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Hip replacement revision in New York: what insurers pay

Posted commercial rates at 58 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27134

HospitalMedian across insurers× MedicareInsurersFile date
Medina Memorial Hospital Medina$10,0730.6×12026-07-29
Maimonides Medical Center Brooklyn$10,5260.7×52026-04-01
Albany Medical Center Hospital Albany$10,7290.7×12025-12-31
Saratoga Hospital Saratoga Springs$12,4900.8×12025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$18,1491.1×82026-04-01
Garnet Health Medical Center Middletown$18,9851.2×72026-04-01
Bronxcare Hospital Center Bronx$19,9271.2×12026-05-05
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$21,0691.3×52026-08-25
Montefiore Medical Center Bronx$21,4321.3×122026-04-01
Highland Hospital Rochester$23,0131.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$24,0391.5×12026-09-05
Elmhurst Hospital Center Elmhurst$24,0391.5×12026-09-05
South Brooklyn Health Brooklyn$24,0391.5×12026-09-05
Metropolitan Hospital Center New York$24,0391.5×12026-09-05
Kings County Hospital Center Brooklyn$24,0391.5×12026-09-05
Bellevue Hospital Center New York$24,0391.5×12026-09-05
Queens Hospital Center Jamaica$24,0391.5×12026-09-05
Harlem Hospital Center New York$24,0391.5×12026-09-05
Roswell Park Cancer Institute Buffalo$24,7281.5×32026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Garnet Health Medical Center Catskills Harris$26,8271.7×32026-04-01
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Jones Memorial Hospital Wellsville$27,5421.7×72026-01-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
Jacobi Medical Center Bronx$28,7731.8×22026-09-05
Nicholas H Noyes Memorial Hospital Dansville$32,8382.0×62026-01-01
St James Hospital Hornell$37,6432.4×52026-01-01
Hospital for Special Surgery New York$38,2972.4×122026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$43,0342.7×72026-01-01

CPT 27137

HospitalMedian across insurers× MedicareInsurersFile date
Maimonides Medical Center Brooklyn$10,5260.7×52026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$18,1491.1×82026-04-01
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$21,0691.3×52026-08-25
Highland Hospital Rochester$23,0131.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$24,0391.5×12026-09-05
Jacobi Medical Center Bronx$24,0391.5×12026-09-05
Elmhurst Hospital Center Elmhurst$24,0391.5×12026-09-05
South Brooklyn Health Brooklyn$24,0391.5×12026-09-05
Metropolitan Hospital Center New York$24,0391.5×12026-09-05
Kings County Hospital Center Brooklyn$24,0391.5×12026-09-05
Bellevue Hospital Center New York$24,0391.5×12026-09-05
Queens Hospital Center Jamaica$24,0391.5×12026-09-05
Harlem Hospital Center New York$24,0391.5×12026-09-05
Roswell Park Cancer Institute Buffalo$24,7281.5×32026-04-01
Montefiore Medical Center Bronx$25,1541.6×102026-04-01
Garnet Health Medical Center Catskills Harris$25,2621.6×22026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Jones Memorial Hospital Wellsville$27,5421.7×72026-01-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
Garnet Health Medical Center Middletown$30,4501.9×42026-04-01
Nicholas H Noyes Memorial Hospital Dansville$32,8382.0×62026-01-01
St James Hospital Hornell$37,6432.4×52026-01-01

