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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 New Jersey

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
New Jersey
Specific hospitals up to 10
Average payment across these 38 hospitals
$1,689National $1,511 · New Jersey $1,689
Median hospital
$1,683
Lowest to highest
$1,260–$1,829
Medicare procedures
1,533

38 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Cooper University HospitalCamden, NJ · CCN 31001455$1,26017% below the national average$1,004$12,314
Community Medical CenterToms River, NJ · CCN 31004138$1,542About average$1,194$9,780
Monmouth Medical CenterLong Branch, NJ · CCN 31007520$1,574About average$1,218$10,399
JFK University Medical CenterEdison, NJ · CCN 31010818$1,610About average$1,283$11,019
St Luke's Warren HospitalPhillipsburg, NJ · CCN 31006021$1,622About average$1,277$16,578
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 31006430$1,638About average$1,296$19,933
Hunterdon Medical CenterFlemington, NJ · CCN 31000519$1,638About average$1,305$9,654
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 31007634$1,647About average$1,292$13,154
Riverview Medical CenterRed Bank, NJ · CCN 31003424$1,647About average$1,285$12,845
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 31003832$1,67411% above the national average$1,306$14,582
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010101$1,67811% above the national average$1,329$14,200
Inspira Medical Center Mullica HillElmer, NJ · CCN 31006936$1,68311% above the national average$1,341$13,061
Inspira Medical Center VinelandVineland, NJ · CCN 31003212$1,68311% above the national average$1,341$12,294
Newton Medical CenterNewton, NJ · CCN 31002825$1,68311% above the national average$1,341$25,430
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 31004821$1,68311% above the national average$1,341$11,793
Shore Medical CenterSomers Point, NJ · CCN 31004721$1,68311% above the national average$1,341$13,291
Cape Regional Medical Center IncCape May Court House, NJ · CCN 31001144$1,68311% above the national average$1,339$10,978
Ahs Hospital CorpHackettstown, NJ · CCN 31011535$1,68311% above the national average$1,339$16,877
Ocean Medical CenterBrick, NJ · CCN 31005250$1,68311% above the national average$1,333$9,649
West Jersey HospitalVoorhees, NJ · CCN 31002239$1,68311% above the national average$1,333$22,567
Jefferson Stratford HospitalStratford, NJ · CCN 31008620$1,68311% above the national average$1,331$17,941
Southern Ocean Medical CenterManahawkin, NJ · CCN 31011319$1,68311% above the national average$1,331$13,099
Virtua Mount Holly HospitalMount Holly, NJ · CCN 31005717$1,68311% above the national average$1,330$19,245
Hackensack University Medical CenterHackensack, NJ · CCN 31000191$1,69212% above the national average$1,341$13,251
Morristown Medical CenterMorristown, NJ · CCN 310015193$1,69612% above the national average$1,344$12,921
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 31005452$1,70013% above the national average$1,345$8,265
CentraState Medical CenterFreehold, NJ · CCN 31011132$1,70413% above the national average$1,357$12,083
Jersey Shore University Medical CenterNeptune, NJ · CCN 31007331$1,70413% above the national average$1,347$12,015
Bayshore Medical CenterHolmdel, NJ · CCN 31011219$1,70413% above the national average$1,338$12,688
Saint Peter's University HospitalNew Brunswick, NJ · CCN 31007011$1,70513% above the national average$1,359$46,695
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 31003928$1,70513% above the national average$1,358$8,686
St Joseph's University Medical Center IncPaterson, NJ · CCN 31001938$1,71413% above the national average$1,335$13,317
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 31004559$1,78018% above the national average$1,405$20,416
Chilton Medical CenterPompton Plains, NJ · CCN 31001735$1,80920% above the national average$1,441$12,888
Overlook Medical CenterSummit, NJ · CCN 31005151$1,80920% above the national average$1,435$11,833
Valley HospitalParamus, NJ · CCN 310012117$1,82121% above the national average$1,445$11,024
Holy Name Medical CenterTeaneck, NJ · CCN 31000829$1,82921% above the national average$1,457$9,108
Jersey City Medical CenterJersey City, NJ · CCN 31007416$1,82921% above the national average$1,457$13,081

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6501$686$655–$932
Mississippi15447$1,143$1,298–$1,315
South Carolina381,868$1,302$1,339–$1,387
Alabama28868$1,311$1,300–$1,349
Tennessee371,298$1,317$1,309–$1,381
Louisiana281,063$1,333$1,306–$1,360
West Virginia19586$1,333$1,293–$1,363
Georgia541,512$1,343$1,358–$1,465
Ohio863,612$1,346$1,332–$1,398
Kentucky27971$1,363$1,334–$1,395
Oklahoma381,936$1,366$1,353–$1,397
Arkansas241,351$1,375$1,351–$1,434
Michigan592,063$1,378$1,377–$1,435
Kansas271,211$1,391$1,372–$1,429
Iowa20704$1,392$1,363–$1,434
Missouri481,646$1,397$1,373–$1,447
Indiana461,499$1,414$1,433–$1,463
Texas1355,815$1,414$1,395–$1,449
Idaho13667$1,418$1,446–$1,498
Nebraska16776$1,424$1,405–$1,462
Florida1013,550$1,425$1,428–$1,456
Virginia522,383$1,426$1,384–$1,500
North Carolina552,093$1,428$1,399–$1,447
Utah25731$1,432$1,395–$1,440
Maine11315$1,451$1,402–$1,496
Pennsylvania894,368$1,454$1,422–$1,538
Wisconsin481,852$1,461$1,441–$1,491
Illinois662,210$1,486$1,455–$1,526
New Mexico10474$1,502$1,400–$1,499
Colorado27746$1,510$1,530–$1,533
Montana9389$1,516$1,499–$1,519
New Hampshire10475$1,522$1,505–$1,539
South Dakota131,029$1,525$1,498–$1,614
Minnesota411,407$1,528$1,487–$1,546
North Dakota5594$1,541$1,507–$1,572
Arizona401,437$1,570$1,566–$1,568
Wyoming6118$1,584$1,527–$1,614
Delaware5335$1,610$1,613–$1,613
Rhode Island7233$1,617$1,583–$1,631
District of Columbia5172$1,623$1,644–$1,644
Washington402,105$1,649$1,603–$1,690
New Jersey381,533$1,689$1,675–$1,704
Alaska6195$1,697$1,668–$1,720
Massachusetts473,693$1,708$1,695–$1,726
Nevada16427$1,711$1,699–$1,722
Oregon26779$1,720$1,651–$1,730
New York894,787$1,731$1,704–$1,815
Connecticut21595$1,788$1,762–$1,809
Hawaii9274$1,893$1,809–$1,980
California1385,100$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.