Level 5 Musculoskeletal Procedures in New York
What 114 hospitals in New York charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$68,071
Hospital list price billed
Average allowed
$14,226
Medicare's payment + patient's share
Medicare paid
$12,594
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $68,071 for level 5 musculoskeletal procedures, about 4.8 times the average medicare-allowed amount of $14,226. That payment is 15% above the U.S. average of $12,402.
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 $14,226Billed $68,071
About 21¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 5 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 |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 2,670 | $88,594 | $14,605 | $12,972 |
| NYU Hospitals CenterNew York | 1,083 | $188,372 | $14,679 | $13,048 |
| New York-Presbyterian HospitalNew York | 596 | $52,852 | $14,903 | $13,271 |
| Buffalo General HospitalBuffalo | 355 | $41,463 | $13,688 | $12,055 |
| Peconic Bay Medical CenterRiverhead | 348 | $52,092 | $13,252 | $11,622 |
| St Peter's HospitalAlbany | 337 | $37,693 | $13,638 | $12,002 |
| Saratoga HospitalSaratoga Springs | 324 | $37,339 | $13,854 | $12,221 |
| North Shore University HospitalManhasset | 320 | $57,623 | $14,004 | $12,370 |
| White Plains Hospital CtrWhite Plains | 319 | $78,795 | $14,641 | $13,015 |
| St Charles HospitalPort Jefferson | 284 | $65,199 | $14,443 | $12,811 |
| Kenmore Mercy HospitalBuffalo | 283 | $31,207 | $13,503 | $11,874 |
| Northern Westchester HospitalMt Kisco | 261 | $63,320 | $13,969 | $12,336 |
| Garnet Health Medical CenterGoshen | 255 | $40,428 | $14,472 | $12,843 |
| Northern Dutchess HospitalRhinebeck | 244 | $33,634 | $14,320 | $12,687 |
| Sisters of Charity HospitalBuffalo | 241 | $32,326 | $13,472 | $11,840 |
| Mount Sinai HospitalNew York | 230 | $38,070 | $14,891 | $13,258 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 218 | $52,181 | $12,483 | $10,850 |
| Highland HospitalRochester | 211 | $31,729 | $13,523 | $11,889 |
| St Joseph's Hospital Health CenterSyracuse | 191 | $40,796 | $13,801 | $12,167 |
| Crouse HospitalSyracuse | 190 | $27,193 | $13,425 | $11,791 |
| South Nassau Communities HospitalOceanside | 175 | $60,856 | $14,652 | $13,018 |
| Unity Hospital of RochesterRochester | 175 | $29,003 | $13,578 | $11,945 |
| Cayuga Medical Center at IthacaIthaca | 173 | $37,796 | $14,917 | $13,283 |
| Westchester Medical CenterValhalla | 171 | $90,783 | $14,534 | $12,902 |
| St Francis Hospital, RoslynRoslyn | 163 | $69,098 | $14,721 | $13,089 |
| Staten Island University HospitalStaten Island | 148 | $53,206 | $14,498 | $12,866 |
| Good Samaritan Hospital Medical CenterWest Islip | 139 | $83,220 | $14,579 | $12,946 |
| Huntington HospitalHuntington | 136 | $48,198 | $13,349 | $11,717 |
| Mount Sinai WestNew York | 129 | $41,998 | $14,289 | $12,655 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 127 | $62,641 | $13,542 | $11,909 |
| Albany Medical Center HospitalAlbany | 127 | $25,463 | $13,833 | $12,201 |
| Erie County Medical CenterBuffalo | 123 | $23,465 | $13,649 | $12,019 |
| Nyack HospitalNyack | 121 | $45,793 | $14,882 | $13,250 |
| University Hospital S U N Y Health Science CenterSyracuse | 113 | $52,029 | $13,712 | $12,080 |
| St Anthony Community HospitalWarwick | 112 | $109,395 | $14,339 | $12,706 |
| University HospitalStony Brook | 100 | $45,384 | $14,033 | $12,400 |
| Glens Falls HospitalGlens Falls | 98 | $42,355 | $13,804 | $12,172 |
| Clifton Springs Hospital and ClinicClifton Springs | 97 | $31,664 | $13,805 | $12,170 |
| Hudson Valley Hospital CenterCortlandt Manor | 96 | $44,340 | $14,948 | $13,316 |
| United Health Services HospsBinghamton | 92 | $35,014 | $13,395 | $11,761 |
| Arnot Ogden Medical CenterElmira | 90 | $33,810 | $13,658 | $12,023 |
| Wynn HospitalUtica | 88 | $44,046 | $13,511 | $11,879 |
| Columbia Memorial HospitalHudson | 85 | $30,017 | $13,785 | $12,153 |
| Putnam Hospital CenterCarmel | 78 | $54,773 | $13,890 | $12,256 |
| Adirondack Medical CenterSaranac Lake | 76 | $42,335 | $14,567 | $12,935 |
| Good Samaritan Hospital of SuffernSuffern | 75 | $108,711 | $14,948 | $13,314 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 66 | $39,688 | $14,523 | $12,891 |
| Rochester General HospitalRochester | 65 | $30,970 | $13,437 | $11,805 |
| Ellis HospitalSchenectady | 64 | $40,182 | $13,930 | $12,294 |
| Nicholas H Noyes Memorial HospitalDansville | 64 | $40,652 | $13,545 | $11,913 |
| Phelps Memorial Hospital AssnSleepy Hollow | 63 | $77,513 | $14,779 | $13,147 |
| Lenox Hill HospitalNew York | 61 | $53,843 | $14,530 | $12,912 |
| Cornwall HospitalCornwall | 59 | $38,301 | $14,496 | $12,864 |
