facebook tracking Level 2 Musculoskeletal Procedures cost in New York: 127 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in New York

What 127 hospitals in New York charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $13,179 Hospital list price billed
Average allowed $1,731 Medicare's payment + patient's share
Medicare paid $1,373 Average per service
State rank #46 of 49 1 = lowest average payment

Hospitals in New York billed an average of $13,179 for level 2 musculoskeletal procedures, about 7.6 times the average medicare-allowed amount of $1,731. That payment is 15% above the U.S. average of $1,511.

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 $1,731Billed $13,179

About 13¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 2 musculoskeletal 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 526 $20,109 $1,805 $1,436
New York-Presbyterian HospitalNew York 302 $14,355 $1,824 $1,450
University HospitalStony Brook 264 $16,221 $1,772 $1,408
Lenox Hill HospitalNew York 228 $16,459 $1,795 $1,427
North Shore University HospitalManhasset 160 $16,851 $1,762 $1,393
Staten Island University HospitalStaten Island 125 $12,932 $1,817 $1,443
White Plains Hospital CtrWhite Plains 118 $13,076 $1,118 $889
Mount Sinai WestNew York 115 $11,712 $1,810 $1,441
Canton-Potsdam HospitalPotsdam 110 $5,738 $1,815 $1,445
Strong Memorial HospitalRochester 110 $8,252 $988 $780
Hospital for Special SurgeryNew York 95 $12,738 $1,795 $1,425
Nyack HospitalNyack 90 $14,613 $1,575 $1,251
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 90 $2,771 $1,825 $1,451
Montefiore Medical CenterBronx 87 $20,678 $1,760 $1,389
Peconic Bay Medical CenterRiverhead 87 $12,470 $1,694 $1,326
St Charles HospitalPort Jefferson 79 $11,123 $1,795 $1,430
Glens Falls HospitalGlens Falls 78 $5,964 $1,673 $1,313
Long Island Jewish Medical CenterNew Hyde Park 78 $15,243 $1,751 $1,376
Mary Imogene Bassett HospitalCooperstown 70 $3,236 $1,825 $1,449
South Nassau Communities HospitalOceanside 70 $27,531 $1,790 $1,418
New York Hospital Medical Center of QueensNew York 69 $14,542 $1,829 $1,453
Cayuga Medical Center at IthacaIthaca 68 $5,938 $1,804 $1,428
St Catherine of Siena HospitalSmithtown 68 $10,640 $1,795 $1,426
Columbia Memorial HospitalHudson 67 $6,293 $1,704 $1,354
Long Island Community HospitalPatchogue 65 $35,598 $1,773 $1,408
Our Lady of Lourdes Memorial Hospital, INCBinghamton 62 $9,519 $1,418 $1,125
Huntington HospitalHuntington 57 $15,321 $1,710 $1,345
Saratoga HospitalSaratoga Springs 50 $6,488 $1,704 $1,356
Montefiore New Rochelle HospitalNew Rochelle 47 $10,116 $1,829 $1,456
United Health Services HospsBinghamton 45 $8,253 $1,674 $1,323
Crouse HospitalSyracuse 44 $5,882 $1,642 $1,296
Southside HospitalBay Shore 37 $12,966 $1,762 $1,394
Erie County Medical CenterBuffalo 37 $6,302 $1,704 $1,348
Good Samaritan Hospital Medical CenterWest Islip 37 $15,803 $1,756 $1,390
UPMC Chautauqua at WcaJamestown 36 $5,289 $1,591 $1,239
Corning HospitalCorning 36 $5,887 $1,666 $1,315
Northern Westchester HospitalMt Kisco 34 $8,956 $1,752 $1,374
Westchester Medical CenterValhalla 31 $36,522 $1,821 $1,446
Putnam Hospital CenterCarmel 31 $8,403 $1,707 $1,335
Adirondack Medical CenterSaranac Lake 30 $5,962 $1,825 $1,452
Plainview HospitalPlainview 30 $12,256 $1,782 $1,414
F F Thompson HospitalCanandaigua 29 $3,613 $1,704 $1,358
Ellis HospitalSchenectady 29 $10,729 $1,704 $1,358
Mount Sinai HospitalNew York 28 $14,074 $1,829 $1,457
Samaritan Medical CenterWatertown 28 $5,469 $1,825 $1,454
Healthalliance Hospital Marys Avenue CampusKingston 28 $11,247 $1,738 $1,385
Albany Medical Center HospitalAlbany 27 $7,392 $1,666 $1,328
St Peter's HospitalAlbany 27 $9,694 $1,704 $1,352
Arnot Ogden Medical CenterElmira 26 $5,896 $1,704 $1,358
Bellevue Hospital CenterNew York 26 $11,294 $1,829 $1,450
South Brooklyn HealthBrooklyn 25 $8,600 $1,792 $1,428
Auburn Memorial HospitalAuburn 25 $4,713 $1,825 $1,454
Northern Dutchess HospitalRhinebeck 24 $8,056 $1,761 $1,393
Maimonides Medical CenterBrooklyn 24 $13,284 $1,829 $1,457
University Hospital S U N Y Health Science CenterSyracuse 24 $15,736 $1,704 $1,349
Richmond University Medical CenterStaten Island 23 $15,045 $1,829 $1,448
Geneva General HospitalGeneva 23 $5,271 $1,645 $1,299
St Joseph HospitalBethpage 23 $13,249 $1,811 $1,443
Samaritan HospitalTroy 22 $5,105 $1,704 $1,358
