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 Tennessee

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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Tennessee

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Year of care

Average payment across these 37 hospitals: $1,317National $1,511 · Tennessee $1,317
Median hospital: $1,341
Lowest to highest: $1,111–$1,474
Medicare procedures: 1,298

37 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
Vanderbilt University Medical CenterNashville, TN · CCN 440039	161	$1,111	26% below the national average	$874	$15,415
Tristar Summit Medical CenterHermitage, TN · CCN 440150	14	$1,147	24% below the national average	$914	$25,530
Parkwest Medical CenterKnoxville, TN · CCN 440173	16	$1,186	21% below the national average	$917	$6,130
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	13	$1,203	20% below the national average	$959	$10,784
University Health System, IncKnoxville, TN · CCN 440015	29	$1,289	15% below the national average	$1,002	$8,937
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	18	$1,294	14% below the national average	$1,019	$11,287
Physicians Regional Medical CenterPowell, TN · CCN 440120	41	$1,300	14% below the national average	$1,030	$12,849
Tristar Skyline Medical CenterNashville, TN · CCN 440006	14	$1,306	14% below the national average	$1,024	$40,271
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	54	$1,306	14% below the national average	$1,037	$7,126
Maury Regional HospitalColumbia, TN · CCN 440073	22	$1,309	13% below the national average	$1,033	$9,013
Parkridge Medical CenterChattanooga, TN · CCN 440156	79	$1,315	13% below the national average	$1,031	$14,423
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	13	$1,325	12% below the national average	$1,056	$3,998
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 440056	11	$1,325	12% below the national average	$1,056	$12,128
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	15	$1,325	12% below the national average	$1,056	$3,252
Leconte Medical CenterSevierville, TN · CCN 440081	20	$1,326	12% below the national average	$1,020	$3,498
Greeneville Community HospitalGreeneville, TN · CCN 440050	17	$1,327	12% below the national average	$1,040	$13,434
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	33	$1,332	12% below the national average	$1,055	$14,433
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	27	$1,333	12% below the national average	$1,062	$10,780
Williamson Medical CenterFranklin, TN · CCN 440029	25	$1,341	11% below the national average	$1,049	$8,574
Blount Memorial HospitalMaryville, TN · CCN 440011	88	$1,341	11% below the national average	$1,055	$9,510
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	27	$1,345	11% below the national average	$1,057	$18,432
Baptist Memorial HospitalMemphis, TN · CCN 440048	41	$1,356	10% below the national average	$1,073	$11,829
Erlanger Medical CenterChattanooga, TN · CCN 440104	172	$1,356	10% below the national average	$1,071	$7,780
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	11	$1,358	10% below the national average	$1,065	$25,073
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	39	$1,370	About average	$1,091	$9,744
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	18	$1,370	About average	$1,078	$12,833
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	16	$1,374	About average	$1,091	$15,007
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	16	$1,381	About average	$1,088	$14,014
Jackson-Madison County General HospitalJackson, TN · CCN 440002	39	$1,382	About average	$1,089	$8,683
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	11	$1,385	About average	$1,103	$13,040
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	15	$1,385	About average	$1,103	$6,559
Tristar Centennial Medical CenterNashville, TN · CCN 440161	29	$1,385	About average	$1,103	$20,216
Tristar Horizon Medical CenterDickson, TN · CCN 440046	11	$1,385	About average	$1,103	$19,364
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	14	$1,385	About average	$1,103	$11,434
Cumberland Medical CenterCrossville, TN · CCN 440009	40	$1,391	About average	$1,095	$2,764
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	72	$1,444	About average	$1,142	$8,560
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	17	$1,474	About average	$1,174	$19,671

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.