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 Missouri

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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Missouri

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Average payment across these 48 hospitals: $1,397National $1,511 · Missouri $1,397
Median hospital: $1,405
Lowest to highest: $923–$1,575
Medicare procedures: 1,646

48 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
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	21	$923	39% below the national average	$736	$6,260
St Joseph Medical CenterKansas City, MO · CCN 260085	12	$1,231	19% below the national average	$944	$15,612
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	13	$1,276	16% below the national average	$970	$8,750
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	29	$1,277	15% below the national average	$1,002	$7,231
University Of Missouri Health CareColumbia, MO · CCN 260141	130	$1,295	14% below the national average	$1,021	$9,102
Cox Medical CentersSpringfield, MO · CCN 260040	82	$1,325	12% below the national average	$1,050	$10,886
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	123	$1,327	12% below the national average	$1,050	$9,687
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	20	$1,349	11% below the national average	$1,063	$8,653
Mercy Hospital JoplinJoplin, MO · CCN 260001	13	$1,351	11% below the national average	$1,077	$13,045
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	11	$1,360	About average	$1,084	$9,883
SSM St Clare Health CenterFenton, MO · CCN 260081	25	$1,360	About average	$1,058	$9,113
Boone Hospital CenterColumbia, MO · CCN 260068	28	$1,368	About average	$1,090	$6,554
Nkc HealthNorth Kansas City, MO · CCN 260096	35	$1,375	About average	$1,084	$14,172
St Lukes HospitalChesterfield, MO · CCN 260179	34	$1,375	About average	$1,078	$7,191
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	25	$1,377	About average	$1,097	$21,260
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	65	$1,399	About average	$1,107	$6,143
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	13	$1,404	About average	$1,118	$16,453
Liberty HospitalLiberty, MO · CCN 260177	38	$1,404	About average	$1,118	$9,106
Saint Luke's East HospitalLees Summit, MO · CCN 260216	16	$1,404	About average	$1,118	$16,226
Saint Lukes North HospitalKansas City, MO · CCN 260062	23	$1,404	About average	$1,118	$14,153
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	19	$1,404	About average	$1,118	$22,246
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	15	$1,404	About average	$1,118	$4,989
Centerpoint Medical CenterIndependence, MO · CCN 260095	14	$1,404	About average	$1,110	$30,986
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	27	$1,405	About average	$1,104	$38,863
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	31	$1,405	About average	$1,119	$8,555
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	131	$1,419	About average	$1,128	$9,874
Progress West HospitalOfallon, MO · CCN 260219	25	$1,430	About average	$1,140	$8,631
Mercy Hospital WashingtonWashington, MO · CCN 260052	14	$1,430	About average	$1,140	$8,193
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	21	$1,430	About average	$1,139	$8,283
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	20	$1,430	About average	$1,138	$8,859
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	26	$1,430	About average	$1,136	$7,066
Mercy Hospital SouthSaint Louis, MO · CCN 260077	32	$1,430	About average	$1,134	$5,348
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	26	$1,430	About average	$1,132	$10,564
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	53	$1,434	About average	$1,136	$14,206
Citizens Memorial HospitalBolivar, MO · CCN 260195	36	$1,447	About average	$1,153	$7,619
Cox Medical Center BransonBranson, MO · CCN 260094	25	$1,447	About average	$1,153	$8,340
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	13	$1,447	About average	$1,153	$6,171
Ozarks HealthcareWest Plains, MO · CCN 260078	23	$1,447	About average	$1,152	$7,127
Lake Regional Health SystemOsage Beach, MO · CCN 260186	43	$1,447	About average	$1,147	$6,310
Parkland Health CenterFarmington, MO · CCN 260163	18	$1,464	About average	$1,153	$9,218
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	11	$1,465	About average	$1,155	$9,424
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	51	$1,470	About average	$1,172	$11,480
Northeast Regional Medical CenterKirksville, MO · CCN 260022	21	$1,472	About average	$1,159	$16,787
Golden Valley Memorial HospitalClinton, MO · CCN 260175	33	$1,503	About average	$1,198	$7,706
Bothwell Regional Health CenterSedalia, MO · CCN 260009	24	$1,503	About average	$1,192	$6,777
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	44	$1,512	About average	$1,204	$8,032
Phelps County Regional Medical CenterRolla, MO · CCN 260017	68	$1,514	About average	$1,203	$11,072
Missouri Delta Medical CenterSikeston, MO · CCN 260113	26	$1,575	About average	$1,255	$11,520

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.