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Hip fracture replacement in New York: what insurers pay

Posted commercial rates at 60 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$4,8370.5×12026-04-01
Garnet Health Medical Center Middletown$6,1390.7×92026-04-01
Medina Memorial Hospital Medina$6,2770.7×12026-07-29
Garnet Health Medical Center Catskills Harris$6,4180.7×62026-04-01
Oneida Health Oneida$6,9190.8×42026-09-27
Maimonides Medical Center Brooklyn$7,7710.9×52026-04-01
Albany Medical Center Hospital Albany$8,6961.0×12025-12-31
Montefiore Medical Center Bronx$9,0581.0×132026-04-01
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$13,5871.5×32026-09-05
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$13,5871.5×12026-09-05
Queens Hospital Center Jamaica$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
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$15,8731.8×72026-01-01
Geneva General Hospital Geneva$15,9811.8×32026-08-27
Jones Memorial Hospital Wellsville$16,3681.8×62026-01-01
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
Hospital for Special Surgery New York$21,3142.4×142026-04-01
Harlem Hospital Center New York$29,3803.2×22026-09-05

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$15,3640.8×12026-01-01
Ira Davenport Memorial Hospital Bath$16,0750.8×12026-03-27
Arnot Ogden Medical Center Elmira$17,2410.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$17,2410.9×22026-03-27
St Charles Hospital Port Jefferson$18,3541.0×142026-04-01
Montefiore Medical Center Bronx$18,7881.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$19,0761.0×42026-03-31
Geneva General Hospital Geneva$19,2651.0×32026-08-27
St James Hospital Hornell$19,5061.0×12026-01-01
Corning Hospital Corning$19,7231.0×52026-03-31
Schuyler Hospital Montour Falls$20,2921.1×22026-03-27
Wynn Hospital Utica$20,5751.1×42026-08-07
Highland Hospital Rochester$22,8351.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$24,2101.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$24,2411.3×32026-04-01
United Memorial Medical Center Batavia$24,3791.3×32026-04-01
Samaritan Medical Center Watertown$25,0101.3×42026-02-02
Canton-Potsdam Hospital Potsdam$25,0881.3×32026-04-01
Unity Hospital Of Rochester Rochester$26,4711.4×32026-04-01
Unity Specialty Hospital Rochester$26,4711.4×32026-04-01
Nassau University Medical Center East Meadow$26,6711.4×62025-10-28
Medina Memorial Hospital Medina$27,0311.4×12026-07-29
Rochester General Hospital Rochester$27,1521.4×32026-04-01
Bronxcare Hospital Center Bronx$27,1901.4×72026-05-05
St John'S Riverside Hospital Yonkers$28,1681.5×62026-03-27
Newark-Wayne Community Hospital Newark$28,3771.5×32026-04-01
Mount St Mary'S Hospital And Health Center Lewiston$28,4301.5×52026-04-01
Nicholas H Noyes Memorial Hospital Dansville$29,7901.6×12026-01-01
St Joseph'S Medical Center Yonkers$30,5371.6×42026-07-13
Stony Brook University Hospital Stony Brook$33,0111.7×12026-06-10
Saratoga Hospital Saratoga Springs$34,0841.8×12025-12-31
Glens Falls Hospital Glens Falls$34,2321.8×22025-12-31
Flushing Hospital Medical Center Flushing$34,5311.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$35,8881.9×82026-03-25
Strong Memorial Hospital Rochester$36,1001.9×32026-07-01
Sisters Of Charity Hospital Buffalo$36,5301.9×62026-04-01
Mercy Hospital Of Buffalo Buffalo$36,5301.9×62026-04-01
Crouse Hospital Syracuse$36,5881.9×42026-05-19
Columbia Memorial Hospital Hudson$37,3001.9×42025-12-31
South Brooklyn Health Brooklyn$39,6562.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$39,7152.1×82026-09-05
Elmhurst Hospital Center Elmhurst$40,7902.1×82026-09-05
Jacobi Medical Center Bronx$41,5842.2×82026-09-05
Metropolitan Hospital Center New York$41,5842.2×82026-09-05
Queens Hospital Center Jamaica$41,5842.2×82026-09-05
Harlem Hospital Center New York$41,5842.2×82026-09-05
Kings County Hospital Center Brooklyn$42,1172.2×82026-09-05
Bellevue Hospital Center New York$42,1172.2×82026-09-05
Nathan Littauer Hospital Gloversville$43,3262.3×32026-03-04
