Level 4 Musculoskeletal Procedures in New York
What 126 hospitals in New York charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$40,866
Hospital list price billed
Average allowed
$7,713
Medicare's payment + patient's share
Medicare paid
$6,126
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $40,866 for level 4 musculoskeletal procedures, about 5.3 times the average medicare-allowed amount of $7,713. That payment is 15% above the U.S. average of $6,708.
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 $7,713Billed $40,866
About 19¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 4 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 | 860 | $84,600 | $8,004 | $6,372 |
| Hospital for Special SurgeryNew York | 642 | $47,547 | $7,916 | $6,286 |
| New York-Presbyterian HospitalNew York | 556 | $39,359 | $8,133 | $6,502 |
| White Plains Hospital CtrWhite Plains | 190 | $49,373 | $5,770 | $4,602 |
| University HospitalStony Brook | 188 | $35,240 | $7,923 | $6,297 |
| North Shore University HospitalManhasset | 172 | $36,660 | $7,700 | $6,068 |
| Lenox Hill HospitalNew York | 163 | $34,191 | $8,003 | $6,370 |
| Strong Memorial HospitalRochester | 146 | $22,872 | $5,151 | $4,087 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 145 | $32,386 | $6,779 | $5,154 |
| Mount Sinai WestNew York | 138 | $35,714 | $8,012 | $6,380 |
| Crouse HospitalSyracuse | 114 | $21,920 | $7,001 | $5,513 |
| Staten Island University HospitalStaten Island | 109 | $32,439 | $8,006 | $6,389 |
| Huntington HospitalHuntington | 97 | $27,566 | $7,278 | $5,671 |
| Mem Sloan-Kettering Cancer CtrNew York | 95 | $27,518 | $8,003 | $6,370 |
| South Nassau Communities HospitalOceanside | 95 | $42,820 | $8,061 | $6,429 |
| Albany Medical Center HospitalAlbany | 94 | $18,682 | $7,392 | $5,850 |
| Cayuga Medical Center at IthacaIthaca | 94 | $20,505 | $7,985 | $6,351 |
| New York Hospital Medical Center of QueensNew York | 93 | $29,162 | $8,140 | $6,506 |
| Long Island Jewish Medical CenterNew Hyde Park | 93 | $34,851 | $7,686 | $6,052 |
| St Francis Hospital, RoslynRoslyn | 90 | $35,382 | $7,971 | $6,355 |
| St Charles HospitalPort Jefferson | 89 | $33,083 | $7,990 | $6,363 |
| Northern Westchester HospitalMt Kisco | 86 | $31,268 | $7,701 | $6,067 |
| Nyack HospitalNyack | 81 | $37,741 | $7,518 | $6,006 |
| Mount Sinai HospitalNew York | 80 | $33,529 | $7,978 | $6,346 |
| United Health Services HospsBinghamton | 78 | $33,510 | $7,430 | $5,888 |
| Beth Israel Medical CenterNew York | 77 | $29,657 | $7,870 | $6,257 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 75 | $37,082 | $7,424 | $5,879 |
| Good Samaritan Hospital Medical CenterWest Islip | 73 | $33,418 | $7,816 | $6,192 |
| Montefiore Medical CenterBronx | 71 | $49,889 | $7,962 | $6,330 |
| Saratoga HospitalSaratoga Springs | 63 | $28,509 | $7,394 | $5,851 |
| Erie County Medical CenterBuffalo | 62 | $15,493 | $7,422 | $5,875 |
| Corning HospitalCorning | 62 | $30,711 | $7,488 | $5,945 |
| Long Island Community HospitalPatchogue | 60 | $109,387 | $7,884 | $6,260 |
| Glens Falls HospitalGlens Falls | 58 | $21,774 | $7,585 | $6,043 |
| Adirondack Medical CenterSaranac Lake | 57 | $28,347 | $8,123 | $6,491 |
| Vassar Brothers Medical CenterPoughkeepsie | 54 | $25,884 | $7,980 | $6,346 |
