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 South Carolina

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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South Carolina

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Average payment across these 43 hospitals: $11,244National $12,402 · South Carolina $11,244
Median hospital: $11,207
Lowest to highest: $10,553–$12,433
Medicare procedures: 9,015

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
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	390	$10,553	15% below the national average	$8,916	$121,928
Piedmont Medical CenterRock Hill, SC · CCN 420002	185	$10,600	15% below the national average	$8,968	$120,969
McLeod Medical Center - DillonDillon, SC · CCN 420005	86	$10,699	14% below the national average	$9,067	$73,089
MUSC Medical CenterCharleston, SC · CCN 420004 · +$1,485 outlier payments per case	388	$10,721	14% below the national average	$9,131	$79,957
KershawHealthCamden, SC · CCN 420048	17	$10,728	14% below the national average	$9,096	$65,283
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089 · +$69 outlier payments per case	321	$10,828	13% below the national average	$9,193	$109,880
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	394	$10,839	13% below the national average	$9,205	$70,993
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	30	$11,014	11% below the national average	$9,374	$56,757
Trident Medical CenterCharleston, SC · CCN 420079	172	$11,059	11% below the national average	$9,427	$156,144
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	35	$11,064	11% below the national average	$9,426	$52,273
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	108	$11,081	11% below the national average	$9,449	$79,986
McLeod Loris HospitalLoris, SC · CCN 420105	387	$11,085	11% below the national average	$9,453	$76,539
Conway Medical CenterConway, SC · CCN 420049	235	$11,109	10% below the national average	$9,483	$51,719
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	43	$11,113	10% below the national average	$9,477	$82,062
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	110	$11,120	10% below the national average	$9,486	$74,749
Lexington Medical CenterWest Columbia, SC · CCN 420073	442	$11,143	10% below the national average	$9,511	$78,013
Roper HospitalCharleston, SC · CCN 420087	340	$11,143	10% below the national average	$9,510	$47,288
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	57	$11,168	About average	$9,536	$89,828
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	48	$11,175	About average	$9,543	$155,636
St Francis-DowntownGreenville, SC · CCN 420023	712	$11,175	About average	$9,540	$95,249
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	405	$11,182	About average	$9,549	$128,362
Prisma Health Patewood HospitalGreenville, SC · CCN 420102	870	$11,207	About average	$9,575	$71,154
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	449	$11,214	About average	$9,581	$48,702
Prisma Health BaptistColumbia, SC · CCN 420086 · +$78 outlier payments per case	419	$11,227	About average	$9,593	$82,844
Aiken Regional Medical CenterAiken, SC · CCN 420082	35	$11,259	About average	$9,627	$112,330
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	39	$11,259	About average	$9,627	$102,371
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	180	$11,259	About average	$9,626	$48,426
Pelham Medical CenterGreer, SC · CCN 420103	142	$11,292	About average	$9,660	$57,092
Prisma Health Richland HospitalColumbia, SC · CCN 420018	25	$11,296	About average	$9,664	$81,200
McLeod Health ClarendonManning, SC · CCN 420109	32	$11,311	About average	$9,678	$74,226
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	20	$11,339	About average	$9,707	$65,197
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	50	$11,339	About average	$9,703	$66,318
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	96	$11,393	About average	$9,761	$59,123
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	55	$11,505	About average	$9,873	$200,226
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026 · +$779 outlier payments per case	276	$11,506	About average	$9,874	$113,295
MUSC Health Chester Medical CenterChester, SC · CCN 420019	11	$11,811	About average	$10,179	$105,814
Anmed HealthAnderson, SC · CCN 420027	93	$11,832	About average	$10,200	$69,330
Self Regional HealthcareGreenwood, SC · CCN 420071	160	$11,953	About average	$10,320	$57,640
Newberry County Memorial HospitalNewberry, SC · CCN 420053	206	$11,955	About average	$10,323	$37,045
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	225	$11,979	About average	$10,347	$77,804
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	319	$12,000	About average	$10,367	$40,581
Hampton Regional Medical CenterVarnville, SC · CCN 420072	11	$12,056	About average	$10,424	$31,950
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	397	$12,433	About average	$10,801	$56,173

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.