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 Texas

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 135 hospitals: $1,414National $1,511 · Texas $1,414
Median hospital: $1,415
Lowest to highest: $698–$1,554
Medicare procedures: 5,815

135 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
Townsen Memorial HospitalHumble, TX · CCN 670266	35	$698	54% below the national average	$556	$35,085
Hendrick Medical CenterAbilene, TX · CCN 450229	48	$1,154	24% below the national average	$920	$19,975
University Medical Center Of El PasoEl Paso, TX · CCN 450024	24	$1,209	20% below the national average	$954	$9,156
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	31	$1,305	14% below the national average	$1,039	$26,253
University Medical CenterLubbock, TX · CCN 450686	62	$1,308	13% below the national average	$1,025	$16,015
Freestone Medical CenterFairfield, TX · CCN 450658	15	$1,320	13% below the national average	$1,037	$10,032
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	16	$1,325	12% below the national average	$1,042	$15,713
University Health SystemSan Antonio, TX · CCN 450213	46	$1,328	12% below the national average	$1,044	$14,333
Medical Center HospitalOdessa, TX · CCN 450132	18	$1,333	12% below the national average	$1,045	$6,566
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	21	$1,342	11% below the national average	$1,054	$14,554
Christus St Michael Health SystemTexarkana, TX · CCN 450801	56	$1,355	10% below the national average	$1,063	$14,464
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	48	$1,356	10% below the national average	$1,064	$8,170
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	30	$1,358	10% below the national average	$1,074	$13,177
Texas Health Hospital FriscoFrisco, TX · CCN 670260	13	$1,358	10% below the national average	$1,064	$11,065
Resolute Health HospitalNew Braunfels, TX · CCN 670098	28	$1,358	10% below the national average	$1,069	$16,314
North Austin Medical CenterAustin, TX · CCN 450809	13	$1,360	About average	$1,084	$18,562
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	23	$1,360	About average	$1,082	$15,082
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	106	$1,365	About average	$1,083	$12,685
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	20	$1,368	About average	$1,090	$13,090
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	80	$1,369	About average	$1,086	$8,843
Christus Mother Frances HospitalTyler, TX · CCN 450102	116	$1,370	About average	$1,092	$22,808
St David's South Austin Medical CenterAustin, TX · CCN 450713	26	$1,371	About average	$1,077	$18,730
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	44	$1,373	About average	$1,086	$9,416
Kell West Regional HospitalWichita Falls, TX · CCN 450827	22	$1,374	About average	$1,094	$5,563
Methodist HospitalSan Antonio, TX · CCN 450388	60	$1,383	About average	$1,099	$18,086
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	225	$1,385	About average	$1,097	$10,472
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	31	$1,386	About average	$1,090	$10,848
Peterson Regional Medical CenterKerrville, TX · CCN 450007	153	$1,387	About average	$1,099	$7,056
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	121	$1,390	About average	$1,101	$8,892
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 450853	34	$1,391	About average	$1,099	$14,416
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	34	$1,391	About average	$1,098	$12,447
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	84	$1,391	About average	$1,097	$5,758
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	108	$1,393	About average	$1,096	$9,466
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	57	$1,395	About average	$1,111	$16,821
Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX · CCN 670078	13	$1,395	About average	$1,111	$19,661
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	24	$1,395	About average	$1,111	$15,977
Cornerstone Regional HospitalEdinburg, TX · CCN 450825	13	$1,395	About average	$1,111	$23,251
Grace Surgical HospitalLubbock, TX · CCN 450162	24	$1,395	About average	$1,111	$13,612
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	11	$1,395	About average	$1,111	$41,001
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	31	$1,395	About average	$1,111	$8,790
Northwest Texas HospitalAmarillo, TX · CCN 450209	15	$1,395	About average	$1,111	$31,625
Sierra Medical CenterEl Paso, TX · CCN 450668	14	$1,395	About average	$1,111	$31,956
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	12	$1,395	About average	$1,111	$35,251
Woodland Heights Medical CenterLufkin, TX · CCN 450484	17	$1,395	About average	$1,111	$40,217
Covenant Medical CenterLubbock, TX · CCN 450040	38	$1,395	About average	$1,111	$27,107
Baptist Medical CenterSan Antonio, TX · CCN 450058	57	$1,395	About average	$1,109	$32,923
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	52	$1,395	About average	$1,108	$22,481
Midland Memorial HospitalMidland, TX · CCN 450133	50	$1,395	About average	$1,105	$13,122
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 450883	44	$1,397	About average	$1,108	$8,728
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	18	$1,399	About average	$1,100	$9,706

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.