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 Utah

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.

Location

Utah

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 25 hospitals: $1,432National $1,511 · Utah $1,432
Median hospital: $1,440
Lowest to highest: $1,276–$1,542
Medicare procedures: 731

25 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
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	14	$1,276	16% below the national average	$983	$7,435
Mountain West Medical CenterTooele, UT · CCN 460014	22	$1,336	12% below the national average	$1,033	$12,800
Intermountain Health Layton HospitalLayton, UT · CCN 460061	25	$1,348	11% below the national average	$1,054	$7,546
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	31	$1,366	About average	$1,073	$8,440
Mountain View HospitalPayson, UT · CCN 460013	11	$1,374	About average	$1,095	$12,709
Intermountain Medical CenterMurray, UT · CCN 460010	39	$1,386	About average	$1,084	$8,720
Holy Cross Hospital-DavisLayton, UT · CCN 460041	45	$1,395	About average	$1,089	$6,122
St Mark's HospitalSalt Lake City, UT · CCN 460047	31	$1,417	About average	$1,129	$15,453
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	145	$1,418	About average	$1,123	$3,884
Brigham City Community HospitalBrigham City, UT · CCN 460017	12	$1,440	About average	$1,147	$13,837
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	21	$1,440	About average	$1,147	$6,853
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	16	$1,440	About average	$1,147	$6,254
Lakeview HospitalBountiful, UT · CCN 460042	12	$1,440	About average	$1,147	$12,970
Lone Peak HospitalDraper, UT · CCN 460060	15	$1,440	About average	$1,147	$11,244
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	21	$1,440	About average	$1,146	$8,676
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	19	$1,440	About average	$1,146	$5,803
American Fork HospitalAmerican Fork, UT · CCN 460023	22	$1,440	About average	$1,145	$6,633
Park City HospitalPark City, UT · CCN 460057	50	$1,440	About average	$1,144	$6,188
Orem Community HospitalOrem, UT · CCN 460043	15	$1,440	About average	$1,141	$6,103
Ogden Regional Medical CenterOgden, UT · CCN 460005	11	$1,440	About average	$1,122	$18,384
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	23	$1,449	About average	$1,136	$5,791
Ashley Regional Medical CenterVernal, UT · CCN 460030	20	$1,481	About average	$1,156	$14,094
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	13	$1,542	About average	$1,229	$5,894
Castleview HospitalPrice, UT · CCN 460011	40	$1,542	About average	$1,228	$10,597
St. George Regional HospitalSt George, UT · CCN 460021	58	$1,542	About average	$1,223	$7,664

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.