259
Riverview Regional Medical CenterGadsden, AL · CCN 010046	28	$1,333	12% below the national average	$1,052	$35,689
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	18	$1,333	12% below the national average	$1,050	$34,737
Medical Center HospitalOdessa, TX · CCN 450132	18	$1,333	12% below the national average	$1,045	$6,566
UH Cleveland Medical CenterCleveland, OH · CCN 360137	56	$1,333	12% below the national average	$1,053	$9,821
Thomas HospitalFairhope, AL · CCN 010100	21	$1,333	12% below the national average	$1,053	$5,311
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	27	$1,333	12% below the national average	$1,062	$10,780
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	16	$1,334	12% below the national average	$1,038	$15,643
Huntsville HospitalHuntsville, AL · CCN 010039	93	$1,334	12% below the national average	$1,056	$8,248
Memorial HealthLawton, OK · CCN 370056	33	$1,335	12% below the national average	$1,054	$7,805
Omega Hospital, LLCMetairie, LA · CCN 190302 · +$5,270 outlier payments per case	33	$1,335	12% below the national average	$1,050	$18,028
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	83	$1,335	12% below the national average	$1,054	$17,785
Mountain West Medical CenterTooele, UT · CCN 460014	22	$1,336	12% below the national average	$1,033	$12,800
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	27	$1,336	12% below the national average	$1,056	$17,067
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	65	$1,336	12% below the national average	$1,052	$8,123
Fmol Health St FrancisMonroe, LA · CCN 190125	16	$1,336	12% below the national average	$1,065	$7,649
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	38	$1,336	12% below the national average	$1,054	$12,827

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.