| Mary Imogene Bassett HospitalCooperstown | 51 | $23,073 | $8,123 | $6,491 |
| St Peter's HospitalAlbany | 50 | $23,004 | $7,464 | $5,922 |
| St Catherine of Siena HospitalSmithtown | 50 | $34,199 | $7,776 | $6,150 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 49 | $29,117 | $7,991 | $6,359 |
| Garnet Health Medical CenterGoshen | 46 | $32,134 | $7,842 | $6,210 |
| St Joseph HospitalBethpage | 46 | $34,845 | $8,061 | $6,429 |
| Buffalo General HospitalBuffalo | 44 | $28,024 | $7,585 | $6,035 |
| Kenmore Mercy HospitalBuffalo | 43 | $18,782 | $7,166 | $5,622 |
| Maimonides Medical CenterBrooklyn | 43 | $40,413 | $7,989 | $6,357 |
| Northern Dutchess HospitalRhinebeck | 42 | $18,561 | $7,898 | $6,266 |
| Peconic Bay Medical CenterRiverhead | 42 | $35,092 | $7,440 | $5,832 |
| Cornwall HospitalCornwall | 42 | $29,409 | $7,978 | $6,346 |
| St Joseph's Hospital Health CenterSyracuse | 41 | $31,930 | $7,585 | $6,043 |
| Phelps Memorial Hospital AssnSleepy Hollow | 41 | $49,082 | $7,918 | $6,286 |
| Samaritan HospitalTroy | 40 | $15,117 | $7,585 | $6,039 |
| Westchester Medical CenterValhalla | 40 | $80,727 | $7,936 | $6,291 |
| Arnot Ogden Medical CenterElmira | 39 | $22,319 | $7,585 | $6,040 |
| Southside HospitalBay Shore | 36 | $28,714 | $7,694 | $6,062 |
| Highland HospitalRochester | 34 | $23,901 | $7,585 | $6,034 |
| University Hospital S U N Y Health Science CenterSyracuse | 33 | $38,438 | $7,585 | $6,043 |
| Hudson Valley Hospital CenterCortlandt Manor | 33 | $28,744 | $8,140 | $6,508 |
| Plainview HospitalPlainview | 33 | $30,933 | $7,983 | $6,351 |
| Good Samaritan Hospital of SuffernSuffern | 32 | $67,465 | $8,140 | $6,504 |
| St Mary's Hospital at AmsterdamAmsterdam | 30 | $16,924 | $7,384 | $5,842 |
| Glen Cove HospitalGlen Cove | 30 | $21,607 | $7,675 | $6,043 |
| Olean General HospitalOlean | 29 | $23,474 | $8,123 | $6,491 |
| Healthalliance Hospital Marys Avenue CampusKingston | 28 | $26,859 | $7,735 | $6,163 |
| Columbia Memorial HospitalHudson | 27 | $19,076 | $7,585 | $6,043 |
| Sisters of Charity HospitalBuffalo | 26 | $18,898 | $7,120 | $5,578 |
| Nicholas H Noyes Memorial HospitalDansville | 26 | $21,385 | $7,585 | $6,043 |
| Geneva General HospitalGeneva | 25 | $12,153 | $7,585 | $6,042 |
| Unity Hospital of RochesterRochester | 25 | $16,932 | $7,585 | $6,043 |
| Auburn Memorial HospitalAuburn | 25 | $20,593 | $8,123 | $6,491 |
| Putnam Hospital CenterCarmel | 23 | $45,500 | $7,857 | $6,222 |
| Wynn HospitalUtica | 22 | $26,250 | $7,585 | $6,035 |
| Mercy Medical CenterRockville Centre | 22 | $38,116 | $8,061 | $6,427 |
| St Joseph's Medical CenterYonkers | 21 | $12,592 | $8,140 | $6,508 |
| Nassau University Medical CenterEast Meadow | 21 | $16,604 | $8,061 | $6,429 |
| Richmond University Medical CenterStaten Island | 21 | $40,492 | $8,140 | $6,503 |
| Rochester General HospitalRochester | 21 | $21,767 | $7,297 | $5,756 |
| St Anthony Community HospitalWarwick | 21 | $79,873 | $8,051 | $6,419 |
| Ellis HospitalSchenectady | 20 | $30,668 | $7,585 | $6,043 |
| Newark-Wayne Community HospitalNewark | 18 | $18,022 | $7,249 | $5,708 |
| Montefiore New Rochelle HospitalNew Rochelle | 18 | $30,418 | $8,140 | $6,508 |
| F F Thompson HospitalCanandaigua | 17 | $21,913 | $7,230 | $5,674 |
| St John's Riverside HospitalYonkers | 17 | $23,671 | $8,140 | $6,508 |