| St Joseph HospitalBethpage | 59 | $75,417 | $14,579 | $12,946 |
| Montefiore New Rochelle HospitalNew Rochelle | 56 | $45,423 | $14,948 | $13,316 |
| Maimonides Medical CenterBrooklyn | 56 | $76,505 | $14,948 | $13,316 |
| Corning HospitalCorning | 56 | $47,388 | $13,271 | $11,639 |
| Long Island Community HospitalPatchogue | 50 | $205,162 | $14,672 | $13,040 |
| Plainview HospitalPlainview | 50 | $51,235 | $14,223 | $12,591 |
| Mem Sloan-Kettering Cancer CtrNew York | 48 | $60,558 | $14,948 | $13,316 |
| Olean General HospitalOlean | 39 | $35,107 | $14,240 | $12,603 |
| Mary Imogene Bassett HospitalCooperstown | 39 | $42,818 | $14,917 | $13,285 |
| Oneida Healthcare CenterOneida | 38 | $50,707 | $13,930 | $12,298 |
| UPMC Chautauqua at WcaJamestown | 38 | $43,065 | $13,930 | $12,297 |
| Montefiore Medical CenterBronx | 36 | $74,611 | $14,435 | $12,799 |
| Strong Memorial HospitalRochester | 36 | $36,685 | $10,591 | $9,139 |
| Long Island Jewish Medical CenterNew Hyde Park | 35 | $58,398 | $14,797 | $13,165 |
| Canton-Potsdam HospitalPotsdam | 33 | $30,866 | $14,917 | $13,284 |
| New York Hospital Medical Center of QueensNew York | 29 | $40,598 | $14,030 | $12,398 |
| Chenango Memorial Hospital, INCNorwich | 27 | $76,000 | $13,932 | $12,299 |
| Auburn Memorial HospitalAuburn | 27 | $23,465 | $14,917 | $13,285 |
| St Catherine of Siena HospitalSmithtown | 27 | $93,243 | $13,738 | $12,106 |
| St Mary's Hospital at AmsterdamAmsterdam | 26 | $24,396 | $13,930 | $12,298 |
| Geneva General HospitalGeneva | 26 | $23,836 | $13,930 | $12,297 |
| F F Thompson HospitalCanandaigua | 26 | $35,424 | $13,930 | $12,298 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 22 | $32,516 | $14,917 | $13,285 |
| Claxton-Hepburn Medical CenterOgdensburg | 22 | $38,583 | $14,917 | $13,278 |
| St Joseph's Medical CenterYonkers | 21 | $27,744 | $14,948 | $13,316 |
| Bertrand Chaffee HospitalSpringville | 20 | $16,475 | $13,930 | $12,298 |
| Healthalliance Hospital Marys Avenue CampusKingston | 20 | $39,356 | $14,206 | $12,574 |
| St John's Riverside HospitalYonkers | 19 | $42,291 | $14,948 | $13,304 |
| Rome Memorial Hospital, INCRome | 19 | $35,106 | $13,930 | $12,286 |
| Oswego HospitalOswego | 18 | $31,855 | $13,930 | $12,298 |
| Vassar Brothers Medical CenterPoughkeepsie | 14 | $53,451 | $14,032 | $12,400 |
| United Memorial Medical CenterBatavia | 14 | $34,576 | $13,069 | $11,419 |
| Jones Memorial HospitalWellsville | 14 | $27,426 | $14,917 | $13,285 |
| Southside HospitalBay Shore | 13 | $45,379 | $12,760 | $11,128 |
| Samaritan HospitalTroy | 13 | $26,582 | $13,930 | $12,289 |
| Brooks Memorial HospitalDunkirk | 12 | $24,385 | $14,917 | $13,285 |
| Mercy Medical CenterRockville Centre | 12 | $105,859 | $13,705 | $12,073 |
| Beth Israel Medical CenterNew York | 11 | $41,679 | $14,797 | $13,165 |
| Wyoming County Community HospitalWarsaw | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| New York Community Hospital of Brooklyn, INC.Brooklyn | – | – | – | – |
| Nassau University Medical CenterEast Meadow | – | – | – | – |
| Richmond University Medical CenterStaten Island | – | – | – | – |
| Newark-Wayne Community HospitalNewark | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| Mount Vernon HospitalMt Vernon | – | – | – | – |
| Ny Eye and Ear InfirmaryNew York | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Samaritan Medical CenterWatertown | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Glen Cove HospitalGlen Cove | – | – | – | – |
| Flushing Hospital Medical CenterNew York | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| Roswell Park Cancer InstituteBuffalo | – | – | – | – |
| Garnet Health Medical Center CatskillsHarris | – | – | – | – |
| 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 | $10,591 |
|---|---|
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $12,483 |
| Southside HospitalBay Shore, NY | $12,760 |
| United Memorial Medical CenterBatavia, NY | $13,069 |
| Peconic Bay Medical CenterRiverhead, NY | $13,252 |
Highest
| St John's Riverside HospitalYonkers, NY | $14,948 |
|---|---|
| Good Samaritan Hospital of SuffernSuffern, NY | $14,948 |
| St Joseph's Medical CenterYonkers, NY | $14,948 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | $14,948 |
| Montefiore New Rochelle HospitalNew Rochelle, NY | $14,948 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in New York?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 114 hospitals in New York was billed at $68,071 on average, while the average medicare-allowed amount was $14,226, of which Medicare paid $12,594. 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 4.8 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.