Level 3 Musculoskeletal Procedures in New York
What 124 hospitals in New York charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$20,959
Hospital list price billed
Average allowed
$3,442
Medicare's payment + patient's share
Medicare paid
$2,728
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $20,959 for level 3 musculoskeletal procedures, about 6.1 times the average medicare-allowed amount of $3,442. That payment is 15% above the U.S. average of $2,995.
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 $3,442Billed $20,959
About 16¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 3 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 | 587 | $37,928 | $3,583 | $2,842 |
| Hospital for Special SurgeryNew York | 342 | $29,976 | $3,518 | $2,794 |
| New York-Presbyterian HospitalNew York | 254 | $25,298 | $3,638 | $2,886 |
| University HospitalStony Brook | 161 | $24,438 | $3,562 | $2,826 |
| Lenox Hill HospitalNew York | 142 | $20,749 | $3,569 | $2,825 |
| North Shore University HospitalManhasset | 126 | $23,807 | $3,587 | $2,847 |
| Strong Memorial HospitalRochester | 114 | $12,195 | $1,824 | $1,453 |
| White Plains Hospital CtrWhite Plains | 109 | $24,600 | $1,928 | $1,529 |
| Staten Island University HospitalStaten Island | 107 | $17,158 | $3,305 | $2,605 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 98 | $19,926 | $3,272 | $2,578 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 98 | $9,196 | $3,646 | $2,899 |
| Cayuga Medical Center at IthacaIthaca | 94 | $9,922 | $3,676 | $2,926 |
| Long Island Jewish Medical CenterNew Hyde Park | 90 | $22,952 | $3,548 | $2,811 |
| Nyack HospitalNyack | 87 | $21,413 | $3,308 | $2,632 |
| Mount Sinai WestNew York | 81 | $18,326 | $3,646 | $2,905 |
| Crouse HospitalSyracuse | 80 | $9,945 | $2,946 | $2,290 |
| Saratoga HospitalSaratoga Springs | 74 | $14,698 | $3,395 | $2,697 |
| Huntington HospitalHuntington | 68 | $16,295 | $3,522 | $2,787 |
| Montefiore Medical CenterBronx | 65 | $32,927 | $3,602 | $2,860 |
| Westchester Medical CenterValhalla | 63 | $41,744 | $3,617 | $2,871 |
| Long Island Community HospitalPatchogue | 56 | $36,500 | $3,615 | $2,878 |
| Mary Imogene Bassett HospitalCooperstown | 55 | $10,193 | $3,676 | $2,925 |
| Good Samaritan Hospital Medical CenterWest Islip | 53 | $19,302 | $3,615 | $2,880 |
| Plainview HospitalPlainview | 53 | $12,196 | $3,461 | $2,719 |
| Glens Falls HospitalGlens Falls | 51 | $10,550 | $3,378 | $2,677 |
| St Joseph HospitalBethpage | 51 | $16,620 | $3,593 | $2,849 |
| Erie County Medical CenterBuffalo | 49 | $7,926 | $3,432 | $2,729 |
| Albany Medical Center HospitalAlbany | 48 | $12,108 | $3,389 | $2,700 |
| Corning HospitalCorning | 48 | $12,480 | $3,375 | $2,676 |
| Canton-Potsdam HospitalPotsdam | 46 | $8,101 | $3,548 | $2,801 |
| South Nassau Communities HospitalOceanside | 46 | $27,294 | $3,647 | $2,906 |
| United Health Services HospsBinghamton | 43 | $18,492 | $3,432 | $2,734 |
| Northern Westchester HospitalMt Kisco | 42 | $18,903 | $3,432 | $2,681 |
| Arnot Ogden Medical CenterElmira | 41 | $12,020 | $3,299 | $2,596 |
| Healthalliance Hospital Marys Avenue CampusKingston | 41 | $15,342 | $3,500 | $2,789 |
| Geneva General HospitalGeneva | 40 | $6,686 | $3,227 | $2,512 |
