What 61 hospitals in New York charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in New York billed an average of $175,437 for level 2 icd and similar procedures, about 4.9 times the average medicare-allowed amount of $35,923. That payment is 16% above the U.S. average of $31,009.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 20¢ was paid for every $1 hospitals in New York billed for this service.
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 183 | $378,354 | $36,536 | $34,904 |
| St Francis Hospital, RoslynRoslyn | 158 | $200,978 | $36,729 | $35,094 |
| New York-Presbyterian HospitalNew York | 151 | $117,265 | $37,317 | $35,685 |
| Buffalo General HospitalBuffalo | 65 | $62,586 | $33,242 | $31,608 |
| University HospitalStony Brook | 56 | $204,779 | $36,628 | $34,991 |
| Mount Sinai HospitalNew York | 43 | $85,647 | $37,317 | $35,685 |
| St Joseph's Hospital Health CenterSyracuse | 43 | $131,024 | $34,001 | $32,369 |
| Good Samaritan Hospital Medical CenterWest Islip | 42 | $233,257 | $36,628 | $34,988 |
| Strong Memorial HospitalRochester | 36 | $93,627 | $33,851 | $32,208 |
| St Peter's HospitalAlbany | 35 | $66,813 | $34,772 | $33,140 |
| Vassar Brothers Medical CenterPoughkeepsie | 34 | $169,207 | $36,284 | $34,638 |
| Mount Sinai WestNew York | 30 | $119,265 | $35,762 | $34,123 |
| Montefiore Medical CenterBronx | 30 | $114,035 | $36,939 | $35,307 |
| North Shore University HospitalManhasset | 28 | $176,496 | $35,142 | $33,510 |
| Maimonides Medical CenterBrooklyn | 28 | $148,130 | $37,317 | $35,685 |
| Albany Medical Center HospitalAlbany | 27 | $97,373 | $34,772 | $33,135 |
| Wynn HospitalUtica | 26 | $130,417 | $34,772 | $33,140 |
| Mercy HospitalBuffalo | 26 | $135,927 | $33,497 | $31,861 |
| Rochester General HospitalRochester | 25 | $107,945 | $33,446 | $31,814 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 24 | $131,013 | $37,238 | $35,606 |
| Crouse HospitalSyracuse | 21 | $44,815 | $33,194 | $31,562 |
| Garnet Health Medical CenterGoshen | 20 | $170,327 | $36,289 | $34,657 |
| Long Island Jewish Medical CenterNew Hyde Park | 20 | $192,769 | $36,939 | $35,307 |
| Huntington HospitalHuntington | 19 | $147,254 | $36,259 | $34,627 |
| Good Samaritan Hospital of SuffernSuffern | 18 | $195,859 | $37,317 | $35,684 |
| South Nassau Communities HospitalOceanside | 18 | $312,525 | $36,952 | $35,301 |
| Ellis HospitalSchenectady | 17 | $151,383 | $34,772 | $33,131 |
| Westchester Medical CenterValhalla | 17 | $176,219 | $37,317 | $35,685 |
| White Plains Hospital CtrWhite Plains | 17 | $176,270 | $37,317 | $35,681 |
| United Health Services HospsBinghamton | 17 | $87,240 | $32,822 | $31,190 |
| University Hospital S U N Y Health Science CenterSyracuse | 16 | $111,625 | $34,772 | $33,131 |
| Mary Imogene Bassett HospitalCooperstown | 14 | $83,592 | $34,695 | $33,063 |
| Richmond University Medical CenterStaten Island | 13 | $280,382 | $37,317 | $35,667 |
| Arnot Ogden Medical CenterElmira | 13 | $122,812 | $32,495 | $30,909 |
| Glens Falls HospitalGlens Falls | 12 | $109,492 | $32,314 | $30,664 |
| Staten Island University HospitalStaten Island | 11 | $142,397 | $37,317 | $35,685 |
| Northern Westchester HospitalMt Kisco | 11 | $156,413 | $34,722 | $33,090 |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Southside HospitalBay Shore | – | – | – | – |
| New York Hospital Medical Center of QueensNew York | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Olean General HospitalOlean | – | – | – | – |
| Nyack HospitalNyack | – | – | – | – |
| Peconic Bay Medical CenterRiverhead | – | – | – | – |
| Lenox Hill HospitalNew York | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Long Island Community HospitalPatchogue | – | – | – | – |
| Samaritan HospitalTroy | – | – | – | – |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Saratoga HospitalSaratoga Springs | – | – | – | – |
| Healthalliance Hospital Marys Avenue CampusKingston | – | – | – | – |
| Unity Hospital of RochesterRochester | – | – | – | – |
| Brookdale Hospital Medical CenterBrooklyn | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| Cornwall HospitalCornwall | – | – | – | – |
| Hudson Valley Hospital CenterCortlandt Manor | – | – | – | – |
| Cayuga Medical Center at IthacaIthaca | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| St Catherine of Siena HospitalSmithtown | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Glens Falls HospitalGlens Falls, NY | $32,314 |
|---|---|
| Arnot Ogden Medical CenterElmira, NY | $32,495 |
| United Health Services HospsBinghamton, NY | $32,822 |
| Crouse HospitalSyracuse, NY | $33,194 |
| Buffalo General HospitalBuffalo, NY | $33,242 |
| Richmond University Medical CenterStaten Island, NY | $37,317 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $37,317 |
| Good Samaritan Hospital of SuffernSuffern, NY | $37,317 |
| Mount Sinai HospitalNew York, NY | $37,317 |
| New York-Presbyterian HospitalNew York, NY | $37,317 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 61 hospitals in New York was billed at $175,437 on average, while the average medicare-allowed amount was $35,923, of which Medicare paid $34,289. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in New York, average charges were 4.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.