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 251–300. 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
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	21	$1,352	11% below the national average	$1,077	$32,793
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	99	$1,352	11% below the national average	$1,069	$14,729
Christus St Michael Health SystemTexarkana, TX · CCN 450801	56	$1,355	10% below the national average	$1,063	$14,464
Lower Keys Medical CenterKey West, FL · CCN 100150	11	$1,355	10% below the national average	$1,016	$17,692
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	41	$1,355	10% below the national average	$1,080	$9,759
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	115	$1,355	10% below the national average	$1,078	$10,170
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	48	$1,356	10% below the national average	$1,064	$8,170
Baptist Memorial HospitalMemphis, TN · CCN 440048	41	$1,356	10% below the national average	$1,073	$11,829
Siloam Springs Regional HospitalSiloam Springs, AR · CCN 040001	16	$1,356	10% below the national average	$1,080	$12,604
St Bernards Medical CenterJonesboro, AR · CCN 040020	24	$1,356	10% below the national average	$1,080	$4,379
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	12	$1,356	10% below the national average	$1,080	$14,772
Washington Regional Medical CenterFayetteville, AR · CCN 040004	30	$1,356	10% below the national average	$1,079	$7,680
Erlanger Medical CenterChattanooga, TN · CCN 440104	172	$1,356	10% below the national average	$1,071	$7,780
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	44	$1,356	10% below the national average	$1,076	$9,700
Baptist Health LouisvilleLouisville, KY · CCN 180130	39	$1,356	10% below the national average	$1,075	$16,169
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	30	$1,358	10% below the national average	$1,074	$13,177
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	228	$1,358	10% below the national average	$1,073	$4,785
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	19	$1,358	10% below the national average	$1,075	$5,210
Texas Health Hospital FriscoFrisco, TX · CCN 670260	13	$1,358	10% below the national average	$1,064	$11,065
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	55	$1,358	10% below the national average	$1,082	$7,426
Resolute Health HospitalNew Braunfels, TX · CCN 670098	28	$1,358	10% below the national average	$1,069	$16,314
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	95	$1,358	10% below the national average	$1,077	$9,127
Arkansas Surgical HospitalNo Little Rock, AR · CCN 040147	203	$1,358	10% below the national average	$1,078	$5,720
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	11	$1,358	10% below the national average	$1,065	$25,073
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	14	$1,358	10% below the national average	$1,066	$16,036
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	12	$1,358	10% below the national average	$1,082	$15,616
Northeast Georgia Medical Center HabershamDemorest, GA · CCN 110041	15	$1,358	10% below the national average	$1,082	$17,621
SGMC HealthValdosta, GA · CCN 110122	37	$1,358	10% below the national average	$1,082	$12,025
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	36	$1,359	10% below the national average	$1,080	$15,485
Stephens County HospitalToccoa, GA · CCN 110032	13	$1,359	10% below the national average	$1,075	$17,077
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	24	$1,359	10% below the national average	$1,081	$10,764
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	20	$1,359	10% below the national average	$1,073	$8,520
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	11	$1,360	About average	$1,084	$9,883
Doctors HospitalAugusta, GA · CCN 110177	14	$1,360	About average	$1,084	$50,410
North Austin Medical CenterAustin, TX · CCN 450809	13	$1,360	About average	$1,084	$18,562
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	16	$1,360	About average	$1,076	$29,966
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	23	$1,360	About average	$1,082	$15,082
SSM St Clare Health CenterFenton, MO · CCN 260081	25	$1,360	About average	$1,058	$9,113
Berger HospitalCircleville, OH · CCN 360170	15	$1,361	About average	$1,069	$11,949
Crystal Clinic Orthopaedic CenterAkron, OH · CCN 360351	371	$1,361	About average	$1,076	$8,492
Mon Health Medical CenterMorgantown, WV · CCN 510024	15	$1,361	About average	$1,085	$11,252
Good Samaritan HospitalVincennes, IN · CCN 150042	16	$1,361	About average	$1,070	$7,220
AvalaCovington, LA · CCN 190267	55	$1,361	About average	$1,085	$16,145
St Tammany Parish HospitalCovington, LA · CCN 190045	24	$1,361	About average	$1,081	$10,791
Atrium Health ClevelandShelby, NC · CCN 340021	30	$1,362	About average	$1,071	$13,127
Sterling Surgical HospitalSlidell, LA · CCN 190256	19	$1,362	About average	$1,070	$8,148
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	141	$1,362	About average	$1,075	$10,529
Raleigh General HospitalBeckley, WV · CCN 510070	17	$1,362	About average	$1,086	$12,158
Logan Regional Medical CenterLogan, WV · CCN 510048	16	$1,362	About average	$1,086	$14,417
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	36	$1,363	About average	$1,080	$2,723

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.