| Beth Israel Medical CenterNew York | 40 | $20,691 | $3,646 | $2,905 |
| Samaritan HospitalTroy | 40 | $7,993 | $3,389 | $2,687 |
| Unity Hospital of RochesterRochester | 40 | $10,108 | $3,295 | $2,595 |
| St Charles HospitalPort Jefferson | 40 | $20,423 | $3,525 | $2,808 |
| St Catherine of Siena HospitalSmithtown | 39 | $15,613 | $3,615 | $2,880 |
| St Joseph's Medical CenterYonkers | 38 | $8,311 | $3,683 | $2,935 |
| Phelps Memorial Hospital AssnSleepy Hollow | 38 | $24,838 | $3,668 | $2,917 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 37 | $7,241 | $3,596 | $2,849 |
| Adirondack Medical CenterSaranac Lake | 36 | $10,503 | $3,676 | $2,927 |
| Cornwall HospitalCornwall | 36 | $20,762 | $3,594 | $2,854 |
| St Peter's HospitalAlbany | 35 | $14,172 | $3,354 | $2,656 |
| Northern Dutchess HospitalRhinebeck | 33 | $7,956 | $3,484 | $2,744 |
| New York Hospital Medical Center of QueensNew York | 33 | $18,559 | $3,683 | $2,930 |
| Mount Sinai HospitalNew York | 30 | $21,359 | $3,683 | $2,935 |
| Olean General HospitalOlean | 30 | $7,276 | $3,675 | $2,928 |
| St Francis Hospital, RoslynRoslyn | 30 | $19,481 | $3,526 | $2,809 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 30 | $16,474 | $3,327 | $2,591 |
| Ellis HospitalSchenectady | 29 | $13,644 | $3,432 | $2,732 |
| Southside HospitalBay Shore | 25 | $15,739 | $3,062 | $2,318 |
| Peconic Bay Medical CenterRiverhead | 25 | $16,938 | $3,615 | $2,878 |
| Putnam Hospital CenterCarmel | 25 | $18,737 | $3,448 | $2,700 |
| Richmond University Medical CenterStaten Island | 24 | $16,907 | $3,569 | $2,812 |
| Montefiore New Rochelle HospitalNew Rochelle | 24 | $19,265 | $3,683 | $2,935 |
| University Hospital S U N Y Health Science CenterSyracuse | 24 | $22,506 | $3,204 | $2,506 |
| United Memorial Medical CenterBatavia | 23 | $11,669 | $3,313 | $2,615 |
| Columbia Memorial HospitalHudson | 23 | $10,816 | $3,313 | $2,615 |
| Auburn Memorial HospitalAuburn | 23 | $8,104 | $3,676 | $2,920 |
| Good Samaritan Hospital of SuffernSuffern | 22 | $47,363 | $3,683 | $2,935 |
| Rome Memorial Hospital, INCRome | 21 | $15,187 | $3,302 | $2,604 |
| UPMC Chautauqua at WcaJamestown | 21 | $15,154 | $3,432 | $2,734 |
| Wynn HospitalUtica | 20 | $16,079 | $3,226 | $2,570 |
| Clifton Springs Hospital and ClinicClifton Springs | 20 | $12,396 | $3,432 | $2,720 |
| Hudson Valley Hospital CenterCortlandt Manor | 20 | $17,633 | $3,683 | $2,925 |
| Buffalo General HospitalBuffalo | 19 | $15,585 | $3,299 | $2,591 |
| St Mary's Hospital at AmsterdamAmsterdam | 19 | $8,932 | $3,432 | $2,734 |
| Rochester General HospitalRochester | 18 | $11,048 | $3,089 | $2,430 |
| Samaritan Medical CenterWatertown | 18 | $11,103 | $3,676 | $2,923 |
| Glen Cove HospitalGlen Cove | 18 | $16,800 | $3,615 | $2,874 |
| Newark-Wayne Community HospitalNewark | 17 | $9,762 | $3,432 | $2,733 |
| Nicholas H Noyes Memorial HospitalDansville | 17 | $6,435 | $3,271 | $2,573 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 16 | $15,057 | $3,683 | $2,934 |
| Jones Memorial HospitalWellsville | 16 | $7,485 | $3,675 | $2,928 |
| St John's Riverside HospitalYonkers | 16 | $9,377 | $3,683 | $2,935 |
| Nassau University Medical CenterEast Meadow | 15 | $12,607 | $3,647 | $2,906 |
