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 401–450. 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
Piedmont Walton HospitalMonroe, GA · CCN 110046	21	$1,379	About average	$1,061	$18,481
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	41	$1,379	About average	$1,088	$7,059
Broadlawns Medical CenterDes Moines, IA · CCN 160101	18	$1,379	About average	$1,099	$5,728
MercyOne Newton Medical CenterNewton, IA · CCN 160032	18	$1,380	About average	$1,092	$3,574
Piedmont Macon North HospitalMacon, GA · CCN 110201	25	$1,380	About average	$1,097	$20,487
Bethesda NorthCincinnati, OH · CCN 360179	53	$1,380	About average	$1,093	$7,131
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	36	$1,381	About average	$1,080	$5,925
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	62	$1,381	About average	$1,093	$9,124
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	16	$1,381	About average	$1,088	$14,014
Prisma Health BaptistColumbia, SC · CCN 420086	16	$1,381	About average	$1,100	$13,747
Lexington Medical CenterWest Columbia, SC · CCN 420073	47	$1,381	About average	$1,096	$10,903
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	21	$1,381	About average	$1,080	$17,840
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	20	$1,381	About average	$1,091	$10,694
Advocate Trinity HospitalChicago, IL · CCN 140048	23	$1,381	About average	$1,050	$11,568
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	24	$1,382	About average	$1,088	$16,269
Jackson-Madison County General HospitalJackson, TN · CCN 440002	39	$1,382	About average	$1,089	$8,683
Beaumont Hospital, TroyTroy, MI · CCN 230269	45	$1,383	About average	$1,094	$13,376
Methodist HospitalSan Antonio, TX · CCN 450388	60	$1,383	About average	$1,099	$18,086
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	31	$1,384	About average	$1,102	$11,091
Johnston Memorial HospitalAbingdon, VA · CCN 490053	15	$1,384	About average	$1,102	$13,364
CJW Medical CenterRichmond, VA · CCN 490112	70	$1,384	About average	$1,102	$35,187
Smyth County Community HospitalMarion, VA · CCN 490038	11	$1,384	About average	$1,100	$13,021
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	16	$1,384	About average	$1,072	$39,084
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	11	$1,384	About average	$1,097	$8,908
Lewisgale Medical CenterSalem, VA · CCN 490048	25	$1,384	About average	$1,096	$24,817
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	15	$1,384	About average	$1,103	$8,228
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	11	$1,384	About average	$1,103	$11,657
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	23	$1,384	About average	$1,101	$8,958
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	31	$1,384	About average	$1,096	$16,275
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	56	$1,384	About average	$1,098	$16,084
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	11	$1,385	About average	$1,103	$13,040
Hillcrest Hospital SouthTulsa, OK · CCN 370202	45	$1,385	About average	$1,103	$18,721
Integris Canadian Valley HospitalYukon, OK · CCN 370211	16	$1,385	About average	$1,103	$20,502
Integris Health Edmond HospitalEdmond, OK · CCN 370236	12	$1,385	About average	$1,103	$17,729
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	11	$1,385	About average	$1,103	$14,375
Norman RegionalNorman, OK · CCN 370008	25	$1,385	About average	$1,103	$13,884
Northwest Surgical HospitalOklahoma City, OK · CCN 370192	37	$1,385	About average	$1,103	$18,436
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	15	$1,385	About average	$1,103	$6,559
Southwestern Medical CenterLawton, OK · CCN 370097	16	$1,385	About average	$1,103	$20,152
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	16	$1,385	About average	$1,103	$7,928
Tristar Centennial Medical CenterNashville, TN · CCN 440161	29	$1,385	About average	$1,103	$20,216
Tristar Horizon Medical CenterDickson, TN · CCN 440046	11	$1,385	About average	$1,103	$19,364
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	14	$1,385	About average	$1,103	$11,434
Baptist Health HardinElizabethtown, KY · CCN 180012	52	$1,385	About average	$1,103	$13,824
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	225	$1,385	About average	$1,097	$10,472
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	29	$1,385	About average	$1,088	$7,058
Ecu Health Medical CenterGreenville, NC · CCN 340040	82	$1,385	About average	$1,101	$8,148
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	82	$1,385	About average	$1,101	$13,289
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	21	$1,386	About average	$1,081	$4,374
Intermountain Medical CenterMurray, UT · CCN 460010	39	$1,386	About average	$1,084	$8,720

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.