39/100
#1,614 nationally
Hospital For Special Surgery
535 East 70Th Street, New York, NY 10021 · (212) 606-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Hospital For Special Surgery billed $4.77 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 44
- inpatient and outpatient combined
- Rank in NY
- #87
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 46% of U.S. hospitals.
Better than 51% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 31% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
2,670 | $88,594 | $14,605 | +42% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
1,332 | $120,505 | $25,507 | +51% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
642 | $47,547 | $7,916 | +19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
616 | $13,401 | $2,157 | +18% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
342 | $29,976 | $3,518 | +47% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
244 | $139,455 | $34,565 | +29% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
223 | $182,224 | $43,090 | +40% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
162 | $205,478 | $54,809 | +42% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
156 | $99,093 | $20,691 | +19% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
119 | $317,902 | $89,029 | +43% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
$334,954 | $68,269 | +144% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$181,868 | $38,865 | +118% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$20,760 | $1,673 | +106% |
|
Knee Procedures without Principal Diagnosis of Infection without Complications/mcc
MS-DRG 489 · Inpatient stay |
$75,294 | $16,278 | +91% |
|
Knee Procedures with Principal Diagnosis of Infection with Complications
MS-DRG 486 · Inpatient stay |
$154,840 | $31,456 | +89% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$248,998 | $53,192 | +76% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$30,865 | $3,150 | +75% |
|
Bilateral or Multiple Major Joint Procedures of Lower Extremity without Major
MS-DRG 462 · Inpatient stay |
$189,583 | $45,773 | +75% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Soft Tissue Procedures with Complications
MS-DRG 501 · Inpatient stay |
$95,702 | $24,886 | -7% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
$73,294 | $19,583 | about average |
|
Soft Tissue Procedures without Complications/mcc
MS-DRG 502 · Inpatient stay |
$95,485 | $16,529 | about average |
|
Knee Procedures with Principal Diagnosis of Infection without Complications/mcc
MS-DRG 487 · Inpatient stay |
$102,438 | $18,357 | about average |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$92,883 | $23,344 | +5% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
$316,135 | $87,869 | +10% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
$95,551 | $22,828 | +12% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,738 | $1,795 | +13% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.