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 Illinois

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

Illinois

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 66 hospitals: $1,486National $1,511 · Illinois $1,486
Median hospital: $1,488
Lowest to highest: $1,206–$1,591
Medicare procedures: 2,210

66 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Javon Bea HospitalRockford, IL · CCN 140239	17	$1,206	20% below the national average	$947	$9,785
Carle Foundation HospitalUrbana, IL · CCN 140091	15	$1,307	13% below the national average	$1,040	$9,837
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	65	$1,336	12% below the national average	$1,052	$8,123
St Marys HospitalDecatur, IL · CCN 140166	16	$1,337	11% below the national average	$1,035	$12,081
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	13	$1,372	About average	$1,039	$13,253
Advocate Trinity HospitalChicago, IL · CCN 140048	23	$1,381	About average	$1,050	$11,568
Saint Joseph Medical CenterJoliet, IL · CCN 140007	12	$1,399	About average	$1,114	$15,388
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	88	$1,418	About average	$1,114	$12,695
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	22	$1,424	About average	$1,105	$12,655
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	12	$1,425	About average	$1,114	$10,638
Uw HealthRockford, IL · CCN 140228	35	$1,429	About average	$1,136	$18,126
FHN Memorial HospitalFreeport, IL · CCN 140160	13	$1,433	About average	$1,141	$11,895
CGH Medical CenterSterling, IL · CCN 140043	16	$1,439	About average	$1,146	$15,077
Anderson HospitalMaryville, IL · CCN 140289	24	$1,443	About average	$1,141	$9,250
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	16	$1,450	About average	$1,121	$12,909
St Johns HospitalSpringfield, IL · CCN 140053	31	$1,450	About average	$1,145	$13,447
Carle Health Proctor HospitalPeoria, IL · CCN 140013	36	$1,453	About average	$1,139	$20,229
Memorial Medical CenterSpringfield, IL · CCN 140148	53	$1,463	About average	$1,157	$10,217
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	47	$1,465	About average	$1,157	$15,535
Decatur Memorial HospitalDecatur, IL · CCN 140135	109	$1,465	About average	$1,157	$9,709
Memorial HospitalBelleville, IL · CCN 140185	74	$1,469	About average	$1,160	$8,918
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	39	$1,476	About average	$1,169	$7,196
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	57	$1,478	About average	$1,173	$12,298
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	22	$1,478	About average	$1,161	$6,853
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	177	$1,482	About average	$1,176	$12,186
Alton Memorial HospitalAlton, IL · CCN 140002	26	$1,485	About average	$1,183	$10,740
Carle Bromenn Medical CenterNormal, IL · CCN 140127	13	$1,485	About average	$1,183	$4,825
Heartland Regional Medical CenterMarion, IL · CCN 140184	13	$1,485	About average	$1,183	$25,472
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	22	$1,485	About average	$1,183	$10,554
Saint Francis Medical CenterPeoria, IL · CCN 140067	30	$1,485	About average	$1,183	$17,001
St Joseph Medical CenterBloomington, IL · CCN 140162	15	$1,485	About average	$1,183	$9,214
St Josephs HospitalBreese, IL · CCN 140145	22	$1,485	About average	$1,183	$11,385
Trinity Rock IslandRock Island, IL · CCN 140280	14	$1,485	About average	$1,183	$7,116
Palos Community HospitalPalos Heights, IL · CCN 140062	79	$1,491	About average	$1,183	$11,083
MacNeal HospitalBerwyn, IL · CCN 140054	18	$1,494	About average	$1,168	$18,227
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	69	$1,495	About average	$1,191	$8,465
Advocate Sherman HospitalElgin, IL · CCN 140030	17	$1,496	About average	$1,177	$13,928
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	15	$1,499	About average	$1,168	$14,953
Edward HospitalNaperville, IL · CCN 140231	53	$1,503	About average	$1,185	$15,474
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	21	$1,504	About average	$1,186	$10,724
Riverside Medical CenterKankakee, IL · CCN 140186	13	$1,512	About average	$1,204	$14,160
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	15	$1,526	About average	$1,216	$13,408
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	13	$1,526	About average	$1,216	$7,903
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	15	$1,526	About average	$1,216	$7,619
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	48	$1,526	About average	$1,216	$14,624
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	13	$1,526	About average	$1,212	$10,691
Swedish HospitalChicago, IL · CCN 140114	24	$1,526	About average	$1,212	$9,288
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	28	$1,526	About average	$1,211	$15,868
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	40	$1,526	About average	$1,209	$11,206
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	22	$1,526	About average	$1,207	$16,727

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.