Average charge
$20,649
Hospital list price billed
Average allowed
$3,067
Medicare's payment + patient's share
Medicare paid
$2,460
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $20,649 for level 3 lower gi procedures, about 6.7 times the average medicare-allowed amount of $3,067 . That payment is 13% above the U.S. average of $2,703.
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 $3,067 Billed $20,649
About 15¢ was paid for every $1 hospitals in New York billed for this service.
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New York hospitals: level 3 lower gi 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 Center New York 347
$39,908
$3,135 $2,527
New York-Presbyterian Hospital New York 243
$19,767
$3,188 $2,584
University Hospital Stony Brook 118
$23,240
$3,119 $2,509
North Shore University Hospital Manhasset 85
$19,333
$3,124 $2,489
St Peter's Hospital Albany 76
$11,635
$2,915 $2,317
Mount Sinai Hospital New York 74
$14,638
$3,195 $2,558
Mount Sinai West New York 63
$13,917
$2,550 $2,031
Long Island Jewish Medical Center New Hyde Park 61
$17,756
$3,030 $2,396
Garnet Health Medical Center Goshen 57
$14,349
$3,128 $2,511
Mem Sloan-Kettering Cancer Ctr New York 55
$17,756
$3,195 $2,560
Staten Island University Hospital Staten Island 52
$19,127
$3,062 $2,472
South Nassau Communities Hospital Oceanside 52
$23,796
$3,163 $2,538
Strong Memorial Hospital Rochester 51
$15,910
$2,790 $2,240
Montefiore Medical Center Bronx 49
$22,651
$3,111 $2,475
St Francis Hospital, Roslyn Roslyn 48
$16,080
$3,163 $2,537
Huntington Hospital Huntington 46
$16,011
$2,915 $2,291
Maimonides Medical Center Brooklyn 45
$17,634
$3,195 $2,563
United Health Services Hosps Binghamton 41
$10,086
$2,975 $2,454
Vassar Brothers Medical Center Poughkeepsie 36
$13,096
$3,090 $2,447
New York Hospital Medical Center of Queens New York 34
$16,356
$3,194 $2,582
Mary Imogene Bassett Hospital Cooperstown 34
$9,508
$3,140 $2,554
Albany Medical Center Hospital Albany 33
$8,879
$2,905 $2,313
Beth Israel Medical Center New York 33
$16,002
$3,163 $2,520
Champlain Valley Physicians Hospital Medical Ctr Plattsburgh 33
$12,803
$3,187 $2,605
Lenox Hill Hospital New York 29
$19,190
$3,075 $2,455
Adirondack Medical Center Saranac Lake 28
$7,686
$3,131 $2,498
John T Mather Memorial Hospital of Port Jefferson Port Jefferson 27
$17,647
$2,581 $1,943
Buffalo General Hospital Buffalo 25
$11,484
$2,822 $2,225
University Hospital S U N Y Health Science Center Syracuse 25
$23,800
$2,881 $2,311
Oneida Healthcare Center Oneida 24
$9,416
$2,684 $2,075
Crouse Hospital Syracuse 24
$11,279
$2,878 $2,265
Hudson Valley Hospital Center Cortlandt Manor 24
$15,579
$3,193 $2,652
Wynn Hospital Utica 23
$18,575
$2,977 $2,371
Peconic Bay Medical Center Riverhead 23
$15,706
$2,710 $2,064
Phelps Memorial Hospital Assn Sleepy Hollow 23
$26,151
$3,195 $2,566
White Plains Hospital Ctr White Plains 23
$32,173
$3,195 $2,559
Glens Falls Hospital Glens Falls 21
$6,481
$2,976 $2,426
Long Island Community Hospital Patchogue 19
$30,810
$3,136 $2,499
Healthalliance Hospital Marys Avenue Campus Kingston 16
$12,478
$3,036 $2,419
Roswell Park Cancer Institute Buffalo 16
$9,076
$2,977 $2,380
Garnet Health Medical Center Catskills Harris 16
$8,075
$3,249 $2,702
Southside Hospital Bay Shore 15
$17,689
$2,907 $2,331
New York Community Hospital of Brooklyn, INC. Brooklyn 14
$12,451
$3,195 $2,535
Good Samaritan Hospital of Suffern Suffern 14
$46,869
$3,013 $2,375
Corning Hospital Corning 13
$11,897
$2,975 $2,452
Good Samaritan Hospital Medical Center West Islip 13
$13,944
$3,135 $2,530
Nyack Hospital Nyack 12
$20,706
$3,195 $2,546
Rochester General Hospital Rochester 12
$8,849
$2,976 $2,421
Highland Hospital Rochester 12
$11,754
$2,779 $2,187
Westchester Medical Center Valhalla 11
$39,960
$3,179 $2,533
St Catherine of Siena Hospital Smithtown 11
$13,155
$3,135 $2,527
Bronxcare Hospital Center Bronx –
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Our Lady of Lourdes Memorial Hospital, INC Binghamton –
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Jamaica Hospital Med Center Jamaica –
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Richmond University Medical Center Staten Island –
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Newark-Wayne Community Hospital Newark –
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Chenango Memorial Hospital, INC Norwich –
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St Mary's Hospital at Amsterdam Amsterdam –
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Northern Dutchess Hospital Rhinebeck –
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Brooklyn Hospital Center at Downtown Campus Brooklyn –
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Geneva General Hospital Geneva –
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Niagara Falls Memorial Medical Center Niagara Falls –
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United Memorial Medical Center Batavia –
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F F Thompson Hospital Canandaigua –
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Sisters of Charity Hospital Buffalo –
