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Hip fracture fixation in New York: what insurers pay

Posted commercial rates at 59 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27245

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$4,9640.6×12026-04-01
Garnet Health Medical Center Middletown$5,7980.6×112026-04-01
Medina Memorial Hospital Medina$6,4630.7×12026-07-29
Garnet Health Medical Center Catskills Harris$6,4840.7×62026-04-01
Maimonides Medical Center Brooklyn$7,3020.8×52026-04-01
Montefiore Medical Center Bronx$8,0100.9×132026-04-01
Albany Medical Center Hospital Albany$8,6961.0×12025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$9,5111.1×102026-04-01
Highland Hospital Rochester$13,0061.4×42026-07-01
Samaritan Medical Center Watertown$13,4901.5×42026-02-02
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$13,5871.5×12026-09-05
Jacobi Medical Center Bronx$13,5871.5×12026-09-05
Elmhurst Hospital Center Elmhurst$13,5871.5×12026-09-05
South Brooklyn Health Brooklyn$13,5871.5×12026-09-05
Metropolitan Hospital Center New York$13,5871.5×12026-09-05
Kings County Hospital Center Brooklyn$13,5871.5×12026-09-05
Queens Hospital Center Jamaica$13,5871.5×12026-09-05
Harlem Hospital Center New York$13,5871.5×12026-09-05
Roswell Park Cancer Institute Buffalo$13,9761.5×32026-04-01
St Joseph'S Medical Center Yonkers$14,5971.6×12026-07-13
Strong Memorial Hospital Rochester$15,5421.7×42026-07-01
Jones Memorial Hospital Wellsville$15,5661.7×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Erie County Medical Center Buffalo$17,7702.0×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$18,5602.0×62026-01-01
St James Hospital Hornell$21,2752.4×52026-01-01
Bellevue Hospital Center New York$29,3803.2×22026-09-05

CPT 27244

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$4,9760.6×12026-04-01
Garnet Health Medical Center Middletown$5,8010.6×112026-04-01
Medina Memorial Hospital Medina$6,4630.7×12026-07-29
Garnet Health Medical Center Catskills Harris$6,4880.7×62026-04-01
Maimonides Medical Center Brooklyn$7,7710.9×52026-04-01
Montefiore Medical Center Bronx$8,0100.9×132026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$9,5111.1×102026-04-01
Highland Hospital Rochester$13,0061.4×42026-07-01
Samaritan Medical Center Watertown$13,4901.5×42026-02-02
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$13,5871.5×12026-09-05
Jacobi Medical Center Bronx$13,5871.5×12026-09-05
Elmhurst Hospital Center Elmhurst$13,5871.5×12026-09-05
South Brooklyn Health Brooklyn$13,5871.5×12026-09-05
Metropolitan Hospital Center New York$13,5871.5×12026-09-05
Kings County Hospital Center Brooklyn$13,5871.5×12026-09-05
Bellevue Hospital Center New York$13,5871.5×32026-09-05
Queens Hospital Center Jamaica$13,5871.5×12026-09-05
Harlem Hospital Center New York$13,5871.5×12026-09-05
Roswell Park Cancer Institute Buffalo$13,9761.5×32026-04-01
Hospital for Special Surgery New York$14,4051.6×82026-04-01
St Joseph'S Medical Center Yonkers$14,5971.6×12026-07-13
Strong Memorial Hospital Rochester$15,5421.7×42026-07-01
Jones Memorial Hospital Wellsville$15,5661.7×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Erie County Medical Center Buffalo$17,7702.0×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$18,5602.0×62026-01-01
St James Hospital Hornell$21,2752.4×52026-01-01