| Rome Memorial Hospital, INCRome | 17 | $24,137 | $7,585 | $6,043 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 16 | $16,548 | $8,123 | $6,482 |
| Mercy HospitalBuffalo | 15 | $19,599 | $6,779 | $5,238 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 14 | $29,543 | $8,140 | $6,508 |
| Chenango Memorial Hospital, INCNorwich | 13 | $46,576 | $8,123 | $6,491 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 13 | $28,511 | $8,140 | $6,508 |
| Samaritan Medical CenterWatertown | 13 | $32,581 | $8,123 | $6,491 |
| Cortland Regional Medical Center, INCCortland | 13 | $34,213 | $8,123 | $6,491 |
| Canton-Potsdam HospitalPotsdam | 12 | $12,811 | $8,123 | $6,491 |
| Brooks Memorial HospitalDunkirk | 12 | $14,622 | $8,123 | $6,491 |
| Clifton Springs Hospital and ClinicClifton Springs | 12 | $17,882 | $7,586 | $6,012 |
| Wyoming County Community HospitalWarsaw | – | – | – | – |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| United Memorial Medical CenterBatavia | – | – | – | – |
| Mount Vernon HospitalMt Vernon | – | – | – | – |
| Jones Memorial HospitalWellsville | – | – | – | – |
| Ny Eye and Ear InfirmaryNew York | – | – | – | – |
| Oneida Healthcare CenterOneida | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Elmhurst Hospital CenterNew York | – | – | – | – |
| Bon Secours Community HospitalPort Jervis | – | – | – | – |
| Ira Davenport Memorial HospitalBath | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Mount St Mary's Hospital and Health CenterLewiston | – | – | – | – |
| Flushing Hospital Medical CenterNew York | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Metropolitan Hospital CenterNew York | – | – | – | – |
| Kings County Hospital CenterBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Oswego HospitalOswego | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Brookdale Hospital Medical CenterBrooklyn | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| Harlem Hospital CenterNew York | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| Roswell Park Cancer InstituteBuffalo | – | – | – | – |
| Garnet Health Medical Center CatskillsHarris | – | – | – | – |
| St John's Episcopal Hospital at South ShoreFar Rockaway | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
| St Barnabas HospitalBronx | – | – | – | – |
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 | $5,151 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $5,770 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $6,779 |
| Mercy HospitalBuffalo, NY | $6,779 |
| Crouse HospitalSyracuse, NY | $7,001 |
Highest
| Richmond University Medical CenterStaten Island, NY | $8,140 |
|---|---|
| Good Samaritan Hospital of SuffernSuffern, NY | $8,140 |
| New York Hospital Medical Center of QueensNew York, NY | $8,140 |
| St Joseph's Medical CenterYonkers, NY | $8,140 |
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $8,140 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in New York?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 126 hospitals in New York was billed at $40,866 on average, while the average medicare-allowed amount was $7,713, of which Medicare paid $6,126. 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 5.3 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.