Samaritan Hospital Troy$58,5593.1×52026-03-31
Maimonides Medical Center Brooklyn$61,6863.2×82026-04-01
Albany Medical Center Hospital Albany$62,0143.2×32025-12-31
Garnet Health Medical Center Middletown$63,7523.3×102026-04-01
Garnet Health Medical Center Catskills Harris$63,8053.3×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$64,6963.4×92026-01-01
Hospital for Special Surgery New York$66,8323.5×132026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$67,6023.5×102026-04-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$20,8230.8×12026-01-01
Ira Davenport Memorial Hospital Bath$21,7880.8×12026-03-27
Arnot Ogden Medical Center Elmira$23,3680.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$23,3680.9×22026-03-27
St Charles Hospital Port Jefferson$24,6510.9×142026-04-01
Montefiore Medical Center Bronx$25,9751.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$26,0811.0×42026-03-31
Geneva General Hospital Geneva$26,1101.0×32026-08-27
St James Hospital Hornell$26,4371.0×12026-01-01
Corning Hospital Corning$27,2701.1×52026-03-31
Schuyler Hospital Montour Falls$27,5021.1×22026-03-27
Wynn Hospital Utica$27,8251.1×42026-08-07
Highland Hospital Rochester$32,1521.2×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$32,8541.3×32026-04-01
Stony Brook University Hospital Stony Brook$33,0111.3×12026-06-10
United Memorial Medical Center Batavia$33,0421.3×32026-04-01
Canton-Potsdam Hospital Potsdam$34,0031.3×32026-04-01
Niagara Falls Memorial Medical Center Niagara Falls$34,0061.3×42026-06-17
Samaritan Medical Center Watertown$34,2681.3×42026-02-02
Unity Hospital Of Rochester Rochester$35,8781.4×32026-04-01
Unity Specialty Hospital Rochester$35,8781.4×32026-04-01
Rochester General Hospital Rochester$36,8001.4×32026-04-01
Nassau University Medical Center East Meadow$36,8731.4×62025-10-28
Medina Memorial Hospital Medina$37,3711.4×12026-07-29
Newark-Wayne Community Hospital Newark$38,4611.5×32026-04-01
St John'S Riverside Hospital Yonkers$38,5221.5×62026-03-27
Bronxcare Hospital Center Bronx$38,5441.5×72026-05-05
Nicholas H Noyes Memorial Hospital Dansville$40,3751.6×12026-01-01
Mount St Mary'S Hospital And Health Center Lewiston$40,4651.6×52026-04-01
St Joseph'S Medical Center Yonkers$40,4921.6×42026-07-13
Saratoga Hospital Saratoga Springs$47,1251.8×12025-12-31
Glens Falls Hospital Glens Falls$47,3281.8×22025-12-31
Flushing Hospital Medical Center Flushing$47,7441.8×82026-03-25
Strong Memorial Hospital Rochester$48,9281.9×32026-07-01
Crouse Hospital Syracuse$49,2091.9×42026-05-19
Sisters Of Charity Hospital Buffalo$49,5111.9×62026-04-01
Jamaica Hospital Medical Center Jamaica$49,6191.9×82026-03-25
Mercy Hospital Of Buffalo Buffalo$50,5241.9×72026-04-01
Columbia Memorial Hospital Hudson$51,5722.0×42025-12-31
South Brooklyn Health Brooklyn$53,7472.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$53,8282.1×82026-09-05
Elmhurst Hospital Center Elmhurst$55,2842.1×82026-09-05
Harlem Hospital Center New York$56,1032.2×82026-09-05
Jacobi Medical Center Bronx$56,3612.2×82026-09-05
Metropolitan Hospital Center New York$56,3612.2×82026-09-05
Queens Hospital Center Jamaica$56,3612.2×82026-09-05
Kings County Hospital Center Brooklyn$57,0832.2×82026-09-05
Bellevue Hospital Center New York$57,0832.2×82026-09-05
Nathan Littauer Hospital Gloversville$58,7212.3×32026-03-04
Samaritan Hospital Troy$79,3673.1×52026-03-31
Maimonides Medical Center Brooklyn$83,6063.2×82026-04-01
Garnet Health Medical Center Middletown$86,4063.3×102026-04-01
Garnet Health Medical Center Catskills Harris$90,4493.5×82026-04-01
Albany Medical Center Hospital Albany$92,0723.5×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$93,4603.6×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$94,8303.6×92026-01-01
Hospital for Special Surgery New York$128,5895.0×102026-04-01

Questions

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

60 New York hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 30 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.