Beth Israel Medical CenterNew York 20 $10,098 $1,810 $1,442
St Francis Hospital, RoslynRoslyn 20 $13,421 $1,811 $1,443
St James Mercy HospitalHornell 19 $3,467 $1,825 $1,444
Cornwall HospitalCornwall 19 $15,254 $1,800 $1,432
Clifton Springs Hospital and ClinicClifton Springs 19 $6,709 $1,704 $1,358
Jones Memorial HospitalWellsville 18 $4,230 $1,825 $1,454
Elmhurst Hospital CenterNew York 18 $9,176 $1,829 $1,454
Hudson Valley Hospital CenterCortlandt Manor 18 $13,920 $1,829 $1,457
Jamaica Hospital Med CenterJamaica 17 $8,522 $1,829 $1,457
United Memorial Medical CenterBatavia 17 $8,115 $1,524 $1,210
Aurelia Osborn Fox Memorial HospitalOneonta 17 $6,760 $1,718 $1,365
Olean General HospitalOlean 17 $3,016 $1,825 $1,443
Good Samaritan Hospital of SuffernSuffern 17 $39,312 $1,829 $1,457
Highland HospitalRochester 16 $10,426 $1,704 $1,356
St Anthony Community HospitalWarwick 16 $38,645 $1,809 $1,441
Rome Memorial Hospital, INCRome 16 $10,748 $1,704 $1,358
Oneida Healthcare CenterOneida 15 $6,924 $1,614 $1,260
Buffalo General HospitalBuffalo 14 $5,851 $1,704 $1,358
Garnet Health Medical CenterGoshen 14 $8,208 $1,798 $1,430
Phelps Memorial Hospital AssnSleepy Hollow 14 $12,816 $1,787 $1,416
Newark-Wayne Community HospitalNewark 13 $8,333 $1,600 $1,253
Wynn HospitalUtica 13 $12,134 $1,626 $1,281
St Mary's Hospital at AmsterdamAmsterdam 13 $5,687 $1,704 $1,358
Brooklyn Hospital Center at Downtown CampusBrooklyn 13 $12,403 $1,717 $1,345
St Joseph's Hospital Health CenterSyracuse 13 $11,806 $1,704 $1,358
Nicholas H Noyes Memorial HospitalDansville 13 $2,229 $1,704 $1,350
Vassar Brothers Medical CenterPoughkeepsie 11 $8,146 $1,809 $1,424
Chenango Memorial Hospital, INCNorwich 11 $10,888 $1,693 $1,322
Unity Hospital of RochesterRochester 11 $8,011 $1,704 $1,358
Brookdale Hospital Medical CenterBrooklyn 11 $6,796 $1,830 $1,418
St Joseph's Medical CenterYonkers – – – –
Wyoming County Community HospitalWarsaw – – – –
Bronxcare Hospital CenterBronx – – – –
New York Community Hospital of Brooklyn, INC.Brooklyn – – – –
Nassau University Medical CenterEast Meadow – – – –
Niagara Falls Memorial Medical CenterNiagara Falls – – – –
Sisters of Charity HospitalBuffalo – – – –
Lincoln Medical & Mental Health CenterBronx – – – –
Kenmore Mercy HospitalBuffalo – – – –
Bertrand Chaffee HospitalSpringville – – – –
Rochester General HospitalRochester – – – –
Jacobi Medical CenterBronx – – – –
Bon Secours Community HospitalPort Jervis – – – –
Ira Davenport Memorial HospitalBath – – – –
Mem Sloan-Kettering Cancer CtrNew York – – – –
Westfield Memorial Hospital, INCWestfield – – – –
Cortland Regional Medical Center, INCCortland – – – –
Glen Cove HospitalGlen Cove – – – –
John T Mather Memorial Hospital of Port JeffersonPort Jefferson – – – –
Mount St Mary's Hospital and Health CenterLewiston – – – –
Flushing Hospital Medical CenterNew York – – – –
Metropolitan Hospital CenterNew York – – – –
Kings County Hospital CenterBrooklyn – – – –
St John's Riverside HospitalYonkers – – – –
Claxton-Hepburn Medical CenterOgdensburg – – – –
Oswego HospitalOswego – – – –
Wyckoff Heights Medical CenterBrooklyn – – – –
Brooks Memorial HospitalDunkirk – – – –
Queens Hospital CenterJamaica – – – –
Harlem Hospital CenterNew York – – – –
Mercy Medical CenterRockville Centre – – – –
Nathan Littauer HospitalGloversville – – – –
Mercy HospitalBuffalo – – – –
University Hospital of Brooklyn ( Downstate )Brooklyn – – – –
Garnet Health Medical Center CatskillsHarris – – – –
St John's Episcopal Hospital at South ShoreFar Rockaway – – – –
Woodhull Medical and Mental Health CenterBrooklyn – – – –
St Barnabas HospitalBronx – – – –
Advertisement

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

Strong Memorial HospitalRochester, NY$988
White Plains Hospital CtrWhite Plains, NY$1,118
Our Lady of Lourdes Memorial Hospital, INCBinghamton, NY$1,418
United Memorial Medical CenterBatavia, NY$1,524
Nyack HospitalNyack, NY$1,575

Highest

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in New York?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 127 hospitals in New York was billed at $13,179 on average, while the average medicare-allowed amount was $1,731, of which Medicare paid $1,373. 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 7.6 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.