CPT 27235

HospitalMedian across insurers× MedicareInsurersFile date
Garnet Health Medical Center Catskills Harris$7,4390.8×52026-04-01
Nassau University Medical Center East Meadow$8,4540.9×12025-10-28
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$8,4540.9×12026-09-05
Jacobi Medical Center Bronx$8,4540.9×12026-09-05
Elmhurst Hospital Center Elmhurst$8,4540.9×12026-09-05
South Brooklyn Health Brooklyn$8,4540.9×12026-09-05
Metropolitan Hospital Center New York$8,4540.9×12026-09-05
Kings County Hospital Center Brooklyn$8,4540.9×12026-09-05
Bellevue Hospital Center New York$8,4540.9×12026-09-05
Queens Hospital Center Jamaica$8,4540.9×12026-09-05
Harlem Hospital Center New York$8,4540.9×12026-09-05
Maimonides Medical Center Brooklyn$9,0101.0×62026-04-01
Glens Falls Hospital Glens Falls$9,1301.0×32025-12-31
Bronxcare Hospital Center Bronx$9,4851.1×22026-05-05
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,8001.1×92026-01-01
Garnet Health Medical Center Middletown$9,9241.1×72026-04-01
Saratoga Hospital Saratoga Springs$10,4401.1×22025-12-31
Albany Medical Center Hospital Albany$10,7741.2×42025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$11,1821.2×102026-04-01
Samaritan Medical Center Watertown$12,4701.4×42026-02-02
Hospital for Special Surgery New York$12,5111.4×82026-04-01
Columbia Memorial Hospital Hudson$12,6801.4×12025-12-31
Highland Hospital Rochester$13,0061.4×42026-07-01
Roswell Park Cancer Institute Buffalo$13,9761.5×32026-04-01
St Joseph'S Medical Center Yonkers$14,5971.6×12026-07-13
Montefiore Medical Center Bronx$14,6611.6×122026-04-01
Strong Memorial Hospital Rochester$15,5421.7×42026-07-01
Jones Memorial Hospital Wellsville$15,5661.7×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Crouse Hospital Syracuse$16,2671.8×32026-05-19
Erie County Medical Center Buffalo$17,2041.9×42026-08-25
Nicholas H Noyes Memorial Hospital Dansville$18,5602.0×62026-01-01
St James Hospital Hornell$21,2752.4×52026-01-01
Medina Memorial Hospital Medina$24,4372.7×22026-07-29

MS-DRG 481

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$15,1960.8×12026-01-01
Ira Davenport Memorial Hospital Bath$15,8990.8×12026-03-27
Arnot Ogden Medical Center Elmira$17,0520.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$17,0520.9×22026-03-27
St Charles Hospital Port Jefferson$18,1601.0×152026-04-01
Corning Hospital Corning$18,4161.0×62026-03-31
Montefiore Medical Center Bronx$18,4921.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$18,8221.0×42026-03-31
Geneva General Hospital Geneva$19,0541.0×32026-08-27
St James Hospital Hornell$19,2921.0×12026-01-01
Schuyler Hospital Montour Falls$20,0701.1×22026-03-27
Wynn Hospital Utica$20,3511.1×42026-08-07
Highland Hospital Rochester$22,4411.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$23,8641.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$23,9751.3×32026-04-01
United Memorial Medical Center Batavia$24,1121.3×32026-04-01
Medina Memorial Hospital Medina$24,2741.3×22026-07-29
Samaritan Medical Center Watertown$24,6961.3×42026-02-02
St Joseph'S Medical Center Yonkers$24,8091.3×32026-07-13
Canton-Potsdam Hospital Potsdam$24,8141.3×32026-04-01
Unity Hospital Of Rochester Rochester$26,1811.4×32026-04-01
Unity Specialty Hospital Rochester$26,1811.4×32026-04-01
Nassau University Medical Center East Meadow$26,2501.4×62025-10-28
Bronxcare Hospital Center Bronx$26,7101.4×72026-05-05
Rochester General Hospital Rochester$26,8541.4×32026-04-01
St John'S Riverside Hospital Yonkers$27,7871.5×62026-03-27
Newark-Wayne Community Hospital Newark$28,0661.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$29,4631.6×12026-01-01
Saratoga Hospital Saratoga Springs$33,5471.8×12025-12-31
Glens Falls Hospital Glens Falls$33,6921.8×22025-12-31
Flushing Hospital Medical Center Flushing$33,9881.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$35,3221.9×82026-03-25
Strong Memorial Hospital Rochester$35,7051.9×32026-07-01
Sisters Of Charity Hospital Buffalo$36,1301.9×62026-04-01
Mount St Mary'S Hospital And Health Center Lewiston$36,1301.9×62026-04-01
Crouse Hospital Syracuse$36,1991.9×42026-05-19
Columbia Memorial Hospital Hudson$36,7141.9×42025-12-31
Mercy Hospital Of Buffalo Buffalo$36,8701.9×72026-04-01
South Brooklyn Health Brooklyn$39,2222.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$39,2802.1×82026-09-05
Elmhurst Hospital Center Elmhurst$40,3432.1×82026-09-05
Jacobi Medical Center Bronx$41,1292.2×82026-09-05
Metropolitan Hospital Center New York$41,1292.2×82026-09-05
Queens Hospital Center Jamaica$41,1292.2×82026-09-05
Harlem Hospital Center New York$41,1292.2×82026-09-05
Kings County Hospital Center Brooklyn$41,6552.2×82026-09-05
Bellevue Hospital Center New York$41,6552.2×82026-09-05
Nathan Littauer Hospital Gloversville$42,8512.3×32026-03-04
Stony Brook University Hospital Stony Brook$44,8202.4×12026-06-10
Hospital for Special Surgery New York$53,9502.9×132026-04-01
Samaritan Hospital Troy$57,9173.1×52026-03-31
Maimonides Medical Center Brooklyn$61,0113.2×82026-04-01
Albany Medical Center Hospital Albany$61,0373.2×32025-12-31
Garnet Health Medical Center Catskills Harris$62,6793.3×82026-04-01
Garnet Health Medical Center Middletown$63,0543.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$64,4903.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$66,5343.5×102026-04-01

