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 South 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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Average payment across these 38 hospitals: $1,302National $1,511 · South Carolina $1,302
Median hospital: $1,381
Lowest to highest: $783–$1,482
Medicare procedures: 1,868

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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
MUSC Medical CenterCharleston, SC · CCN 420004	212	$783	48% below the national average	$619	$11,311
Conway Medical CenterConway, SC · CCN 420049	44	$907	40% below the national average	$723	$8,472
Piedmont Medical CenterRock Hill, SC · CCN 420002	23	$1,295	14% below the national average	$968	$20,262
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	16	$1,318	13% below the national average	$1,036	$13,146
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	30	$1,320	13% below the national average	$1,037	$26,949
Coastal Carolina HospitalHardeeville, SC · CCN 420101	39	$1,321	13% below the national average	$1,031	$23,393
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	16	$1,325	12% below the national average	$1,033	$8,852
Pelham Medical CenterGreer, SC · CCN 420103	16	$1,328	12% below the national average	$1,044	$13,544
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	27	$1,336	12% below the national average	$1,056	$17,067
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	113	$1,338	11% below the national average	$1,055	$32,174
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	32	$1,342	11% below the national average	$1,062	$14,086
St Francis-DowntownGreenville, SC · CCN 420023	93	$1,351	11% below the national average	$1,063	$12,097
McLeod Loris HospitalLoris, SC · CCN 420105	88	$1,367	About average	$1,085	$13,641
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	212	$1,375	About average	$1,091	$9,366
Roper HospitalCharleston, SC · CCN 420087	144	$1,375	About average	$1,093	$7,689
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	79	$1,377	About average	$1,095	$6,788
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	36	$1,377	About average	$1,092	$20,283
Aiken Regional Medical CenterAiken, SC · CCN 420082	20	$1,377	About average	$1,074	$15,101
Prisma Health BaptistColumbia, SC · CCN 420086	16	$1,381	About average	$1,100	$13,747
Lexington Medical CenterWest Columbia, SC · CCN 420073	47	$1,381	About average	$1,096	$10,903
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	20	$1,381	About average	$1,091	$10,694
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	24	$1,382	About average	$1,088	$16,269
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	12	$1,386	About average	$1,105	$14,524
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	21	$1,386	About average	$1,105	$14,291
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	13	$1,386	About average	$1,105	$13,392
Prisma Health Patewood HospitalGreenville, SC · CCN 420102	14	$1,386	About average	$1,105	$11,710
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	65	$1,387	About average	$1,099	$8,856
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	64	$1,387	About average	$1,102	$9,909
Trident Medical CenterCharleston, SC · CCN 420079	29	$1,387	About average	$1,098	$17,223
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	19	$1,393	About average	$1,110	$6,430
Colleton Medical CenterWalterboro, SC · CCN 420030	15	$1,412	About average	$1,104	$28,817
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	67	$1,424	About average	$1,119	$7,543
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	13	$1,429	About average	$1,139	$23,824
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	57	$1,466	About average	$1,155	$16,533
Anmed HealthAnderson, SC · CCN 420027	67	$1,474	About average	$1,175	$13,482
Newberry County Memorial HospitalNewberry, SC · CCN 420053	12	$1,474	About average	$1,175	$7,360
Self Regional HealthcareGreenwood, SC · CCN 420071	16	$1,478	About average	$1,177	$6,326
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	37	$1,482	About average	$1,181	$11,793

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.