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 Pennsylvania

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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Average payment across these 89 hospitals: $1,454National $1,511 · Pennsylvania $1,454
Median hospital: $1,447
Lowest to highest: $754–$1,694
Medicare procedures: 4,368

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
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	55	$754	50% below the national average	$600	$19,198
Gettysburg HospitalGettysburg, PA · CCN 390065	64	$841	44% below the national average	$667	$5,429
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	28	$987	35% below the national average	$778	$9,279
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	56	$1,012	33% below the national average	$799	$27,359
Crozer Chester Medical CenterUpland, PA · CCN 390180	109	$1,269	16% below the national average	$1,009	$10,233
UPMC LititzLititz, PA · CCN 390068	20	$1,315	13% below the national average	$1,047	$11,370
Reading HospitalWest Reading, PA · CCN 390044	18	$1,340	11% below the national average	$1,040	$13,723
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	14	$1,358	10% below the national average	$1,066	$16,036
Geisinger-Community Medical CenterScranton, PA · CCN 390001	15	$1,367	About average	$1,067	$41,129
The Washington HospitalWashington, PA · CCN 390042	17	$1,370	About average	$1,076	$4,778
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	11	$1,374	About average	$1,073	$7,914
UPMC HorizonGreenville, PA · CCN 390178	19	$1,375	About average	$1,084	$10,159
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	21	$1,381	About average	$1,080	$17,840
Uniontown HospitalUniontown, PA · CCN 390041	33	$1,392	About average	$1,106	$3,971
UPMC PassavantPittsburgh, PA · CCN 390107	76	$1,410	About average	$1,117	$17,153
UPMC WilliamsportWilliamsport, PA · CCN 390045	37	$1,410	About average	$1,113	$13,836
Milton S Hershey Medical CenterHershey, PA · CCN 390256	34	$1,412	About average	$1,109	$16,670
UPMC HanoverHanover, PA · CCN 390233	18	$1,412	About average	$1,125	$7,852
Regional Hospital Of ScrantonScranton, PA · CCN 390237	53	$1,414	About average	$1,122	$16,316
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	101	$1,416	About average	$1,119	$16,428
Penn State Health St. JosephReading, PA · CCN 390096	24	$1,417	About average	$1,108	$16,646
UPMC St MargaretPittsburgh, PA · CCN 390102	68	$1,419	About average	$1,124	$14,660
Geisinger Medical CenterDanville, PA · CCN 390006	80	$1,422	About average	$1,128	$30,756
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	85	$1,422	About average	$1,128	$10,503
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	96	$1,424	About average	$1,131	$18,091
ACMH HospitalKittanning, PA · CCN 390163	11	$1,436	About average	$1,144	$7,568
Allegheny General HospitalPittsburgh, PA · CCN 390050	20	$1,436	About average	$1,144	$13,930
Allegheny Valley HospitalNatrona, PA · CCN 390032	13	$1,436	About average	$1,144	$7,287
Forbes HospitalMonroeville, PA · CCN 390267	14	$1,436	About average	$1,144	$11,451
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	11	$1,436	About average	$1,144	$5,591
Grove City Medical CenterGrove City, PA · CCN 390266	14	$1,436	About average	$1,144	$10,295
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	15	$1,436	About average	$1,144	$6,411
St Clair HospitalPittsburgh, PA · CCN 390228	36	$1,436	About average	$1,144	$6,871
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	49	$1,436	About average	$1,142	$11,180
UPMC EastMonroeville, PA · CCN 390328	14	$1,436	About average	$1,141	$17,408
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	78	$1,436	About average	$1,141	$17,001
Advanced Surgical HospitalWashington, PA · CCN 390323	16	$1,436	About average	$1,140	$9,782
UPMC MercyPittsburgh, PA · CCN 390028	28	$1,436	About average	$1,137	$11,124
UPMC JamesonNew Castle, PA · CCN 390016	54	$1,436	About average	$1,137	$5,767
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	22	$1,436	About average	$1,133	$5,183
Jefferson HospitalJefferson Hills, PA · CCN 390265	23	$1,436	About average	$1,131	$10,650
UPMC NorthwestSeneca, PA · CCN 390091	11	$1,436	About average	$1,116	$8,216
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	68	$1,440	About average	$1,146	$7,773
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	279	$1,441	About average	$1,145	$12,779
Oss Orthopaedic HospitalYork, PA · CCN 390325	254	$1,447	About average	$1,149	$6,180
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	31	$1,455	About average	$1,159	$16,098
UPMC CarlisleCarlisle, PA · CCN 390058	25	$1,455	About average	$1,152	$7,336
Wellspan York HospitalYork, PA · CCN 390046	15	$1,462	About average	$1,165	$13,057
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	14	$1,465	About average	$1,167	$18,108
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	12	$1,466	About average	$1,168	$11,164

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.