MS-DRG 482

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$11,8330.8×12026-01-01
Ira Davenport Memorial Hospital Bath$12,3810.8×12026-03-27
Arnot Ogden Medical Center Elmira$13,2790.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$13,2790.9×22026-03-27
Montefiore Medical Center Bronx$14,1381.0×22026-04-01
St Charles Hospital Port Jefferson$14,2821.0×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$14,5461.0×42026-03-31
Corning Hospital Corning$14,5631.0×62026-03-31
Geneva General Hospital Geneva$14,8371.0×32026-08-27
St James Hospital Hornell$15,0231.0×12026-01-01
Schuyler Hospital Montour Falls$15,6281.1×22026-03-27
Wynn Hospital Utica$15,8861.1×42026-08-07
Highland Hospital Rochester$17,3021.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$18,5181.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$18,6701.3×32026-04-01
United Memorial Medical Center Batavia$18,7761.3×32026-04-01
Medina Memorial Hospital Medina$19,0261.3×22026-07-29
Samaritan Medical Center Watertown$19,1541.3×42026-02-02
St Joseph'S Medical Center Yonkers$19,3191.3×32026-07-13
Canton-Potsdam Hospital Potsdam$19,3221.3×32026-04-01
Nassau University Medical Center East Meadow$20,0701.4×62025-10-28
Unity Hospital Of Rochester Rochester$20,3881.4×32026-04-01
Unity Specialty Hospital Rochester$20,3881.4×32026-04-01
Bronxcare Hospital Center Bronx$20,4471.4×72026-05-05
Rochester General Hospital Rochester$20,9121.4×32026-04-01
St John'S Riverside Hospital Yonkers$21,4731.4×62026-03-27
Mount St Mary'S Hospital And Health Center Lewiston$21,7051.5×52026-04-01
Newark-Wayne Community Hospital Newark$21,8551.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$22,9431.6×12026-01-01
Saratoga Hospital Saratoga Springs$25,6491.7×12025-12-31
Glens Falls Hospital Glens Falls$25,7601.8×22025-12-31
Flushing Hospital Medical Center Flushing$25,9861.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$27,0061.8×82026-03-25
Strong Memorial Hospital Rochester$27,8041.9×32026-07-01
Columbia Memorial Hospital Hudson$28,0701.9×42025-12-31
Sisters Of Charity Hospital Buffalo$28,1351.9×62026-04-01
Crouse Hospital Syracuse$28,4261.9×42026-05-19
Mercy Hospital Of Buffalo Buffalo$28,7111.9×72026-04-01
South Brooklyn Health Brooklyn$30,5422.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$30,5882.1×82026-09-05
Elmhurst Hospital Center Elmhurst$31,4162.1×82026-09-05
Jacobi Medical Center Bronx$32,0272.2×82026-09-05
Metropolitan Hospital Center New York$32,0272.2×82026-09-05
Queens Hospital Center Jamaica$32,0272.2×82026-09-05
Harlem Hospital Center New York$32,0272.2×82026-09-05
Kings County Hospital Center Brooklyn$32,4372.2×82026-09-05
Bellevue Hospital Center New York$32,4372.2×82026-09-05
Nathan Littauer Hospital Gloversville$33,3692.3×32026-03-04
Stony Brook University Hospital Stony Brook$35,1812.4×12026-06-10
Hospital for Special Surgery New York$43,4442.9×132026-04-01
Samaritan Hospital Troy$45,1003.1×52026-03-31
Albany Medical Center Hospital Albany$46,6673.2×32025-12-31
Maimonides Medical Center Brooklyn$47,5093.2×82026-04-01
Garnet Health Medical Center Catskills Harris$47,9823.3×82026-04-01
Garnet Health Medical Center Middletown$49,1003.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$49,8283.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$50,8703.5×102026-04-01