CPT 27138

HospitalMedian across insurers× MedicareInsurersFile date
Medina Memorial Hospital Medina$8,0420.5×12026-07-29
Maimonides Medical Center Brooklyn$10,5260.7×52026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$18,1491.1×82026-04-01
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$21,0691.3×52026-08-25
Highland Hospital Rochester$23,0131.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$24,0391.5×12026-09-05
Jacobi Medical Center Bronx$24,0391.5×12026-09-05
Elmhurst Hospital Center Elmhurst$24,0391.5×12026-09-05
South Brooklyn Health Brooklyn$24,0391.5×12026-09-05
Metropolitan Hospital Center New York$24,0391.5×12026-09-05
Kings County Hospital Center Brooklyn$24,0391.5×12026-09-05
Bellevue Hospital Center New York$24,0391.5×12026-09-05
Queens Hospital Center Jamaica$24,0391.5×12026-09-05
Harlem Hospital Center New York$24,0391.5×12026-09-05
Roswell Park Cancer Institute Buffalo$24,7281.5×32026-04-01
Montefiore Medical Center Bronx$25,1541.6×102026-04-01
Garnet Health Medical Center Catskills Harris$25,4661.6×22026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Jones Memorial Hospital Wellsville$27,5421.7×72026-01-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
Garnet Health Medical Center Middletown$30,4501.9×42026-04-01
Nicholas H Noyes Memorial Hospital Dansville$32,8382.0×62026-01-01
St James Hospital Hornell$37,6432.4×52026-01-01
Hospital for Special Surgery New York$38,2972.4×122026-04-01

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$19,9370.8×12026-01-01
Ira Davenport Memorial Hospital Bath$20,8600.8×12026-03-27
Arnot Ogden Medical Center Elmira$22,3730.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$22,3730.9×22026-03-27
Montefiore Medical Center Bronx$23,3780.9×22026-04-01
St Charles Hospital Port Jefferson$23,6280.9×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$24,1941.0×42026-03-31
Corning Hospital Corning$24,3801.0×62026-03-31
Geneva General Hospital Geneva$24,9991.0×32026-08-27
St James Hospital Hornell$25,3121.0×12026-01-01
Schuyler Hospital Montour Falls$26,3321.1×22026-03-27
Highland Hospital Rochester$28,7231.1×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$30,8451.2×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$31,4561.3×32026-04-01
United Memorial Medical Center Batavia$31,6351.3×32026-04-01
Medina Memorial Hospital Medina$31,6681.3×22026-07-29
Samaritan Medical Center Watertown$32,2521.3×42026-02-02
St Joseph'S Medical Center Yonkers$32,5501.3×32026-07-13
Canton-Potsdam Hospital Potsdam$32,5561.3×32026-04-01
Nassau University Medical Center East Meadow$33,1861.3×62025-10-28
Unity Hospital Of Rochester Rochester$34,3501.4×32026-04-01
Unity Specialty Hospital Rochester$34,3501.4×32026-04-01
Bronxcare Hospital Center Bronx$34,3661.4×72026-05-05
Rochester General Hospital Rochester$35,2331.4×32026-04-01
St John'S Riverside Hospital Yonkers$35,6321.4×62026-03-27
Newark-Wayne Community Hospital Newark$36,8231.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$38,6561.6×12026-01-01
Wynn Hospital Utica$41,7431.7×52026-08-07
Saratoga Hospital Saratoga Springs$42,4141.7×12025-12-31
Glens Falls Hospital Glens Falls$42,5981.7×22025-12-31
Flushing Hospital Medical Center Flushing$42,9701.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$44,6581.8×82026-03-25
Columbia Memorial Hospital Hudson$46,4171.9×42025-12-31
Strong Memorial Hospital Rochester$46,8451.9×32026-07-01
Crouse Hospital Syracuse$47,1601.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$47,4031.9×62026-04-01
Sisters Of Charity Hospital Buffalo$48,3741.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$48,3741.9×72026-04-01
South Brooklyn Health Brooklyn$51,4592.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$51,5362.1×82026-09-05
Elmhurst Hospital Center Elmhurst$52,9312.1×82026-09-05
Jacobi Medical Center Bronx$53,9612.2×82026-09-05
Metropolitan Hospital Center New York$53,9612.2×82026-09-05
Queens Hospital Center Jamaica$53,9612.2×82026-09-05
Harlem Hospital Center New York$53,9612.2×82026-09-05
Kings County Hospital Center Brooklyn$54,6522.2×82026-09-05
Bellevue Hospital Center New York$54,6522.2×82026-09-05
Nathan Littauer Hospital Gloversville$56,2212.3×32026-03-04
Stony Brook University Hospital Stony Brook$59,2882.4×12026-06-10
Hospital for Special Surgery New York$75,0223.0×132026-04-01
Albany Medical Center Hospital Albany$77,1703.1×32025-12-31
Maimonides Medical Center Brooklyn$80,0463.2×82026-04-01
Garnet Health Medical Center Catskills Harris$80,6433.2×82026-04-01
Garnet Health Medical Center Middletown$82,7273.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$84,1163.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$84,6113.4×92026-01-01

