facebook tracking Level 2 ICD and Similar Procedures cost in New York: 61 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in New York

What 61 hospitals in New York charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $175,437 Hospital list price billed
Average allowed $35,923 Medicare's payment + patient's share
Medicare paid $34,289 Average per service
State rank #44 of 47 1 = lowest average payment

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.

Paid $35,923Billed $175,437

About 20¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 2 icd and similar procedures

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 – – – –
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Lowest and highest allowed amounts in New York

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

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

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in New York?

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.

Why are hospital charges so much higher than payments?

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.