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 Kentucky

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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Kentucky

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Year of care

Average payment across these 27 hospitals: $1,363National $1,511 · Kentucky $1,363
Median hospital: $1,358
Lowest to highest: $1,207–$1,470
Medicare procedures: 971

27 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
Saint Joseph EastLexington, KY · CCN 180143	12	$1,207	20% below the national average	$924	$9,118
Spring View HospitalLebanon, KY · CCN 180024	12	$1,259	17% below the national average	$985	$17,472
University Of Kentucky HospitalLexington, KY · CCN 180067	55	$1,265	16% below the national average	$1,004	$12,492
Baptist Health RichmondRichmond, KY · CCN 180049	17	$1,279	15% below the national average	$998	$14,890
King's Daughters' Medical CenterAshland, KY · CCN 180009	37	$1,317	13% below the national average	$1,029	$10,152
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	21	$1,331	12% below the national average	$1,050	$6,616
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	21	$1,332	12% below the national average	$1,051	$11,627
Clark Regional Medical CenterWinchester, KY · CCN 180092	20	$1,336	12% below the national average	$1,052	$15,214
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	29	$1,344	11% below the national average	$1,071	$7,115
Baptist Health CorbinCorbin, KY · CCN 180080	11	$1,348	11% below the national average	$1,074	$13,782
Murray-Calloway County HospitalMurray, KY · CCN 180027	12	$1,348	11% below the national average	$1,074	$11,512
Saint Joseph LondonLondon, KY · CCN 180011	13	$1,349	11% below the national average	$1,058	$13,711
Baptist Health LouisvilleLouisville, KY · CCN 180130	39	$1,356	10% below the national average	$1,075	$16,169
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	55	$1,358	10% below the national average	$1,082	$7,426
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	141	$1,362	About average	$1,075	$10,529
Norton Hospitals, IncLouisville, KY · CCN 180088	200	$1,364	About average	$1,082	$5,632
Baptist Health HardinElizabethtown, KY · CCN 180012	52	$1,385	About average	$1,103	$13,824
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	14	$1,389	About average	$1,106	$17,207
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	12	$1,389	About average	$1,089	$14,189
Baptist Health LexingtonLexington, KY · CCN 180103	21	$1,392	About average	$1,109	$14,869
Georgetown Community HospitalGeorgetown, KY · CCN 180101	12	$1,398	About average	$1,114	$15,327
St Elizabeth FlorenceFlorence, KY · CCN 180045	12	$1,398	About average	$1,114	$5,503
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	11	$1,398	About average	$1,114	$5,901
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	18	$1,421	About average	$1,119	$11,776
Pikeville Medical CenterPikeville, KY · CCN 180044	44	$1,433	About average	$1,137	$11,840
Baptist Health PaducahPaducah, KY · CCN 180104	55	$1,449	About average	$1,143	$15,349
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	25	$1,470	About average	$1,167	$11,676

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.