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 York

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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New York

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Average payment across these 89 hospitals: $1,731National $1,511 · New York $1,731
Median hospital: $1,762
Lowest to highest: $988–$1,830
Medicare procedures: 4,787

89 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
Strong Memorial HospitalRochester, NY · CCN 330285	110	$988	35% below the national average	$780	$8,252
White Plains Hospital CenterWhite Plains, NY · CCN 330304	118	$1,118	26% below the national average	$889	$13,076
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	62	$1,418	About average	$1,125	$9,519
United Memorial Medical CenterBatavia, NY · CCN 330073	17	$1,524	About average	$1,210	$8,115
Nyack HospitalNyack, NY · CCN 330104	90	$1,575	About average	$1,251	$14,613
UPMC ChautauquaJamestown, NY · CCN 330239	36	$1,591	About average	$1,239	$5,289
Newark-Wayne Community HospitalNewark, NY · CCN 330030	13	$1,600	About average	$1,253	$8,333
Oneida Health HospitalOneida, NY · CCN 330115	15	$1,614	About average	$1,260	$6,924
Wynn HospitalUtica, NY · CCN 330044	13	$1,626	About average	$1,281	$12,134
Crouse HospitalSyracuse, NY · CCN 330203	44	$1,642	About average	$1,296	$5,882
Geneva General HospitalGeneva, NY · CCN 330058	23	$1,645	About average	$1,299	$5,271
Albany Medical Center HospitalAlbany, NY · CCN 330013	27	$1,666	10% above the national average	$1,327	$7,392
Corning HospitalCorning, NY · CCN 330277	36	$1,666	10% above the national average	$1,315	$5,887
Glens Falls HospitalGlens Falls, NY · CCN 330191	78	$1,673	11% above the national average	$1,313	$5,964
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	45	$1,674	11% above the national average	$1,323	$8,253
Chenango Memorial HospitalNorwich, NY · CCN 330033	11	$1,693	12% above the national average	$1,322	$10,888
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	87	$1,694	12% above the national average	$1,326	$12,470
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	19	$1,704	13% above the national average	$1,358	$6,709
Kaleida HealthBuffalo, NY · CCN 330005	14	$1,704	13% above the national average	$1,358	$5,851
Rome Memorial Hospital, IncRome, NY · CCN 330215	16	$1,704	13% above the national average	$1,358	$10,748
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	22	$1,704	13% above the national average	$1,358	$5,105
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	13	$1,704	13% above the national average	$1,358	$11,806
St Marys HealthcareAmsterdam, NY · CCN 330047	13	$1,704	13% above the national average	$1,358	$5,687
Arnot Ogden Medical CenterElmira, NY · CCN 330090	26	$1,704	13% above the national average	$1,358	$5,896
Ellis HospitalSchenectady, NY · CCN 330153	29	$1,704	13% above the national average	$1,358	$10,729
F F Thompson HospitalCanandaigua, NY · CCN 330074	29	$1,704	13% above the national average	$1,358	$3,613
Unity HospitalRochester, NY · CCN 330226	11	$1,704	13% above the national average	$1,358	$8,011
Highland HospitalRochester, NY · CCN 330164	16	$1,704	13% above the national average	$1,356	$10,426
Saratoga HospitalSaratoga Springs, NY · CCN 330222	50	$1,704	13% above the national average	$1,356	$6,488
Columbia Memorial HospitalHudson, NY · CCN 330094	67	$1,704	13% above the national average	$1,354	$6,293
St Peter's HospitalAlbany, NY · CCN 330057	27	$1,704	13% above the national average	$1,353	$9,694
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	13	$1,704	13% above the national average	$1,350	$2,229
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	24	$1,704	13% above the national average	$1,349	$15,736
Erie County Medical CenterBuffalo, NY · CCN 330219	37	$1,704	13% above the national average	$1,347	$6,302
Putnam Hospital CenterCarmel, NY · CCN 330273	31	$1,707	13% above the national average	$1,335	$8,403
Huntington HospitalHuntington, NY · CCN 330045	57	$1,710	13% above the national average	$1,345	$15,321
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	13	$1,717	14% above the national average	$1,345	$12,403
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	17	$1,718	14% above the national average	$1,365	$6,760
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	28	$1,738	15% above the national average	$1,385	$11,247
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	78	$1,751	16% above the national average	$1,376	$15,243
Northern Westchester HospitalMount Kisco, NY · CCN 330162	34	$1,752	16% above the national average	$1,374	$8,956
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	37	$1,756	16% above the national average	$1,390	$15,803
Montefiore Medical CenterBronx, NY · CCN 330059	87	$1,760	17% above the national average	$1,389	$20,678
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	24	$1,761	17% above the national average	$1,393	$8,056
North Shore University HospitalManhasset, NY · CCN 330106	160	$1,762	17% above the national average	$1,393	$16,851
Southside HospitalBay Shore, NY · CCN 330043	37	$1,762	17% above the national average	$1,394	$12,966
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	264	$1,772	17% above the national average	$1,408	$16,221
Long Island Community HospitalPatchogue, NY · CCN 330141	65	$1,773	17% above the national average	$1,408	$35,598
Plainview HospitalPlainview, NY · CCN 330331	30	$1,782	18% above the national average	$1,414	$12,256
Phelps HospitalSleepy Hollow, NY · CCN 330261	14	$1,787	18% above the national average	$1,416	$12,816

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.