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Outpatient procedure · APC 5116 · Surgery or procedure

Level 6 Musculoskeletal Procedures

In 2024, Medicare and patients paid an average of $17,392 per procedure at 1,481 hospitals. Half of hospitals averaged between $16,055 and $18,131.

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

National figures, 2024

Average payment per case
$17,392
Typical range (middle half of hospitals)
$16,055–$18,131
Medicare’s share
$15,76391% of the payment
Average billed charge
$97,523
Hospitals reporting
1,48173,440 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.

Location
South Carolina
Specific hospitals up to 10
Average payment across these 30 hospitals
$15,906National $17,392 · South Carolina $15,906
Median hospital
$15,757
Lowest to highest
$13,306–$17,493
Medicare procedures
1,929

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

Medicare payments per case for Level 6 Musculoskeletal Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Piedmont Medical CenterRock Hill, SC · CCN 42000231$13,30623% below the national average$11,667$161,881
Coastal Carolina HospitalHardeeville, SC · CCN 42010122$13,98020% below the national average$12,348$166,228
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 42008046$15,26712% below the national average$13,632$182,701
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089 · +$1,952 outlier payments per case113$15,28112% below the national average$13,640$224,304
Pelham Medical CenterGreer, SC · CCN 42010317$15,31612% below the national average$13,684$108,260
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051103$15,51711% below the national average$13,881$108,054
Lexington Medical CenterWest Columbia, SC · CCN 420073164$15,61310% below the national average$14,000$86,197
McLeod Loris HospitalLoris, SC · CCN 42010546$15,61810% below the national average$13,986$113,701
Conway Medical CenterConway, SC · CCN 42004931$15,62110% below the national average$14,000$69,235
Prisma Health Baptist ParkridgeColumbia, SC · CCN 42010682$15,64510% below the national average$14,012$110,338
Carolina Pines Regional Medical CenterHartsville, SC · CCN 42001017$15,659About average$14,027$237,118
Roper HospitalCharleston, SC · CCN 420087114$15,667About average$14,035$71,263
Prisma Health Patewood HospitalGreenville, SC · CCN 420102160$15,682About average$14,050$101,336
St Francis-DowntownGreenville, SC · CCN 42002385$15,703About average$14,067$129,278
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 42008575$15,739About average$14,107$199,421
MUSC Medical CenterCharleston, SC · CCN 420004 · +$1,217 outlier payments per case142$15,776About average$14,145$96,707
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 42009854$15,929About average$14,296$59,268
Prisma Health BaptistColumbia, SC · CCN 42008659$15,981About average$14,349$86,921
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 42003329$16,042About average$14,410$95,505
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 42007827$16,042About average$14,402$132,695
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 42006577$16,043About average$14,411$75,824
Trident Medical CenterCharleston, SC · CCN 42007933$16,046About average$14,414$236,737
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 42011015$16,118About average$14,486$73,908
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 42002669$16,536About average$14,904$120,103
Beaufort County Memorial HospitalBeaufort, SC · CCN 42006767$17,058About average$15,426$45,896
Newberry County Memorial HospitalNewberry, SC · CCN 42005356$17,058About average$15,426$52,624
Anmed HealthAnderson, SC · CCN 42002716$17,058About average$15,426$105,669
Self Regional HealthcareGreenwood, SC · CCN 42007149$17,097About average$15,465$84,176
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 42000955$17,146About average$15,514$106,708
Spartanburg Medical CenterSpartanburg, SC · CCN 42000775$17,493About average$15,861$92,990

National trend

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

  • Average payment
  • Average billed charge
2020: 1,457 procedures at 85 hospitals · 2021: 8,226 procedures at 353 hospitals · 2022: 3,004 procedures at 156 hospitals · 2023: 14,620 procedures at 540 hospitals · 2024: 73,440 procedures at 1,481 hospitals
View data as a table
National average payment and billed charge for Level 6 Musculoskeletal Procedures
Year of careAverage paymentAverage billed charge
2020$15K$75K
2021$15K$116K
2022$16K$92K
2023$21K$112K
2024$17K$98K

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 6 Musculoskeletal Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont3119$8,999$8,453–$10,624
Alabama251,210$15,164$14,755–$15,349
Utah231,080$15,193$16,244–$16,659
Tennessee332,084$15,325$15,130–$15,866
Mississippi14683$15,430$15,026–$15,570
Louisiana301,108$15,576$15,464–$15,754
West Virginia12558$15,715$14,973–$15,721
Oklahoma301,351$15,834$15,611–$16,023
Arkansas211,202$15,872$15,523–$16,345
South Carolina301,929$15,906$15,619–$16,100
Ohio733,030$15,978$15,826–$16,279
Kentucky221,410$16,042$15,742–$16,096
Kansas231,240$16,065$15,767–$16,241
Iowa201,326$16,087$15,847–$16,340
Missouri351,775$16,103$15,799–$16,551
Virginia412,439$16,328$15,963–$17,432
Texas1275,228$16,373$16,124–$16,789
Michigan441,746$16,380$15,785–$17,123
Georgia421,898$16,409$15,899–$17,257
North Carolina452,608$16,492$16,184–$16,710
Indiana472,034$16,575$16,509–$16,797
Florida865,085$16,629$16,634–$16,845
Nebraska161,011$16,771$16,741–$16,936
Wisconsin381,368$16,885$16,647–$17,067
Idaho13741$16,900$16,735–$17,428
New Mexico9300$17,126$15,882–$17,343
Maine7292$17,280$16,837–$17,471
Pennsylvania653,133$17,344$16,610–$17,938
Illinois562,463$17,391$17,185–$17,654
North Dakota6437$17,467$17,235–$18,360
South Dakota10790$17,472$17,281–$18,289
Montana9516$17,606$17,193–$18,232
Colorado372,121$17,744$17,468–$17,701
Minnesota271,383$18,117$17,504–$18,536
Wyoming8289$18,154$18,579–$18,669
New Hampshire11403$18,184$17,654–$18,332
Arizona372,369$18,231$17,996–$18,131
Delaware5457$18,546$18,654–$18,654
Rhode Island3157$18,657$18,634–$18,765
District of Columbia4199$18,848$18,878–$19,023
Washington331,628$19,062$18,661–$19,156
Alaska3180$19,345$18,819–$19,653
New Jersey281,653$19,847$19,222–$20,663
Oregon20929$19,883$19,066–$19,507
Massachusetts341,711$19,887$19,966–$19,966
New York511,970$19,922$19,552–$20,841
Nevada9617$19,943$19,802–$19,910
Connecticut16778$20,733$20,681–$20,925
Hawaii370$21,247$21,066–$22,304
California974,332$23,412$22,851–$23,737

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.