Knee X-Ray Cost in New York
X-ray exam of knee 1 or 2
$123Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
New York Medicare physician rate (2026)
+11.0% vs nationalAverage of 5 localities. Office range $32.78–$40.68.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in New York
New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.
What knee x-ray costs at hospitals near you
Everything above is a national average. The hospital you pick in New York moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs New York
Where New York ranks for this CPT
CPT 73560 by New York locality
| Locality | Office |
|---|---|
| nyc suburbs/long island | $40.68 |
| queens | $40.21 |
| manhattan | $39.74 |
| poughkpsie/n nyc suburbs | $37.48 |
| rest of new york | $32.78 |
PE GPCI ranges from 0.950 to 1.189 in New York. That index is why the same CPT is not one price statewide.
Knee X-Ray and how New York is priced
New York has one of the most complex locality maps in the country, with around five payment areas: Manhattan is its own locality, Queens is separately priced, the NYC suburbs and Long Island form another high-cost locality, the Poughkeepsie area has its own, and the rest of the state, including Buffalo, Rochester, Syracuse, and Albany, shares a distinctly lower-priced upstate locality. The spread between Manhattan and upstate adjustments is among the widest within any state. A knee MRI or office visit is approved at meaningfully different amounts in Manhattan, Mineola, and Rochester. Upstate New York prices closer to the Midwest than to the five boroughs.
New York City is a global medical capital with world-famous academic medical centers competing within blocks of each other, while upstate cities each center on their own regional academic hubs. Long Island and the lower Hudson Valley support dense suburban hospital markets of their own. The upstate-downstate divide runs through everything in New York health care, including what providers charge and what patients can access locally.
This procedure: A knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.
What Is Knee X-Ray?
A knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.
What Affects the Cost
- –Orthopedic and primary care offices with in-house X-ray typically cost less than hospital radiology departments.
- –Weight-bearing or additional specialized views can be billed as expanded series under related codes.
- –A separate radiologist reading fee may apply where images are sent out for interpretation.
- –A normal X-ray in a younger patient with mechanical symptoms often leads to a knee MRI at many times the price.
- –Imaging both knees for comparison doubles the studies billed.
Questions to Ask Before Booking
- 1.Can the X-ray be done here in the office today, and what will it add to my bill?
- 2.Are standing views needed, and are they billed differently?
- 3.Is an outside radiologist reading the film for a separate fee?
- 4.Based on my age and symptoms, is an MRI likely to be needed, or should the X-ray settle it?
- 5.If you want to compare both knees, is that one charge or two?
Other featured procedures in New York
Knee X-Ray in other states
Knee X-Ray in New York: questions
The 2026 Medicare physician office rate for CPT 73560 averages $38.18 across 5 New York localities, from $32.78 in REST OF NEW YORK to $40.68 in NYC SUBURBS/LONG ISLAND. The hospital physician rate averages $38.18. Enter a ZIP for the exact locality.
Yes. CMS splits New York into 5 payment localities. For this CPT the office physician fee spans $7.90 from the lowest to highest locality. New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $8 for the office physician line or $8 for the hospital physician line in New York. Medigap may cover that 20%. This is not the hospital facility fee.
No. $38.18 is only the physician's share. Adding Medicare's facility payment brings the total to about $123 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. New York ranks #46 of 51 states on the physician line (11% above the national office rate of $34.40).