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 Virginia

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

Virginia

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 52 hospitals: $1,426National $1,511 · Virginia $1,426
Median hospital: $1,399
Lowest to highest: $1,275–$1,565
Medicare procedures: 2,383

52 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
Sentara Obici HospitalSuffolk, VA · CCN 490044	23	$1,275	16% below the national average	$1,016	$9,753
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	25	$1,341	11% below the national average	$1,058	$25,493
Riverside Regional Medical CenterNewport News, VA · CCN 490052	80	$1,342	11% below the national average	$1,059	$8,580
John Randolph Medical CenterHopewell, VA · CCN 490020	20	$1,343	11% below the national average	$1,040	$42,775
Sentara Leigh HospitalNorfolk, VA · CCN 490046	163	$1,351	11% below the national average	$1,066	$12,130
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	33	$1,365	About average	$1,076	$8,351
Mary Immaculate HospitalNewport News, VA · CCN 490041	72	$1,368	About average	$1,087	$14,068
Carilion Medical CenterRoanoke, VA · CCN 490024	264	$1,373	About average	$1,093	$3,543
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	31	$1,384	About average	$1,102	$11,091
Johnston Memorial HospitalAbingdon, VA · CCN 490053	15	$1,384	About average	$1,102	$13,364
CJW Medical CenterRichmond, VA · CCN 490112	70	$1,384	About average	$1,102	$35,187
Smyth County Community HospitalMarion, VA · CCN 490038	11	$1,384	About average	$1,100	$13,021
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	11	$1,384	About average	$1,097	$8,908
Lewisgale Medical CenterSalem, VA · CCN 490048	25	$1,384	About average	$1,096	$24,817
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	15	$1,384	About average	$1,103	$8,228
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	11	$1,384	About average	$1,103	$11,657
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	23	$1,384	About average	$1,101	$8,958
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	31	$1,384	About average	$1,096	$16,275
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	237	$1,387	About average	$1,102	$8,287
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	23	$1,389	About average	$1,103	$12,193
Henrico Doctors' HospitalRichmond, VA · CCN 490118	86	$1,395	About average	$1,111	$40,807
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	83	$1,397	About average	$1,113	$11,405
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	11	$1,398	About average	$1,081	$8,878
Chesapeake General HospitalChesapeake, VA · CCN 490120	14	$1,398	About average	$1,114	$7,445
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	19	$1,398	About average	$1,114	$10,112
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	15	$1,398	About average	$1,112	$23,444
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	27	$1,399	About average	$1,108	$13,278
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	16	$1,408	About average	$1,107	$18,406
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	65	$1,421	About average	$1,121	$8,186
Sovah Health DanvilleDanville, VA · CCN 490075	20	$1,428	About average	$1,138	$22,678
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	29	$1,456	About average	$1,160	$13,084
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	36	$1,474	About average	$1,167	$9,454
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	49	$1,476	About average	$1,176	$10,714
Twin County Regional HospitalGalax, VA · CCN 490115	15	$1,482	About average	$1,181	$14,862
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	12	$1,482	About average	$1,178	$13,347
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	13	$1,482	About average	$1,166	$6,699
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	32	$1,484	About average	$1,176	$9,929
Inova Alexandria HospitalAlexandria, VA · CCN 490040	54	$1,485	About average	$1,175	$8,335
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	14	$1,498	About average	$1,193	$4,460
Inova Loudoun HospitalLeesburg, VA · CCN 490043	33	$1,507	About average	$1,201	$12,031
Mary Washington HospitalFredericksburg, VA · CCN 490022	16	$1,507	About average	$1,201	$10,370
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	12	$1,507	About average	$1,201	$15,918
Virginia Hospital CenterArlington, VA · CCN 490050	45	$1,507	About average	$1,199	$5,855
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	29	$1,507	About average	$1,194	$10,200
Inova Fairfax HospitalFalls Church, VA · CCN 490063	78	$1,507	About average	$1,192	$10,662
Fauquier HospitalWarrenton, VA · CCN 490023	30	$1,507	About average	$1,192	$14,190
Stonesprings Hospital CenterDulles, VA · CCN 490145	13	$1,507	About average	$1,186	$13,519
Reston Hospital CenterReston, VA · CCN 490107	38	$1,523	About average	$1,210	$16,622
Augusta HealthFishersville, VA · CCN 490018	97	$1,528	About average	$1,209	$6,622
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	11	$1,530	About average	$1,203	$11,181

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.