MS-DRG 480

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$21,1290.8×12026-01-01
Ira Davenport Memorial Hospital Bath$22,1070.8×12026-03-27
Arnot Ogden Medical Center Elmira$23,7100.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$23,7100.9×22026-03-27
St Charles Hospital Port Jefferson$25,0030.9×152026-04-01
Montefiore Medical Center Bronx$26,2101.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$26,3851.0×42026-03-31
Geneva General Hospital Geneva$26,4931.0×32026-08-27
St James Hospital Hornell$26,8251.0×12026-01-01
Corning Hospital Corning$26,9561.0×62026-03-31
Schuyler Hospital Montour Falls$27,9061.1×22026-03-27
Wynn Hospital Utica$28,2301.1×42026-08-07
Highland Hospital Rochester$31,6741.2×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$33,3361.3×32026-04-01
Niagara Falls Memorial Medical Center Niagara Falls$33,4921.3×42026-06-17
United Memorial Medical Center Batavia$33,5261.3×32026-04-01
St Joseph'S Medical Center Yonkers$34,4961.3×32026-07-13
Canton-Potsdam Hospital Potsdam$34,5021.3×32026-04-01
Samaritan Medical Center Watertown$34,5181.3×42026-02-02
Medina Memorial Hospital Medina$34,9761.3×22026-07-29
Unity Hospital Of Rochester Rochester$36,4041.4×32026-04-01
Unity Specialty Hospital Rochester$36,4041.4×32026-04-01
Nassau University Medical Center East Meadow$37,2071.4×62025-10-28
Rochester General Hospital Rochester$37,3401.4×32026-04-01
Bronxcare Hospital Center Bronx$37,9611.4×72026-05-05
Mount St Mary'S Hospital And Health Center Lewiston$38,5801.5×52026-04-01
St John'S Riverside Hospital Yonkers$38,9591.5×62026-03-27
Newark-Wayne Community Hospital Newark$39,0251.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$40,9671.6×12026-01-01
Saratoga Hospital Saratoga Springs$47,5501.8×12025-12-31
Glens Falls Hospital Glens Falls$47,7561.8×22025-12-31
Flushing Hospital Medical Center Flushing$48,1741.8×82026-03-25
Strong Memorial Hospital Rochester$49,6461.9×32026-07-01
Crouse Hospital Syracuse$49,9151.9×42026-05-19
Jamaica Hospital Medical Center Jamaica$50,0661.9×82026-03-25
Sisters Of Charity Hospital Buffalo$50,2371.9×62026-04-01
Mercy Hospital Of Buffalo Buffalo$50,2371.9×62026-04-01
Columbia Memorial Hospital Hudson$52,0382.0×42025-12-31
South Brooklyn Health Brooklyn$54,5362.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$54,6172.1×82026-09-05
Elmhurst Hospital Center Elmhurst$56,0952.1×82026-09-05
Harlem Hospital Center New York$56,6862.1×82026-09-05
Jacobi Medical Center Bronx$57,1872.2×82026-09-05
Metropolitan Hospital Center New York$57,1872.2×82026-09-05
Queens Hospital Center Jamaica$57,1872.2×82026-09-05
Kings County Hospital Center Brooklyn$57,9202.2×82026-09-05
Bellevue Hospital Center New York$57,9202.2×82026-09-05
Nathan Littauer Hospital Gloversville$59,5832.3×32026-03-04
Stony Brook University Hospital Stony Brook$63,8072.4×12026-06-10
Samaritan Hospital Troy$80,5313.1×52026-03-31
Maimonides Medical Center Brooklyn$84,8323.2×82026-04-01
Garnet Health Medical Center Middletown$87,6743.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$88,9723.4×92026-01-01
Garnet Health Medical Center Catskills Harris$89,0803.4×82026-04-01
Albany Medical Center Hospital Albany$92,9033.5×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$94,3063.6×102026-04-01
Hospital for Special Surgery New York$128,5874.9×132026-04-01

Questions

How much do insurers pay for hip fracture fixation in New York?

59 New York hospitals post usable commercial rates for hip fracture fixation in their federal price-transparency files. For CPT 27245, hospital outpatient, the median across 27 hospitals is $13,587, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.