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$25,5850.8×12026-01-01
Ira Davenport Memorial Hospital Bath$26,7700.8×12026-03-27
Guthrie Cortland Regional Medical Center Cortland$28,3120.9×42026-03-31
Arnot Ogden Medical Center Elmira$28,7120.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$28,7120.9×22026-03-27
St Charles Hospital Port Jefferson$30,1430.9×152026-04-01
Montefiore Medical Center Bronx$30,5231.0×22026-04-01
Corning Hospital Corning$31,1521.0×62026-03-31
Geneva General Hospital Geneva$32,0811.0×32026-08-27
St James Hospital Hornell$32,4841.0×12026-01-01
Schuyler Hospital Montour Falls$33,7921.1×22026-03-27
Highland Hospital Rochester$37,3501.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$39,8221.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$40,3681.3×32026-04-01
Medina Memorial Hospital Medina$40,4201.3×22026-07-29
United Memorial Medical Center Batavia$40,5981.3×32026-04-01
Samaritan Medical Center Watertown$41,5611.3×42026-02-02
St Joseph'S Medical Center Yonkers$41,7731.3×32026-07-13
Canton-Potsdam Hospital Potsdam$41,7801.3×32026-04-01
Nassau University Medical Center East Meadow$43,3281.4×62025-10-28
Unity Hospital Of Rochester Rochester$44,0821.4×32026-04-01
Unity Specialty Hospital Rochester$44,0821.4×32026-04-01
Bronxcare Hospital Center Bronx$44,8791.4×72026-05-05
Rochester General Hospital Rochester$45,2161.4×32026-04-01
St John'S Riverside Hospital Yonkers$46,0981.4×62026-03-27
Newark-Wayne Community Hospital Newark$47,2561.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$49,6091.6×12026-01-01
Wynn Hospital Utica$53,4161.7×52026-08-07
Saratoga Hospital Saratoga Springs$55,3791.7×12025-12-31
Glens Falls Hospital Glens Falls$55,6181.7×22025-12-31
Flushing Hospital Medical Center Flushing$56,1061.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$58,3101.8×82026-03-25
Strong Memorial Hospital Rochester$60,1181.9×32026-07-01
Crouse Hospital Syracuse$60,2181.9×42026-05-19
Columbia Memorial Hospital Hudson$60,6061.9×42025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$60,8341.9×62026-04-01
Sisters Of Charity Hospital Buffalo$62,0791.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$62,0791.9×72026-04-01
South Brooklyn Health Brooklyn$66,0392.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$66,1382.1×82026-09-05
Harlem Hospital Center New York$66,1382.1×82026-09-05
Elmhurst Hospital Center Elmhurst$67,9282.1×82026-09-05
Jacobi Medical Center Bronx$69,2502.2×82026-09-05
Metropolitan Hospital Center New York$69,2502.2×82026-09-05
Kings County Hospital Center Brooklyn$69,2502.2×82026-09-05
Queens Hospital Center Jamaica$69,2502.2×82026-09-05
Bellevue Hospital Center New York$70,1372.2×82026-09-05
Nathan Littauer Hospital Gloversville$72,1512.3×32026-03-04
Stony Brook University Hospital Stony Brook$72,6782.3×12026-06-10
Hospital for Special Surgery New York$79,2372.5×132026-04-01
Maimonides Medical Center Brooklyn$102,7263.2×82026-04-01
Garnet Health Medical Center Catskills Harris$105,3143.3×82026-04-01
Garnet Health Medical Center Middletown$106,1663.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$107,7403.4×92026-01-01
Albany Medical Center Hospital Albany$108,1993.4×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$109,8233.4×102026-04-01

