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Reviewed by John Caruso, FSA, MAAA • Data last updated

ACL Surgery Cost in New York (2026): Average Prices & What You'll Pay

What does a acl surgery cost in New York?

The same acl surgery in New York might cost you $3,007 at one facility and $9,368 at another - the building you walk into drives the difference. The median cash price across 103 reporting hospitals is $3,781. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

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Where acl surgery costs vary in New York

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a acl surgery depends on where you go and what is billed separately. Most patients find out after.

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Cheapest ACL Surgery Providers in New York

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($3,781)
1 St. Francis Hospital Roslyn, NY $2,152 $1,629 below
2 Mercy Medical Center Rockville Centre, NY $2,152 $1,629 below
3 Good Samaritan Hospital Medical Center West Islip, NY $2,152 $1,629 below
4 St. Catherine of Siena Medical Center Smithtown, NY $2,152 $1,629 below
5 WSNCHS North, Inc. Bethpage, NY $2,152 $1,629 below
6 St Josephs Hospital Health Center Syracuse, NY $2,153 $1,628 below
7 Mary Imogene Bassett Hospital Cooperstown, NY $2,200 $1,581 below
8 Nyack Hospital Nyack, NY $2,245 $1,536 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • St. Francis Hospital is the lowest-cost option at $2,152 - $1,629 below the median posted price ($3,781), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $3,949, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
ACL Surgery prices by coverage in New York, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$7,413 to $7,413$7,413
With insurance (commercial, average)97$911 to $9,546$5,741
Without insurance (cash price)114$2,152 to $20,000$3,949
Empire BlueCross BlueShield86$866 to $13,623$5,805
Aetna75$1,135 to $10,952$5,628
Cigna72$1,207 to $7,497$4,555
UnitedHealthcare64$831 to $10,405$6,611

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does an ACL Surgery cost with Medicare in New York?

Medicare's national hospital outpatient payment for ACL Surgery is about $7,413 to $7,413 (typically near $7,413). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $1,483 on a $7,413 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does an ACL Surgery cost with insurance in New York?

Across 97 New York hospitals, the negotiated rates commercial insurers pay for ACL Surgery average $911 to $9,546 per hospital, with a median near $5,741. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does an ACL Surgery cost without insurance in New York?

Cash (self-pay) prices for ACL Surgery at 114 New York hospitals range from $2,152 to $20,000, with a median of $3,949. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does an ACL Surgery cost with Empire BlueCross BlueShield in New York?

Empire BlueCross BlueShield negotiated rates for ACL Surgery at 86 New York hospitals range from $866 to $13,623, with a median near $5,805. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does an ACL Surgery cost with Aetna in New York?

Aetna negotiated rates for ACL Surgery at 75 New York hospitals range from $1,135 to $10,952, with a median near $5,628. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does an ACL Surgery cost with Cigna in New York?

Cigna negotiated rates for ACL Surgery at 72 New York hospitals range from $1,207 to $7,497, with a median near $4,555. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does an ACL Surgery cost with UnitedHealthcare in New York?

UnitedHealthcare negotiated rates for ACL Surgery at 64 New York hospitals range from $831 to $10,405, with a median near $6,611. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for acl surgery

The same acl surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$2,092–$49,320
  • Facility fee $634–$45,432
  • Professional fee $1,458–$3,888

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$2,262–$27,102
  • Facility fee $804–$23,214
  • Professional fee $1,458–$3,888

Estimated from CMS fee schedules + commercial rate multipliers

New York has some of the highest hospital prices in the country, driven by extreme labor costs, regulatory complexity, and the dominance of large academic medical systems - NewYork-Presbyterian, NYU Langone, Northwell, and Mount Sinai all command substantial commercial rate premiums. Upstate New York prices are substantially lower than the NYC metro area. The No Surprises Act and state-level billing protections apply, but the baseline rates themselves remain among the nation's highest.

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Why prices vary - and what it means for your coverage

A small number of hospitals (2) report prices above $30,374, including MVHS, Inc. at $45,432, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $3,781 versus $3,781 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$3,781
Deductible met - 20% coinsurance ~$756
Out-of-network provider $8,318+

Frequently asked questions: ACL Surgery costs in New York

How much does an ACL Surgery cost in New York?

The typical insurer-negotiated rate is $2,152, with most facilities between $764 and $3,732 (based on 103 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of New York hospitals run $2,152–$20,000; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an ACL Surgery in New York?

Based on declared prices, the lowest posted price in our New York data is St. Francis Hospital in Roslyn at about $2,152. By metro, Syracuse has the lowest median ($3,055). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an ACL Surgery so much cheaper at some New York hospitals?

Typical prices vary about 4.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New York, the median cash (self-pay) price is $3,949 versus a median negotiated rate of $5,741 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an ACL Surgery in New York?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in New York

ACL Surgery, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in New York

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Emergency care

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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