Outpatient procedure · APC 5115 · Surgery or procedure

Level 5 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $12,402 per procedure at 2,213 hospitals. Half of hospitals averaged between $11,345 and $12,814.

Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery

National figures, 2024

Average payment per case: $12,402
Typical range (middle half of hospitals): $11,345–$12,814
Medicare’s share: $10,77287% of the payment
Average billed charge: $72,739
Hospitals reporting: 2,213362,845 procedures

Hospitals in New Jersey

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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New Jersey

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Average payment across these 43 hospitals: $14,069National $12,402 · New Jersey $14,069
Median hospital: $13,754
Lowest to highest: $12,494–$14,948
Medicare procedures: 10,137

43 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 5 Musculoskeletal Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Hunterdon Medical CenterFlemington, NJ · CCN 310005	84	$12,494	About average	$10,928	$43,333
Cooper University HospitalCamden, NJ · CCN 310014	165	$12,856	About average	$11,280	$50,898
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	50	$13,153	About average	$11,539	$52,382
Inspira Medical Center VinelandVineland, NJ · CCN 310032	47	$13,239	About average	$11,607	$70,584
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	168	$13,250	About average	$11,615	$51,946
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	40	$13,453	About average	$11,820	$51,613
Monmouth Medical CenterLong Branch, NJ · CCN 310075	302	$13,479	About average	$11,846	$47,064
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	63	$13,548	About average	$11,916	$46,231
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	63	$13,564	About average	$11,931	$69,696
Clara Maass Medical CenterBelleville, NJ · CCN 310009	48	$13,592	About average	$11,955	$41,652
West Jersey HospitalVoorhees, NJ · CCN 310022	574	$13,611	About average	$11,978	$119,648
Jefferson Stratford HospitalStratford, NJ · CCN 310086	410	$13,617	About average	$11,985	$66,121
Shore Medical CenterSomers Point, NJ · CCN 310047	196	$13,631	About average	$11,999	$67,889
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	101	$13,635	About average	$12,003	$109,201
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	179	$13,642	About average	$12,009	$45,783
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	113	$13,648	10% above the national average	$12,014	$55,252
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	121	$13,655	10% above the national average	$12,023	$128,477
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	492	$13,657	10% above the national average	$12,027	$66,333
Community Medical CenterToms River, NJ · CCN 310041	138	$13,667	10% above the national average	$12,034	$37,908
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	199	$13,694	10% above the national average	$12,061	$75,289
Bayshore Medical CenterHolmdel, NJ · CCN 310112	107	$13,700	10% above the national average	$12,066	$43,826
CentraState Medical CenterFreehold, NJ · CCN 310111	142	$13,754	11% above the national average	$12,122	$30,372
Ocean Medical CenterBrick, NJ · CCN 310052	540	$13,755	11% above the national average	$12,123	$38,151
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	16	$13,755	11% above the national average	$12,123	$49,156
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	142	$13,755	11% above the national average	$12,123	$144,999
Newton Medical CenterNewton, NJ · CCN 310028	22	$13,755	11% above the national average	$12,112	$111,435
JFK University Medical CenterEdison, NJ · CCN 310108	109	$13,811	11% above the national average	$12,194	$51,146
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	239	$13,825	11% above the national average	$12,192	$44,973
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	117	$13,834	12% above the national average	$12,199	$72,251
Riverview Medical CenterRed Bank, NJ · CCN 310034	458	$13,878	12% above the national average	$12,244	$40,685
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	778	$13,909	12% above the national average	$12,277	$58,538
Jersey City Medical CenterJersey City, NJ · CCN 310074	60	$14,504	17% above the national average	$12,868	$52,685
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019 · +$109 outlier payments per case	140	$14,568	17% above the national average	$12,934	$101,692
Morristown Medical CenterMorristown, NJ · CCN 310015	1,233	$14,577	18% above the national average	$12,945	$57,254
Overlook Medical CenterSummit, NJ · CCN 310051	386	$14,716	19% above the national average	$13,083	$67,050
Chilton Medical CenterPompton Plains, NJ · CCN 310017	81	$14,766	19% above the national average	$13,131	$79,657
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050 · +$739 outlier payments per case	53	$14,784	19% above the national average	$13,152	$136,178
Hudson Regional HospitalSecaucus, NJ · CCN 310118	96	$14,792	19% above the national average	$13,177	$80,228
Hackensack University Medical CenterHackensack, NJ · CCN 310001	965	$14,810	19% above the national average	$13,178	$47,675
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	103	$14,825	20% above the national average	$13,193	$52,433
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	116	$14,833	20% above the national average	$13,199	$209,783
Valley HospitalParamus, NJ · CCN 310012	522	$14,848	20% above the national average	$13,211	$53,351
Holy Name Medical CenterTeaneck, NJ · CCN 310008	159	$14,948	21% above the national average	$13,316	$47,704

