Level 6 Musculoskeletal Procedures in New York
What 99 hospitals in New York charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$83,977
Hospital list price billed
Average allowed
$19,922
Medicare's payment + patient's share
Medicare paid
$18,291
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in New York billed an average of $83,977 for level 6 musculoskeletal procedures, about 4.2 times the average medicare-allowed amount of $19,922. That payment is 15% above the U.S. average of $17,392.
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 $19,922Billed $83,977
About 24¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 6 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 | 162 | $236,778 | $20,460 | $18,827 |
| Hospital for Special SurgeryNew York | 156 | $99,093 | $20,691 | $19,059 |
| New York-Presbyterian HospitalNew York | 147 | $70,216 | $21,153 | $19,521 |
| St Peter's HospitalAlbany | 109 | $49,124 | $19,545 | $17,911 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 92 | $93,863 | $18,142 | $16,510 |
| Kenmore Mercy HospitalBuffalo | 68 | $41,472 | $18,917 | $17,281 |
| St Francis Hospital, RoslynRoslyn | 67 | $102,243 | $20,946 | $19,314 |
| Erie County Medical CenterBuffalo | 62 | $33,633 | $19,419 | $17,787 |
| St Anthony Community HospitalWarwick | 60 | $140,517 | $20,920 | $19,288 |
| University Hospital S U N Y Health Science CenterSyracuse | 59 | $62,725 | $19,711 | $18,079 |
| St Joseph's Hospital Health CenterSyracuse | 52 | $55,017 | $19,363 | $17,731 |
| White Plains Hospital CtrWhite Plains | 50 | $111,854 | $21,082 | $19,450 |
| Buffalo General HospitalBuffalo | 46 | $53,632 | $19,318 | $17,684 |
| Northern Westchester HospitalMt Kisco | 42 | $91,775 | $19,573 | $17,940 |
| Saratoga HospitalSaratoga Springs | 39 | $41,686 | $19,711 | $18,079 |
| Highland HospitalRochester | 37 | $41,014 | $19,711 | $18,079 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 36 | $70,274 | $19,711 | $18,079 |
| Albany Medical Center HospitalAlbany | 34 | $34,480 | $19,179 | $17,547 |
| Sisters of Charity HospitalBuffalo | 34 | $43,736 | $18,116 | $16,484 |
| Unity Hospital of RochesterRochester | 34 | $39,546 | $19,711 | $18,072 |
| Huntington HospitalHuntington | 31 | $68,941 | $19,898 | $18,266 |
| Crouse HospitalSyracuse | 29 | $39,493 | $19,711 | $18,079 |
| United Health Services HospsBinghamton | 29 | $74,403 | $19,711 | $18,079 |
| Mount Sinai HospitalNew York | 27 | $63,050 | $21,153 | $19,521 |
| Arnot Ogden Medical CenterElmira | 27 | $45,130 | $18,461 | $16,852 |
| Healthalliance Hospital Marys Avenue CampusKingston | 25 | $51,395 | $19,363 | $17,723 |
| Peconic Bay Medical CenterRiverhead | 24 | $93,145 | $19,965 | $18,333 |
| Good Samaritan Hospital Medical CenterWest Islip | 24 | $95,726 | $20,762 | $19,130 |
| North Shore University HospitalManhasset | 21 | $80,017 | $19,083 | $17,451 |
| Nyack HospitalNyack | 19 | $76,577 | $21,153 | $19,521 |
| Rochester General HospitalRochester | 19 | $30,729 | $17,808 | $16,176 |
| Mary Imogene Bassett HospitalCooperstown | 19 | $52,146 | $21,108 | $19,476 |
| Strong Memorial HospitalRochester | 19 | $47,593 | $12,254 | $10,638 |
| Mount Sinai WestNew York | 18 | $59,973 | $19,812 | $18,234 |
| South Nassau Communities HospitalOceanside | 18 | $98,265 | $20,946 | $19,314 |
| St Charles HospitalPort Jefferson | 18 | $80,256 | $20,762 | $19,130 |
| Columbia Memorial HospitalHudson | 17 | $39,107 | $19,711 | $18,079 |
| Glens Falls HospitalGlens Falls | 17 | $65,063 | $19,711 | $18,079 |
| Putnam Hospital CenterCarmel | 17 | $108,172 | $20,004 | $18,372 |
| University HospitalStony Brook | 17 | $73,431 | $20,762 | $19,130 |
| Clifton Springs Hospital and ClinicClifton Springs | 16 | $43,367 | $19,711 | $18,079 |
| Cayuga Medical Center at IthacaIthaca | 16 | $77,511 | $21,108 | $19,476 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 15 | $40,554 | $21,153 | $19,521 |
