Hospital for Special Surgery
Hospital for Special Surgery in New York, NY charges 6.1x the Medicare reimbursement rate across 32 analyzed procedures at this nonprofit-private facility.
New York, NY 10021 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
6.1x
Charge / Medicare rate
Max markup
9.5x
Worst procedure
Procedures analyzed
32
With pricing data
Outlier procedures
9.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SOFT TISSUE PROCEDURES WITH CC | 501 | $133,570 | $66,785 | — | 9.5x |
| SOFT TISSUE PROCEDURES WITHOUT CC/MCC | 502 | $91,260 | $45,630 | — | 8.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $122,820 | $61,410 | — | 8.1x |
| KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 487 | $127,630 | $63,815 | — | 8x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $215,049 | $107,525 | — | 7.8x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $132,749 | $66,375 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $103,737 | $51,868 | — | 7.3x |
| KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | 486 | $143,282 | $71,641 | — | 7.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $140,831 | $70,415 | — | 7.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $112,540 | $56,270 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $183,966 | $91,983 | — | 6.7x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $116,667 | $58,334 | — | 6.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $108,508 | $54,254 | — | 6.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $143,617 | $71,809 | — | 6.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $112,950 | $56,475 | — | 6x |
| KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 489 | $64,772 | $32,386 | — | 5.9x |
| LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | 496 | $82,040 | $41,020 | — | 5.8x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $78,259 | $39,129 | — | 5.8x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $150,152 | $75,076 | — | 5.8x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $96,872 | $48,436 | — | 5.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $176,911 | $88,455 | — | 5.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $133,671 | $66,836 | — | 5.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $171,547 | $85,773 | — | 5.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $66,627 | $33,314 | — | 5x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $300,417 | $150,208 | — | 4.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $213,912 | $106,956 | — | 4.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $167,898 | $83,949 | — | 4.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | 466 | $245,752 | $122,876 | — | 4.7x |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $296,629 | $148,315 | — | 4.3x |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 458 | $188,200 | $94,100 | — | 4.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $278,403 | $139,202 | — | 4.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $388,194 | $194,097 | — | 4x |
How HOSPITAL FOR SPECIAL SURGERY compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from HOSPITAL FOR SPECIAL SURGERY?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Hospital for Special Surgery?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use