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 Iowa

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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Iowa

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Year of care

Average payment across these 20 hospitals: $1,392National $1,511 · Iowa $1,392
Median hospital: $1,377
Lowest to highest: $1,292–$1,477
Medicare procedures: 704

20 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
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	25	$1,292	15% below the national average	$1,029	$5,381
St Lukes HospitalCedar Rapids, IA · CCN 160045	15	$1,294	14% below the national average	$1,031	$8,858
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	83	$1,335	12% below the national average	$1,054	$17,785
Spencer Municipal HospitalSpencer, IA · CCN 160112	34	$1,343	11% below the national average	$1,060	$6,852
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	44	$1,356	10% below the national average	$1,076	$9,700
Mary Greeley Medical CenterAmes, IA · CCN 160030	74	$1,365	About average	$1,085	$7,092
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	14	$1,366	About average	$1,058	$8,055
Finley HospitalDubuque, IA · CCN 160117	27	$1,375	About average	$1,095	$9,219
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	27	$1,375	About average	$1,095	$11,905
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	34	$1,375	About average	$1,090	$18,266
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
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	21	$1,386	About average	$1,098	$10,877
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	64	$1,417	About average	$1,124	$8,912
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	20	$1,434	About average	$1,107	$15,243
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	36	$1,434	About average	$1,143	$11,050
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	35	$1,465	About average	$1,165	$9,322
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	14	$1,473	About average	$1,161	$5,186
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	84	$1,476	About average	$1,175	$4,629
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	17	$1,477	About average	$1,175	$6,266

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.