| Lenox Hill HospitalNew York | 14 | $89,095 | $19,560 | $17,928 |
| Westchester Medical CenterValhalla | 14 | $151,945 | $19,659 | $18,027 |
| Ellis HospitalSchenectady | 13 | $62,806 | $19,711 | $18,079 |
| Staten Island University HospitalStaten Island | 13 | $93,215 | $21,153 | $19,521 |
| Nicholas H Noyes Memorial HospitalDansville | 13 | $37,551 | $19,711 | $18,079 |
| St Mary's Hospital at AmsterdamAmsterdam | 12 | $38,042 | $19,711 | $18,079 |
| Olean General HospitalOlean | 12 | $36,413 | $21,108 | $19,476 |
| Hudson Valley Hospital CenterCortlandt Manor | 11 | $63,311 | $21,153 | $19,521 |
| St Joseph's Medical CenterYonkers | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Vassar Brothers Medical CenterPoughkeepsie | – | – | – | – |
| Nassau University Medical CenterEast Meadow | – | – | – | – |
| Richmond University Medical CenterStaten Island | – | – | – | – |
| Newark-Wayne Community HospitalNewark | – | – | – | – |
| Chenango Memorial Hospital, INCNorwich | – | – | – | – |
| Southside HospitalBay Shore | – | – | – | – |
| Wynn HospitalUtica | – | – | – | – |
| Northern Dutchess HospitalRhinebeck | – | – | – | – |
| New York Hospital Medical Center of QueensNew York | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Geneva General HospitalGeneva | – | – | – | – |
| Montefiore Medical CenterBronx | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| United Memorial Medical CenterBatavia | – | – | – | – |
| F F Thompson HospitalCanandaigua | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Aurelia Osborn Fox Memorial HospitalOneonta | – | – | – | – |
| Jones Memorial HospitalWellsville | – | – | – | – |
| Oneida Healthcare CenterOneida | – | – | – | – |
| Garnet Health Medical CenterGoshen | – | – | – | – |
| Long Island Community HospitalPatchogue | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Samaritan Medical CenterWatertown | – | – | – | – |
| Good Samaritan Hospital of SuffernSuffern | – | – | – | – |
| Beth Israel Medical CenterNew York | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Samaritan HospitalTroy | – | – | – | – |
| Maimonides Medical CenterBrooklyn | – | – | – | – |
| Long Island Jewish Medical CenterNew Hyde Park | – | – | – | – |
| Canton-Potsdam HospitalPotsdam | – | – | – | – |
| St John's Riverside HospitalYonkers | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Rome Memorial Hospital, INCRome | – | – | – | – |
| Brooks Memorial HospitalDunkirk | – | – | – | – |
| Auburn Memorial HospitalAuburn | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | – | – | – | – |
| Mercy Medical CenterRockville Centre | – | – | – | – |
| Phelps Memorial Hospital AssnSleepy Hollow | – | – | – | – |
| Cornwall HospitalCornwall | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| Corning HospitalCorning | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| Plainview HospitalPlainview | – | – | – | – |
| St Joseph HospitalBethpage | – | – | – | – |
| St Catherine of Siena HospitalSmithtown | – | – | – | – |
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 | $12,254 |
|---|---|
| Rochester General HospitalRochester, NY | $17,808 |
| Sisters of Charity HospitalBuffalo, NY | $18,116 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $18,142 |
| Arnot Ogden Medical CenterElmira, NY | $18,461 |
Highest
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $21,153 |
|---|---|
| Mount Sinai HospitalNew York, NY | $21,153 |
| New York-Presbyterian HospitalNew York, NY | $21,153 |
| Nyack HospitalNyack, NY | $21,153 |
| Staten Island University HospitalStaten Island, NY | $21,153 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in New York?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 99 hospitals in New York was billed at $83,977 on average, while the average medicare-allowed amount was $19,922, of which Medicare paid $18,291. 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 4.2 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.