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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

1,817 hospitals reported at least 11 Medicare procedures for this in 2024; showing 301–350. Download as CSV

Medicare payments per case for Level 2 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
AdventHealth Fish MemorialOrange City, FL · CCN 10007211$1,363About average$1,054$16,267
Norton Hospitals, IncLouisville, KY · CCN 180088200$1,364About average$1,082$5,632
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007733$1,365About average$1,076$8,351
Grady Memorial HospitalChickasha, OK · CCN 37005412$1,365About average$1,062$5,854
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 37002531$1,365About average$1,083$12,610
St Mary's Regional Medical CenterEnid, OK · CCN 37002614$1,365About average$1,074$16,526
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032106$1,365About average$1,083$12,685
Mary Greeley Medical CenterAmes, IA · CCN 16003074$1,365About average$1,085$7,092
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 46000431$1,366About average$1,073$8,440
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 16004714$1,366About average$1,058$8,055
Baptist Health - Fort SmithFort Smith, AR · CCN 04005526$1,367About average$1,082$15,848
The Nebraska Medical CenterOmaha, NE · CCN 28001398$1,367About average$1,080$5,675
St Marys Regional Medical CenterRussellville, AR · CCN 04004120$1,367About average$1,080$26,306
McLeod Loris HospitalLoris, SC · CCN 42010588$1,367About average$1,085$13,641
Geisinger-Community Medical CenterScranton, PA · CCN 39000115$1,367About average$1,067$41,129
Baptist Health FloydNew Albany, IN · CCN 15004411$1,367About average$1,090$13,333
Boone Hospital CenterColumbia, MO · CCN 26006828$1,368About average$1,090$6,554
Mercer County Joint Township Community HospitalColdwater, OH · CCN 36005818$1,368About average$1,090$5,261
MH St Joseph Warren HospitalWarren, OH · CCN 36016130$1,368About average$1,090$9,186
University Hospitals Portage Medical CenterRavenna, OH · CCN 36007836$1,368About average$1,090$10,054
Aultman HospitalCanton, OH · CCN 36008412$1,368About average$1,090$6,579
Trihealth Clinton Regional HospitalWilmington, OH · CCN 36017513$1,368About average$1,090$7,533
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 67007620$1,368About average$1,090$13,090
Summa Health SystemAkron, OH · CCN 36002089$1,368About average$1,089$11,464
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 36027630$1,368About average$1,089$11,935
Holzer Medical CenterGallipolis, OH · CCN 36005446$1,368About average$1,086$6,625
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 36021121$1,368About average$1,081$6,087
Alliance Community HospitalAlliance, OH · CCN 36013117$1,368About average$1,081$8,137
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 36006414$1,368About average$1,079$9,142
Aurora Medical Center Washington CountyHartford, WI · CCN 52003812$1,368About average$1,070$11,957
Mary Immaculate HospitalNewport News, VA · CCN 49004172$1,368About average$1,087$14,068
St Marys Medical CenterHuntington, WV · CCN 51000711$1,369About average$1,091$9,999
Quail Creek Surgical HospitalAmarillo, TX · CCN 45087580$1,369About average$1,086$8,843
Memorial Healthcare System, IncChattanooga, TN · CCN 44009139$1,370About average$1,091$9,744
The Washington HospitalWashington, PA · CCN 39004217$1,370About average$1,076$4,778
Affiliate Of Vitruvian HealthCleveland, TN · CCN 44018518$1,370About average$1,078$12,833
O U Medical CenterOklahoma City, OK · CCN 37009348$1,370About average$1,092$43,949
Christus Mother Frances HospitalTyler, TX · CCN 450102116$1,370About average$1,092$22,808
St David's South Austin Medical CenterAustin, TX · CCN 45071326$1,371About average$1,077$18,730
Wood County HospitalBowling Green, OH · CCN 36002928$1,372About average$1,088$5,521
Saint Francis Hospital-EvanstonEvanston, IL · CCN 14008013$1,372About average$1,039$13,253
Upper Valley Medical CenterTroy, OH · CCN 36017441$1,372About average$1,087$8,546
Hillcrest HospitalMayfield Heights, OH · CCN 36023056$1,372About average$1,093$9,984
Lutheran HospitalCleveland, OH · CCN 36008726$1,372About average$1,093$8,538
UH Regional HospitalsChardon, OH · CCN 36007530$1,372About average$1,093$8,614
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 36035924$1,372About average$1,093$8,690
NMC HealthNewton, KS · CCN 17010313$1,372About average$1,093$2,722
Summit Surgical, LLCHutchinson, KS · CCN 17019820$1,372About average$1,093$9,076
Kansas Surgery & Recovery CenterWichita, KS · CCN 17018349$1,372About average$1,093$10,629
Wesley Medical CenterWichita, KS · CCN 17012333$1,372About average$1,093$32,706

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6501$686$655–$932
Mississippi15447$1,143$1,298–$1,315
South Carolina381,868$1,302$1,339–$1,387
Alabama28868$1,311$1,300–$1,349
Tennessee371,298$1,317$1,309–$1,381
Louisiana281,063$1,333$1,306–$1,360
West Virginia19586$1,333$1,293–$1,363
Georgia541,512$1,343$1,358–$1,465
Ohio863,612$1,346$1,332–$1,398
Kentucky27971$1,363$1,334–$1,395
Oklahoma381,936$1,366$1,353–$1,397
Arkansas241,351$1,375$1,351–$1,434
Michigan592,063$1,378$1,377–$1,435
Kansas271,211$1,391$1,372–$1,429
Iowa20704$1,392$1,363–$1,434
Missouri481,646$1,397$1,373–$1,447
Indiana461,499$1,414$1,433–$1,463
Texas1355,815$1,414$1,395–$1,449
Idaho13667$1,418$1,446–$1,498
Nebraska16776$1,424$1,405–$1,462
Florida1013,550$1,425$1,428–$1,456
Virginia522,383$1,426$1,384–$1,500
North Carolina552,093$1,428$1,399–$1,447
Utah25731$1,432$1,395–$1,440
Maine11315$1,451$1,402–$1,496
Pennsylvania894,368$1,454$1,422–$1,538
Wisconsin481,852$1,461$1,441–$1,491
Illinois662,210$1,486$1,455–$1,526
New Mexico10474$1,502$1,400–$1,499
Colorado27746$1,510$1,530–$1,533
Montana9389$1,516$1,499–$1,519
New Hampshire10475$1,522$1,505–$1,539
South Dakota131,029$1,525$1,498–$1,614
Minnesota411,407$1,528$1,487–$1,546
North Dakota5594$1,541$1,507–$1,572
Arizona401,437$1,570$1,566–$1,568
Wyoming6118$1,584$1,527–$1,614
Delaware5335$1,610$1,613–$1,613
Rhode Island7233$1,617$1,583–$1,631
District of Columbia5172$1,623$1,644–$1,644
Washington402,105$1,649$1,603–$1,690
New Jersey381,533$1,689$1,675–$1,704
Alaska6195$1,697$1,668–$1,720
Massachusetts473,693$1,708$1,695–$1,726
Nevada16427$1,711$1,699–$1,722
Oregon26779$1,720$1,651–$1,730
New York894,787$1,731$1,704–$1,815
Connecticut21595$1,788$1,762–$1,809
Hawaii9274$1,893$1,809–$1,980
California1385,100$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.