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 229,215 procedures at 2,037 hospitals · 2021: 364,363 procedures at 2,254 hospitals · 2022: 410,561 procedures at 2,321 hospitals · 2023: 427,124 procedures at 2,312 hospitals · 2024: 362,845 procedures at 2,213 hospitals

View data as a table

National average payment and billed charge for Level 5 Musculoskeletal Procedures
Year of care	Average payment	Average billed charge
2020	$12K	$61K
2021	$12K	$66K
2022	$12K	$68K
2023	$13K	$71K
2024	$12K	$73K

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 5 Musculoskeletal Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	927	$6,642	$5,710–$7,857
Alabama	36	5,517	$10,733	$10,538–$10,928
Mississippi	25	1,977	$10,843	$10,672–$11,006
Tennessee	47	8,201	$10,865	$10,654–$11,195
Louisiana	44	5,417	$10,909	$10,733–$11,044
West Virginia	19	2,033	$11,015	$10,538–$11,114
Ohio	104	15,215	$11,123	$11,029–$11,497
Oklahoma	42	7,005	$11,159	$11,026–$11,326
Arkansas	28	5,195	$11,206	$11,043–$11,679
South Carolina	43	9,015	$11,244	$11,083–$11,366
Kentucky	42	5,097	$11,263	$10,995–$11,552
Kansas	34	6,049	$11,345	$11,166–$11,885
Iowa	29	5,825	$11,405	$11,208–$11,925
Missouri	53	8,629	$11,419	$11,333–$11,837
Virginia	55	13,156	$11,531	$11,183–$12,118
Michigan	73	8,557	$11,535	$11,319–$11,944
Texas	188	27,220	$11,614	$11,350–$11,866
Georgia	71	9,007	$11,645	$11,145–$12,011
North Carolina	65	11,812	$11,652	$11,347–$11,739
New Mexico	16	2,050	$11,704	$11,270–$12,005
Utah	32	3,863	$11,712	$11,479–$11,775
Indiana	64	9,630	$11,754	$11,642–$11,909
Nebraska	21	4,927	$11,799	$11,652–$12,128
Florida	133	23,438	$11,799	$11,730–$11,906
Idaho	15	2,954	$11,894	$11,784–$12,386
Wisconsin	56	7,721	$11,921	$11,695–$12,134
Maine	14	1,590	$12,045	$11,422–$12,212
Pennsylvania	105	17,854	$12,207	$11,693–$12,571
Montana	10	2,257	$12,302	$12,157–$12,991
Illinois	82	14,943	$12,334	$12,119–$12,518
South Dakota	13	3,867	$12,387	$12,258–$13,048
North Dakota	6	1,935	$12,448	$12,260–$12,787
Colorado	47	8,262	$12,564	$12,388–$12,511
New Hampshire	11	2,199	$12,713	$12,410–$12,672
Minnesota	42	6,532	$12,735	$12,361–$12,965
Arizona	47	9,066	$12,802	$12,653–$12,814
Wyoming	10	919	$12,806	$12,962–$13,194
Delaware	6	2,342	$13,085	$13,029–$13,172
District of Columbia	4	774	$13,274	$13,278–$13,444
Rhode Island	8	825	$13,278	$13,310–$13,335
Washington	43	7,875	$13,453	$13,133–$13,721
Alaska	6	992	$13,858	$13,747–$14,483
Oregon	29	3,599	$13,939	$13,452–$13,786
Nevada	16	2,147	$13,956	$13,488–$13,899
Massachusetts	43	9,382	$13,997	$13,872–$14,027
New Jersey	43	10,137	$14,069	$13,614–$14,536
New York	91	13,630	$14,226	$13,725–$14,676
Connecticut	23	3,597	$14,579	$14,481–$14,714
Hawaii	9	682	$14,923	$14,484–$15,494
California	164	27,002	$16,486	$15,996–$16,675

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.