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 Wisconsin

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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Wisconsin

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Average payment across these 48 hospitals: $1,461National $1,511 · Wisconsin $1,461
Median hospital: $1,460
Lowest to highest: $1,088–$1,563
Medicare procedures: 1,852

48 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
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	23	$1,088	28% below the national average	$867	$7,679
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	95	$1,358	10% below the national average	$1,077	$9,127
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	12	$1,368	About average	$1,070	$11,957
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	17	$1,397	About average	$1,097	$6,054
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	21	$1,409	About average	$1,111	$9,516
Ascension All Saints HospitalRacine, WI · CCN 520096	26	$1,420	About average	$1,112	$13,818
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	86	$1,434	About average	$1,140	$10,231
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	20	$1,438	About average	$1,145	$15,787
Howard Young Medical CenterWoodruff, WI · CCN 520091	12	$1,438	About average	$1,125	$7,176
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	12	$1,438	About average	$1,146	$8,477
Aspirus Wausau HospitalWausau, WI · CCN 520030	20	$1,438	About average	$1,146	$9,898
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	20	$1,438	About average	$1,136	$7,185
Orthopaedic Hospital Of WisconsinGlendale, WI · CCN 520194	117	$1,442	About average	$1,141	$9,756
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	21	$1,443	About average	$1,138	$11,077
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	27	$1,445	About average	$1,151	$7,517
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	43	$1,445	About average	$1,151	$9,907
Holy Family MemorialManitowoc, WI · CCN 520107	22	$1,445	About average	$1,152	$6,821
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	21	$1,445	About average	$1,152	$13,888
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	42	$1,446	About average	$1,152	$14,446
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	17	$1,447	About average	$1,153	$5,807
Aurora Medical CenterGrafton, WI · CCN 520207	83	$1,448	About average	$1,150	$19,782
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	25	$1,449	About average	$1,154	$5,455
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	20	$1,451	About average	$1,144	$6,703
Mercy Health System CorpJanesville, WI · CCN 520066	63	$1,456	About average	$1,152	$5,661
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	44	$1,464	About average	$1,167	$14,499
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	19	$1,464	About average	$1,167	$8,602
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	46	$1,464	About average	$1,163	$8,781
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 520205	35	$1,464	About average	$1,152	$15,776
Aurora Medical Center - SummitSummit, WI · CCN 520206	17	$1,465	About average	$1,168	$8,981
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	14	$1,465	About average	$1,168	$4,825
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	52	$1,465	About average	$1,166	$6,403
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	26	$1,466	About average	$1,151	$11,778
Marshfield Medical CenterMarshfield, WI · CCN 520037	74	$1,482	About average	$1,175	$3,977
UnityPoint Health - MeriterMadison, WI · CCN 520089	42	$1,482	About average	$1,181	$13,345
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	15	$1,486	About average	$1,167	$8,634
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	56	$1,488	About average	$1,174	$19,382
The Monroe ClinicMonroe, WI · CCN 520028	17	$1,500	About average	$1,195	$13,080
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	189	$1,500	About average	$1,187	$8,416
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	39	$1,502	About average	$1,187	$16,087
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	16	$1,512	About average	$1,204	$11,961
Froedtert South Inc.Kenosha, WI · CCN 520021	27	$1,512	About average	$1,204	$11,512
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	27	$1,512	About average	$1,202	$3,963
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	73	$1,514	About average	$1,203	$5,718
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	52	$1,525	About average	$1,215	$6,914
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	40	$1,540	About average	$1,225	$7,011
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	21	$1,540	About average	$1,219	$7,002
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	18	$1,547	About average	$1,233	$12,305
Beloit Health SystemBeloit, WI · CCN 520100	28	$1,563	About average	$1,245	$9,989

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.