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 North Carolina

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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North Carolina

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Average payment across these 55 hospitals: $1,428National $1,511 · North Carolina $1,428
Median hospital: $1,431
Lowest to highest: $1,308–$1,605
Medicare procedures: 2,093

55 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
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	16	$1,308	13% below the national average	$1,007	$8,270
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	17	$1,311	13% below the national average	$1,017	$8,887
Atrium Health ClevelandShelby, NC · CCN 340021	30	$1,362	About average	$1,071	$13,127
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	50	$1,376	About average	$1,092	$17,821
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	62	$1,381	About average	$1,093	$9,124
Ecu Health Medical CenterGreenville, NC · CCN 340040	82	$1,385	About average	$1,101	$8,148
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	82	$1,385	About average	$1,101	$13,289
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	47	$1,393	About average	$1,100	$8,864
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	37	$1,394	About average	$1,104	$7,482
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	23	$1,394	About average	$1,092	$12,077
Johnston HealthSmithfield, NC · CCN 340090	23	$1,396	About average	$1,102	$10,236
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	24	$1,396	About average	$1,099	$5,163
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	12	$1,399	About average	$1,114	$8,540
Caldwell Memorial HospitalLenoir, NC · CCN 340041	35	$1,399	About average	$1,114	$7,024
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	30	$1,399	About average	$1,114	$3,777
Vidant Edgecombe HospitalTarboro, NC · CCN 340107	23	$1,399	About average	$1,114	$11,469
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	62	$1,399	About average	$1,114	$7,545
Harris Regional HospitalSylva, NC · CCN 340016	47	$1,399	About average	$1,112	$11,318
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	11	$1,399	About average	$1,112	$15,589
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	68	$1,399	About average	$1,112	$11,085
Haywood Regional Medical CenterClyde, NC · CCN 340184	23	$1,399	About average	$1,110	$12,437
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	24	$1,399	About average	$1,109	$11,301
Northern Regional HospitalMount Airy, NC · CCN 340003	13	$1,399	About average	$1,104	$3,719
Duke University HospitalDurham, NC · CCN 340030	61	$1,407	About average	$1,117	$10,921
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	21	$1,410	About average	$1,123	$17,028
Catawba Valley Medical CenterHickory, NC · CCN 340143	16	$1,417	About average	$1,129	$5,212
UNC Health NashRocky Mount, NC · CCN 340147	55	$1,421	About average	$1,132	$12,266
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	81	$1,431	About average	$1,134	$11,733
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	86	$1,431	About average	$1,134	$6,273
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	88	$1,434	About average	$1,130	$13,668
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	14	$1,440	About average	$1,147	$9,714
Atrium Health PinevilleCharlotte, NC · CCN 340098	26	$1,444	About average	$1,151	$10,491
Atrium Health UnionMonroe, NC · CCN 340130	26	$1,444	About average	$1,151	$12,854
Atrium Health University CityCharlotte, NC · CCN 340166	11	$1,444	About average	$1,151	$11,922
Caromont Regional Medical CenterGastonia, NC · CCN 340032	40	$1,444	About average	$1,151	$10,847
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	21	$1,444	About average	$1,151	$8,160
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	15	$1,444	About average	$1,151	$10,032
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	12	$1,444	About average	$1,151	$7,776
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	34	$1,444	About average	$1,147	$11,603
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	43	$1,444	About average	$1,147	$15,047
Rex HospitalRaleigh, NC · CCN 340114	35	$1,447	About average	$1,153	$7,916
WakeMed, Cary HospitalCary, NC · CCN 340173	48	$1,447	About average	$1,144	$13,677
Duke Regional HospitalDurham, NC · CCN 340155	19	$1,450	About average	$1,155	$6,984
North Carolina Specialty HospitalDurham, NC · CCN 340049	14	$1,450	About average	$1,155	$2,835
Ecu Health North HospitalRoanoke Rapids, NC · CCN 340151	25	$1,450	About average	$1,140	$8,709
UNC HospitalsChapel Hill, NC · CCN 340061	90	$1,455	About average	$1,156	$10,752
Carteret General HospitalMorehead City, NC · CCN 340142	34	$1,456	About average	$1,160	$3,270
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	30	$1,465	About average	$1,167	$6,391
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	138	$1,487	About average	$1,185	$8,867
Onslow Memorial HospitalJacksonville, NC · CCN 340042	15	$1,498	About average	$1,193	$8,253

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.