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 Massachusetts

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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Massachusetts

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Average payment across these 47 hospitals: $1,708National $1,511 · Massachusetts $1,708
Median hospital: $1,717
Lowest to highest: $1,557–$1,808
Medicare procedures: 3,693

47 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
Good Samaritan Medical CenterBrockton, MA · CCN 220111	58	$1,557	About average	$1,236	$5,784
New England Baptist HospitalBoston, MA · CCN 220088	74	$1,635	About average	$1,300	$4,921
Massachusetts General HospitalBoston, MA · CCN 220071	274	$1,648	About average	$1,309	$12,237
Mercy Medical CenterSpringfield, MA · CCN 220066	33	$1,649	About average	$1,293	$6,210
Tufts Medical CenterBoston, MA · CCN 220116	66	$1,667	10% above the national average	$1,310	$6,794
Lowell General HospitalLowell, MA · CCN 220063	25	$1,671	11% above the national average	$1,313	$5,312
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	85	$1,678	11% above the national average	$1,327	$11,738
Baystate Wing HospitalPalmer, MA · CCN 220030	37	$1,679	11% above the national average	$1,338	$5,119
St Vincent HospitalWorcester, MA · CCN 220176	29	$1,681	11% above the national average	$1,330	$19,706
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	32	$1,683	11% above the national average	$1,332	$5,393
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	34	$1,687	12% above the national average	$1,336	$7,417
Brown University Health Morton HospitalTaunton, MA · CCN 220073	51	$1,693	12% above the national average	$1,343	$5,184
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	48	$1,697	12% above the national average	$1,347	$4,815
Baystate Noble HospitalWestfield, MA · CCN 220065	34	$1,698	12% above the national average	$1,343	$3,711
Mount Auburn HospitalCambridge, MA · CCN 220002	51	$1,699	12% above the national average	$1,343	$4,788
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	101	$1,700	13% above the national average	$1,339	$8,984
Southcoast Hospitals GroupFall River, MA · CCN 220074	237	$1,701	13% above the national average	$1,348	$5,458
Winchester HospitalWinchester, MA · CCN 220105	146	$1,702	13% above the national average	$1,350	$5,056
Saint Anne's HospitalFall River, MA · CCN 220020	150	$1,709	13% above the national average	$1,345	$6,599
Baystate Medical CenterSpringfield, MA · CCN 220077	83	$1,710	13% above the national average	$1,358	$4,852
South Shore HospitalSouth Weymouth, MA · CCN 220100	189	$1,712	13% above the national average	$1,360	$4,678
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	171	$1,713	13% above the national average	$1,363	$5,289
Brigham And Women's HospitalBoston, MA · CCN 220110	134	$1,716	14% above the national average	$1,364	$9,893
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	98	$1,717	14% above the national average	$1,368	$6,000
Newton-Wellesley HospitalNewton, MA · CCN 220101	349	$1,722	14% above the national average	$1,369	$7,247
Anna Jaques HospitalNewburyport, MA · CCN 220029	38	$1,726	14% above the national average	$1,375	$4,893
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	62	$1,726	14% above the national average	$1,375	$4,944
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	28	$1,726	14% above the national average	$1,375	$8,536
Boston Medical CenterBoston, MA · CCN 220031	45	$1,726	14% above the national average	$1,375	$7,600
Cambridge Health AllianceCambridge, MA · CCN 220011	35	$1,726	14% above the national average	$1,375	$4,423
Cape Cod HospitalHyannis, MA · CCN 220012	34	$1,726	14% above the national average	$1,375	$7,932
Falmouth HospitalFalmouth, MA · CCN 220135	46	$1,726	14% above the national average	$1,375	$6,527
Holyoke Medical CenterHolyoke, MA · CCN 220024	25	$1,726	14% above the national average	$1,375	$5,846
Marlborough HospitalMarlborough, MA · CCN 220049	13	$1,726	14% above the national average	$1,375	$7,116
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	43	$1,726	14% above the national average	$1,375	$10,033
MelroseWakefield HealthcareMelrose, MA · CCN 220070	33	$1,726	14% above the national average	$1,375	$7,991
Milford Regional Medical CenterMilford, MA · CCN 220090	51	$1,726	14% above the national average	$1,374	$2,917
Heywood Hospital -Gardner, MA · CCN 220095	34	$1,726	14% above the national average	$1,373	$6,415
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	39	$1,726	14% above the national average	$1,373	$4,050
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	86	$1,726	14% above the national average	$1,373	$7,999
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	97	$1,726	14% above the national average	$1,372	$7,979
Holy Family HospitalMethuen, MA · CCN 220080	17	$1,726	14% above the national average	$1,372	$4,684
North Shore Medical Center -Salem, MA · CCN 220035	32	$1,726	14% above the national average	$1,371	$9,434
Emerson Hospital -W Concord, MA · CCN 220084	46	$1,726	14% above the national average	$1,370	$5,712
Northeast Hospital CorporationBeverly, MA · CCN 220033	35	$1,726	14% above the national average	$1,370	$6,195
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	16	$1,727	14% above the national average	$1,349	$6,520
Berkshire Medical CenterPittsfield, MA · CCN 220046	249	$1,808	20% above the national average	$1,439	$4,683

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.