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 Ohio

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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Ohio

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Average payment across these 86 hospitals: $1,346National $1,511 · Ohio $1,346
Median hospital: $1,370
Lowest to highest: $841–$1,545
Medicare procedures: 3,612

86 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
MetroHealth SystemCleveland, OH · CCN 360059	63	$841	44% below the national average	$562	$8,797
Marietta Memorial HospitalMarietta, OH · CCN 360147	23	$852	44% below the national average	$616	$7,006
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	54	$945	37% below the national average	$752	$8,012
Memorial HospitalFremont, OH · CCN 360156	17	$1,179	22% below the national average	$898	$7,129
Lake HealthConcord, OH · CCN 360098	13	$1,182	22% below the national average	$925	$10,478
Genesis HospitalZanesville, OH · CCN 360039	62	$1,224	19% below the national average	$968	$8,358
Medina HospitalMedina, OH · CCN 360091	48	$1,283	15% below the national average	$1,001	$7,788
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	41	$1,289	15% below the national average	$1,005	$11,285
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	14	$1,290	15% below the national average	$1,006	$7,965
Firelands Regional Medical CenterSandusky, OH · CCN 360025	29	$1,293	14% below the national average	$1,006	$7,725
UH St John Medical CenterWestlake, OH · CCN 360123	78	$1,302	14% below the national average	$1,031	$11,345
Akron General Medical CenterAkron, OH · CCN 360027	25	$1,302	14% below the national average	$1,030	$8,317
Mercy Regional Medical CenterLorain, OH · CCN 360172	16	$1,306	14% below the national average	$1,011	$12,659
Mercy Medical CenterCanton, OH · CCN 360070	17	$1,306	14% below the national average	$1,021	$9,948
Blanchard Valley HospitalFindlay, OH · CCN 360095	18	$1,311	13% below the national average	$1,022	$7,181
ProMedica Toledo HospitalToledo, OH · CCN 360068	49	$1,321	13% below the national average	$1,027	$16,008
Lake Health Beachwood Medical CenterBeachwood, OH · CCN 360367	48	$1,326	12% below the national average	$1,048	$8,844
Parma Community General HospitalParma, OH · CCN 360041	24	$1,327	12% below the national average	$1,044	$7,532
Fairview HospitalCleveland, OH · CCN 360077	65	$1,328	12% below the national average	$1,045	$7,714
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	28	$1,329	12% below the national average	$1,048	$17,742
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	51	$1,330	12% below the national average	$1,053	$7,635
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	34	$1,332	12% below the national average	$1,056	$7,173
UH Cleveland Medical CenterCleveland, OH · CCN 360137	56	$1,333	12% below the national average	$1,053	$9,821
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	16	$1,334	12% below the national average	$1,038	$15,643
Cleveland ClinicCleveland, OH · CCN 360180	176	$1,336	12% below the national average	$1,060	$7,361
Marymount HospitalGarfield Heights, OH · CCN 360143	31	$1,337	12% below the national average	$1,058	$9,778
West Chester HospitalWest Chester, OH · CCN 360354	36	$1,338	11% below the national average	$1,052	$12,498
Institute For Orthopaedic SurgeryLima, OH · CCN 360263	139	$1,344	11% below the national average	$1,065	$5,088
Lima Memorial Health SystemLima, OH · CCN 360009	15	$1,351	11% below the national average	$1,076	$20,640
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	41	$1,355	10% below the national average	$1,080	$9,759
Berger HospitalCircleville, OH · CCN 360170	15	$1,361	About average	$1,069	$11,949
Crystal Clinic Orthopaedic CenterAkron, OH · CCN 360351	371	$1,361	About average	$1,076	$8,492
Mercer County Joint Township Community HospitalColdwater, OH · CCN 360058	18	$1,368	About average	$1,090	$5,261
MH St Joseph Warren HospitalWarren, OH · CCN 360161	30	$1,368	About average	$1,090	$9,186
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	36	$1,368	About average	$1,090	$10,054
Aultman HospitalCanton, OH · CCN 360084	12	$1,368	About average	$1,090	$6,579
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	13	$1,368	About average	$1,090	$7,533
Summa Health SystemAkron, OH · CCN 360020	89	$1,368	About average	$1,089	$11,464
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 360276	30	$1,368	About average	$1,089	$11,935
Holzer Medical CenterGallipolis, OH · CCN 360054	46	$1,368	About average	$1,086	$6,625
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	21	$1,368	About average	$1,081	$6,087
Alliance Community HospitalAlliance, OH · CCN 360131	17	$1,368	About average	$1,081	$8,137
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	14	$1,368	About average	$1,079	$9,142
Wood County HospitalBowling Green, OH · CCN 360029	28	$1,372	About average	$1,088	$5,521
Upper Valley Medical CenterTroy, OH · CCN 360174	41	$1,372	About average	$1,087	$8,546
Hillcrest HospitalMayfield Heights, OH · CCN 360230	56	$1,372	About average	$1,093	$9,984
Lutheran HospitalCleveland, OH · CCN 360087	26	$1,372	About average	$1,093	$8,538
UH Regional HospitalsChardon, OH · CCN 360075	30	$1,372	About average	$1,093	$8,614
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	24	$1,372	About average	$1,093	$8,690
Dublin Methodist HospitalDublin, OH · CCN 360348	18	$1,374	About average	$1,081	$13,221

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.