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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Hospital For Special Surgery

New York, NY

535 East 70th Street, New York, NY 10021(212) 606-1000

5 of 5

CMS star rating

156

Beds

6,583

Inpatient discharges a year

$1.4B

Net patient revenue a year

35

In-network payers

Photo 1: Ajay Suresh from New York, NY, USA, CC BY 2.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Hospital For Special Surgery is a 156-bed voluntary non-profit - private hospital in New York, NY. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 299 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
CCN
330270
NPI
1598703019
Website
hss.edu
Teaching
Major teaching hospital
County
New York County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Hospital For Special Surgery most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$52,268 - $69,635

from 3 insurers · median $62,572

UnitedHealthcare$52,268
Insurer A*$62,572
Insurer B*$69,635
Medicare $13,984Nearby hospitals $31,53698% above nearby hospitals

1168 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$98,196

negotiated rate

UnitedHealthcare$98,196
Medicare $31,696

191 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,526 - $10,183

from 3 insurers · median $5,089

Aetna$10,183
Insurer A*$3,526
Insurer B*$5,089
Medicare $1,093Nearby hospitals $1,951161% above nearby hospitals

Common here, based on CMS Medicare volume

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$13,499 - $32,906

from 3 insurers · median $19,223

Blue Cross$32,906
Insurer A*$13,499
Insurer B*$19,223
Medicare $8,744Nearby hospitals $15,37325% above nearby hospitals

642 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)

How the insurers pay at Hospital For Special Surgery

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
536%
191
Insurer B*23
328%
60
Insurer C*13
326%
85
Insurer D*6
50%
10

How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hospital For Special Surgery, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hospital For Special Surgery in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
13-1624135(multi-state) New York Society For The Relief Of The R53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 48 more1598703019 New York Society For The Relief Of Ruptured & Crippled Maintaining1184159188 Hss Westchester1376032029 New York Society For Relief Of The Ruptured And Crippled Maintaining Tand 26 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

535 East 70th Street, New York, NY 10021

(212) 606-1000

Get directions

Frequently asked questions

About Hospital For Special Surgery's rates and hospital price transparency.

How much does an MRI cost at Hospital For Special Surgery?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hospital For Special Surgery range from $1,341 to $1,409 across 2 insurers. Aetna's rate is $1,341. The median at nearby comparable hospitals is $743. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hospital For Special Surgery?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Hospital For Special Surgery range from $932 to $976 across 2 insurers. UnitedHealthcare's rate is $976. The median at nearby comparable hospitals is $442. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Hospital For Special Surgery?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Hospital For Special Surgery range from $5,089 to $10,757 across 3 insurers. Aetna's rate is $10,757. The median at nearby comparable hospitals is $2,524. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Hospital For Special Surgery?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hospital For Special Surgery range from $52,268 to $69,635 across 3 insurers. UnitedHealthcare's rate is $52,268. The median at nearby comparable hospitals is $31,536. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hospital For Special Surgery's CMS star rating?

Hospital For Special Surgery has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Hospital For Special Surgery a teaching hospital?

Yes. CMS counts 0.53 Medicare-funded residents per bed at Hospital For Special Surgery for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Hospital For Special Surgery for readmissions?

No. Hospital For Special Surgery has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Hospital For Special Surgery?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (1,332 discharges), revision of hip or knee replacement without cc/mcc (244 discharges), revision of hip or knee replacement with cc (223 discharges).

What is Hospital For Special Surgery's case mix index?

Hospital For Special Surgery's Medicare case mix index is 2.86 for fiscal year 2027, higher than 97% of hospitals paid under the inpatient prospective payment system.

How many patients does Hospital For Special Surgery admit?

Hospital For Special Surgery reported 6,583 inpatient discharges and 24,196 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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