HOSPITAL FOR SPECIAL SURGERY
NEW YORK, NY 10021 · Acute Care Hospitals
32 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
32
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
9%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from HOSPITAL FOR SPECIAL SURGERY, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, HOSPITAL FOR SPECIAL SURGERY lists chargemaster rates that average 6.1x the corresponding Medicare reimbursement amount across 32 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 6.1x, this facility’s average ratio is above the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at HOSPITAL FOR SPECIAL SURGERY is SOFT TISSUE PROCEDURES WITH CC (DRG 501). The listed chargemaster rate is $133,570, while Medicare reimburses $14,059 for the same procedure — a ratio of 9.5x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
3 of 32 procedures (9%) at this facility have listed rates above the 90th percentile compared to other NY hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
HOSPITAL FOR SPECIAL SURGERY is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| SOFT TISSUE PROCEDURES WITH CC | 501 | $133,570 | $14,059 | 9.5x | 1th | Compare your bill |
| SOFT TISSUE PROCEDURES WITHOUT CC/MCC | 502 | $91,260 | $10,584 | 8.6x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $122,820 | $15,082 | 8.1x | 1th | Compare your bill |
| KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 487 | $127,630 | $15,876 | 8.0x | — | Compare your bill |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $215,049 | $27,548 | 7.8x | 1th | Compare your bill |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $132,749 | $17,640 | 7.5x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $103,737 | $14,188 | 7.3x | 1th | Compare your bill |
| KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | 486 | $143,282 | $19,616 | 7.3x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $140,831 | $19,597 | 7.2x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $112,540 | $16,513 | 6.8x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $183,966 | $27,361 | 6.7x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $116,667 | $17,512 | 6.7x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $108,508 | $17,013 | 6.4x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $143,617 | $23,116 | 6.2x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $112,950 | $18,697 | 6.0x | 1th | Compare your bill |
| KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 489 | $64,772 | $11,064 | 5.8x | 1th | Compare your bill |
| LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | 496 | $82,040 | $14,104 | 5.8x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $78,259 | $13,494 | 5.8x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $150,152 | $26,066 | 5.8x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $96,872 | $17,936 | 5.4x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $176,911 | $32,989 | 5.4x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $133,671 | $25,503 | 5.2x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $171,547 | $33,837 | 5.1x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $66,627 | $13,211 | 5.0x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $300,417 | $61,242 | 4.9x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $213,912 | $43,999 | 4.9x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $167,898 | $35,212 | 4.8x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | 466 | $245,752 | $52,771 | 4.7x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $296,629 | $69,304 | 4.3x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 458 | $188,200 | $45,338 | 4.2x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $278,403 | $67,221 | 4.1x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $388,194 | $98,326 | 4.0x | 0th | Compare your bill |
Showing 32 of 32 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NY hospitals
124 hospitals in NY report pricing data to CMS. This facility's average ratio of 6.1x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About HOSPITAL FOR SPECIAL SURGERY
How much does HOSPITAL FOR SPECIAL SURGERY charge compared to Medicare?
According to CMS IPPS data, HOSPITAL FOR SPECIAL SURGERY's listed chargemaster rates average 6.1x the Medicare reimbursement amount across 32 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at HOSPITAL FOR SPECIAL SURGERY?
The procedure with the highest chargemaster-to-Medicare ratio at HOSPITAL FOR SPECIAL SURGERY is SOFT TISSUE PROCEDURES WITH CC (DRG 501), with a listed charge of $133,570 compared to Medicare reimbursement of $14,059 — a ratio of 9.5x. Source: CMS IPPS Provider Summary.
Is HOSPITAL FOR SPECIAL SURGERY expensive compared to other NY hospitals?
HOSPITAL FOR SPECIAL SURGERY's average chargemaster-to-Medicare ratio is 6.1x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for HOSPITAL FOR SPECIAL SURGERY come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from HOSPITAL FOR SPECIAL SURGERY is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does HOSPITAL FOR SPECIAL SURGERY in NEW YORK, NY accept Medicare?
HOSPITAL FOR SPECIAL SURGERY is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact HOSPITAL FOR SPECIAL SURGERY directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.