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$37,7650.8×12026-01-01
Ira Davenport Memorial Hospital Bath$39,5140.8×12026-03-27
Guthrie Cortland Regional Medical Center Cortland$40,5840.9×42026-03-31
Arnot Ogden Medical Center Elmira$42,3800.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$42,3800.9×22026-03-27
St Charles Hospital Port Jefferson$44,1900.9×152026-04-01
Montefiore Medical Center Bronx$45,4001.0×22026-04-01
Corning Hospital Corning$46,0111.0×62026-03-31
Geneva General Hospital Geneva$47,3541.0×32026-08-27
St James Hospital Hornell$47,9471.0×12026-01-01
Schuyler Hospital Montour Falls$49,8781.1×22026-03-27
Highland Hospital Rochester$55,3121.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$58,9071.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$59,5851.3×32026-04-01
Medina Memorial Hospital Medina$59,8621.3×22026-07-29
United Memorial Medical Center Batavia$59,9251.3×32026-04-01
Samaritan Medical Center Watertown$61,4601.3×42026-02-02
St Joseph'S Medical Center Yonkers$61,6581.3×32026-07-13
Canton-Potsdam Hospital Potsdam$61,6681.3×32026-04-01
Nassau University Medical Center East Meadow$64,4481.4×62025-10-28
Unity Hospital Of Rochester Rochester$65,0681.4×32026-04-01
Unity Specialty Hospital Rochester$65,0681.4×32026-04-01
Rochester General Hospital Rochester$66,7411.4×32026-04-01
St John'S Riverside Hospital Yonkers$68,2161.4×62026-03-27
Newark-Wayne Community Hospital Newark$69,7521.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$73,2241.6×12026-01-01
Wynn Hospital Utica$78,5841.7×52026-08-07
Saratoga Hospital Saratoga Springs$82,3691.8×12025-12-31
Glens Falls Hospital Glens Falls$82,7261.8×22025-12-31
Flushing Hospital Medical Center Flushing$83,4511.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$86,7291.8×82026-03-25
Crouse Hospital Syracuse$88,3751.9×42026-05-19
Strong Memorial Hospital Rochester$88,7361.9×32026-07-01
Mount St Mary'S Hospital And Health Center Lewiston$89,7931.9×62026-04-01
Columbia Memorial Hospital Hudson$90,1441.9×42025-12-31
Sisters Of Charity Hospital Buffalo$91,6311.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$91,6311.9×72026-04-01
South Brooklyn Health Brooklyn$97,4762.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$97,6222.1×82026-09-05
Elmhurst Hospital Center Elmhurst$97,6222.1×82026-09-05
Harlem Hospital Center New York$97,6222.1×82026-09-05
Queens Hospital Center Jamaica$100,9332.1×82026-09-05
Jacobi Medical Center Bronx$102,2162.2×82026-09-05
Metropolitan Hospital Center New York$102,2162.2×82026-09-05
Kings County Hospital Center Brooklyn$102,2162.2×82026-09-05
Bellevue Hospital Center New York$102,2162.2×82026-09-05
Nathan Littauer Hospital Gloversville$106,4972.3×32026-03-04
Stony Brook University Hospital Stony Brook$110,4462.3×12026-06-10
Hospital for Special Surgery New York$130,6672.8×112026-04-01
Maimonides Medical Center Brooklyn$151,6283.2×82026-04-01
Garnet Health Medical Center Catskills Harris$156,6773.3×82026-04-01
Garnet Health Medical Center Middletown$156,7063.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$159,0283.4×92026-01-01
Albany Medical Center Hospital Albany$160,9333.4×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$163,3543.5×102026-04-01

Questions

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

58 New York hospitals post usable commercial rates for hip replacement revision in their federal price-transparency files. For CPT 27134, hospital outpatient, the median across 30 hospitals is $24,039, 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.