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

Hospitals in Alabama

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.

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Alabama

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Year of care

Average payment across these 28 hospitals: $1,311National $1,511 · Alabama $1,311
Median hospital: $1,320
Lowest to highest: $792–$1,472
Medicare procedures: 868

28 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Athens Limestone HospitalAthens, AL · CCN 010079	25	$792	48% below the national average	$622	$6,468
University Of Alabama HospitalBirmingham, AL · CCN 010033	27	$1,223	19% below the national average	$966	$21,121
Baptist Medical Center SouthMontgomery, AL · CCN 010023	15	$1,244	18% below the national average	$965	$9,725
Marshall Medical CentersBoaz, AL · CCN 010005	13	$1,251	17% below the national average	$980	$5,432
St Vincent's BirminghamBirmingham, AL · CCN 010056	39	$1,252	17% below the national average	$974	$17,259
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	12	$1,253	17% below the national average	$964	$46,714
Russell Medical CenterAlexander City, AL · CCN 010065	19	$1,273	16% below the national average	$1,003	$5,009
Grandview Medical CenterBirmingham, AL · CCN 010104	106	$1,308	13% below the national average	$1,032	$56,835
Flowers HospitalDothan, AL · CCN 010055	20	$1,311	13% below the national average	$1,045	$15,711
Baldwin HealthFoley, AL · CCN 010083	33	$1,314	13% below the national average	$1,047	$33,665
Callahan Eye HospitalBirmingham, AL · CCN 010018	39	$1,314	13% below the national average	$1,039	$10,095
Helen Keller HospitalSheffield, AL · CCN 010019	20	$1,316	13% below the national average	$1,049	$5,807
Medical Center EnterpriseEnterprise, AL · CCN 010049	17	$1,316	13% below the national average	$1,049	$48,719
Crestwood Medical CenterHuntsville, AL · CCN 010131	74	$1,318	13% below the national average	$1,025	$29,932
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	46	$1,322	13% below the national average	$1,048	$5,522
Cullman Regional Medical CenterCullman, AL · CCN 010035	29	$1,332	12% below the national average	$1,037	$5,989
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
Thomas HospitalFairhope, AL · CCN 010100	21	$1,333	12% below the national average	$1,053	$5,311
Huntsville HospitalHuntsville, AL · CCN 010039	93	$1,334	12% below the national average	$1,056	$8,248
Walker Baptist Medical CenterJasper, AL · CCN 010089	42	$1,346	11% below the national average	$1,056	$27,432
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	19	$1,358	10% below the national average	$1,075	$5,210
Andalusia HealthAndalusia, AL · CCN 010036	22	$1,375	About average	$1,095	$11,497
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	19	$1,404	About average	$1,100	$17,716
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	12	$1,410	About average	$1,123	$13,801
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	16	$1,422	About average	$1,133	$5,809
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	40	$1,441	About average	$1,143	$8,067
Highlands Medical CenterScottsboro, AL · CCN 010061	11	$1,472	About average	$1,173	$6,534

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.