| Kenmore Mercy HospitalBuffalo | 14 | $11,158 | $3,432 | $2,733 |
| University Hospital of Brooklyn ( Downstate )Brooklyn | 14 | $12,934 | $3,683 | $2,935 |
| Vassar Brothers Medical CenterPoughkeepsie | 13 | $14,420 | $3,509 | $2,760 |
| St Joseph's Hospital Health CenterSyracuse | 13 | $12,343 | $3,011 | $2,314 |
| Highland HospitalRochester | 13 | $16,777 | $3,432 | $2,731 |
| St Anthony Community HospitalWarwick | 13 | $43,353 | $3,419 | $2,679 |
| Garnet Health Medical Center CatskillsHarris | 13 | $19,135 | $3,748 | $2,982 |
| St Barnabas HospitalBronx | 13 | $9,570 | $3,683 | $2,935 |
| Sisters of Charity HospitalBuffalo | 12 | $8,699 | $3,432 | $2,734 |
| Mem Sloan-Kettering Cancer CtrNew York | 12 | $20,004 | $3,683 | $2,935 |
| Jamaica Hospital Med CenterJamaica | 11 | $6,524 | $3,683 | $2,935 |
| Oswego HospitalOswego | 11 | $10,164 | $3,432 | $2,734 |
| Brooks Memorial HospitalDunkirk | 11 | $5,904 | $3,675 | $2,928 |
| Brookdale Hospital Medical CenterBrooklyn | 11 | $9,261 | $3,683 | $2,927 |
| Wyoming County Community HospitalWarsaw | – | – | – | – |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Chenango Memorial Hospital, INCNorwich | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| F F Thompson HospitalCanandaigua | – | – | – | – |
| Lincoln Medical & Mental Health CenterBronx | – | – | – | – |
| Mount Vernon HospitalMt Vernon | – | – | – | – |
| Bertrand Chaffee HospitalSpringville | – | – | – | – |
| Oneida Healthcare CenterOneida | – | – | – | – |
| Garnet Health Medical CenterGoshen | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Elmhurst Hospital CenterNew York | – | – | – | – |
| Bon Secours Community HospitalPort Jervis | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Mount St Mary's Hospital and Health CenterLewiston | – | – | – | – |
| Flushing Hospital Medical CenterNew York | – | – | – | – |
| Maimonides Medical CenterBrooklyn | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Metropolitan Hospital CenterNew York | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Harlem Hospital CenterNew York | – | – | – | – |
| Mercy Medical CenterRockville Centre | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| St John's Episcopal Hospital at South ShoreFar Rockaway | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
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 | $1,824 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $1,928 |
| Crouse HospitalSyracuse, NY | $2,946 |
| St Joseph's Hospital Health CenterSyracuse, NY | $3,011 |
| Southside HospitalBay Shore, NY | $3,062 |
Highest
| Garnet Health Medical Center CatskillsHarris, NY | $3,748 |
|---|---|
| Hudson Valley Hospital CenterCortlandt Manor, NY | $3,683 |
| Brookdale Hospital Medical CenterBrooklyn, NY | $3,683 |
| New York Hospital Medical Center of QueensNew York, NY | $3,683 |
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $3,683 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in New York?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 124 hospitals in New York was billed at $20,959 on average, while the average medicare-allowed amount was $3,442, of which Medicare paid $2,728. 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 6.1 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.