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Lincoln Medical & Mental Health Center Bronx –
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Aurelia Osborn Fox Memorial Hospital Oneonta –
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Mount Vernon Hospital Mt Vernon –
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Arnot Ogden Medical Center Elmira –
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Columbia Memorial Hospital Hudson –
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Kenmore Mercy Hospital Buffalo –
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Olean General Hospital Olean –
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Bertrand Chaffee Hospital Springville –
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Elmhurst Hospital Center New York –
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Bon Secours Community Hospital Port Jervis –
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St Joseph's Hospital Health Center Syracuse –
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Ellis Hospital Schenectady –
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Samaritan Medical Center Watertown –
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Northern Westchester Hospital Mt Kisco –
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Cortland Regional Medical Center, INC Cortland –
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Samaritan Hospital Troy –
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Glen Cove Hospital Glen Cove –
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Flushing Hospital Medical Center New York –
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South Brooklyn Health Brooklyn –
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Canton-Potsdam Hospital Potsdam –
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Bellevue Hospital Center New York –
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St John's Riverside Hospital Yonkers –
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Claxton-Hepburn Medical CenterOgdensburg
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Rome Memorial Hospital, INC Rome –
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Oswego Hospital Oswego –
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Wyckoff Heights Medical Center Brooklyn –
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Saratoga Hospital Saratoga Springs –
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Unity Hospital of Rochester Rochester –
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Brooks Memorial Hospital Dunkirk –
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Queens Hospital Center Jamaica –
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Brookdale Hospital Medical Center Brooklyn –
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Auburn Memorial Hospital Auburn –
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Nicholas H Noyes Memorial Hospital Dansville –
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UPMC Chautauqua at Wca Jamestown –
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St Charles Hospital Port Jefferson –
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Mercy Medical Center Rockville Centre –
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Clifton Springs Hospital and Clinic Clifton Springs –
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Putnam Hospital Center Carmel –
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Mercy Hospital Buffalo –
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Cayuga Medical Center at Ithaca Ithaca –
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Plainview Hospital Plainview –
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St Joseph Hospital Bethpage –
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University Hospital of Brooklyn ( Downstate ) Brooklyn –
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Woodhull Medical and Mental Health Center Brooklyn –
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St Barnabas Hospital Bronx –
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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
Mount Sinai West New York, NY $2,550 John T Mather Memorial Hospital of Port Jefferson Port Jefferson, NY $2,581 Oneida Healthcare Center Oneida, NY $2,684 Peconic Bay Medical Center Riverhead, NY $2,710 Highland Hospital Rochester, NY $2,779
Highest
Garnet Health Medical Center Catskills Harris, NY $3,249 New York Community Hospital of Brooklyn, INC. Brooklyn, NY $3,195 Nyack Hospital Nyack, NY $3,195 Mount Sinai Hospital New York, NY $3,195 White Plains Hospital Ctr White Plains, NY $3,195
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in New York? In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 110 hospitals in New York was billed at $20,649 on average, while the average medicare-allowed amount was $3,067, of which Medicare paid $2,460. 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 6.7 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 .
