Hospitals & Ambulatory Surgery Centers Where Medicaid Will Not Pay for Breast Cancer Surgery

Effective: April 1, 2024

If you have any question, please contact Phil DiMura at

Albany Samaritan Hospital - Albany Memorial Campus 4 4102002H
Wellsville Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 39 0228000H
Binghamton United Health Services Hospitals Inc. - Binghamton General Hospital 42 0303001H
Olean Olean General Hospital 66 0401001H
Auburn Auburn Community Hospital 85 0501000H
Dunkirk Brooks-TLC Hospital System, Inc. 98 0601000H
Westfield Westfield Memorial Hospital Inc 111 0632000H
Elmira St. Joseph's Hospital 118 0701000H
Norwich Chenango Memorial Hospital Inc 128 0824000H
Cortland Guthrie Cortland Medical Center 158 1101000H
Delhi O'Connor Hospital 165 1254700C
Margaretville Margaretville Hospital 170 1226701C
Walton Delaware Valley Hospital Inc 174 1229700C
Poughkeepsie Mid-Hudson Valley Division of Westchester Medical Center 180 5957001H
Buffalo John R. Oishei Children's Hospital 208 1401014H
Buffalo Mercy Hospital of Buffalo 213 1401008H
Kenmore Kenmore Mercy Hospital 267 1404000H
Springville Bertrand Chaffee Hospital 280 1427000H
Cheektowaga Sisters of Charity Hospital - St. Joseph Campus 292 1401013H
Elizabethtown The University of Vermont Health Network - Elizabethtown Community Hospital 303 1552701C
Ticonderoga The University of Vermont Health Network - Elizabethtown Community Hospital Moses Ludington 309 1552701C
Gloversville Nathan Littauer Hospital 330 1701000H
Batavia United Memorial Medical Center North Street Campus 339 1801000H
Little Falls Little Falls Hospital 362 2129700C
Alexandria Bay River Hospital, Inc. 377 2221700C
Carthage Carthage Area Hospital Inc 379 2238700C
Dansville Nicholas H. Noyes Memorial Hospital 393 2527000H
Hamilton Community Memorial Hospital Inc 401 2625700C
Rochester Unity Specialty Hospital 412 2754001H
Rochester Strong Memorial Hospital 413 2701005H
Amsterdam St. Mary's Healthcare - Amsterdam Memorial Campus 482 2801001H
Valley Stream Long Island Jewish Valley Stream 518 7003004H
Syosset Syosset Hospital 550 2951001H
Plainview Plainview Hospital 552 2952005H
Lockport Eastern Niagara Hospital - Lockport Division 565 3101000H
Niagara Falls Niagara Falls Memorial Medical Center 574 3102000H
North Tonawanda Degraff Memorial Hospital 581 1401014H
Lewiston Mount St. Mary's Hospital and Health Center 583 3121001H
Utica St Elizabeth Medical Center 598 3202003H
Syracuse St. Joseph's Hospital Health Center 630 3301003H
Syracuse University Hospital SUNY Health Science Center 635 3301007H
Clifton Springs Clifton Springs Hospital and Clinic 676 3421000H
Warwick St Anthony Community Hospital 704 3529000H
Port Jervis Bon Secours Community Hospital 708 3535001H
Medina Medina Memorial Hospital 718 3622700C
Oneonta A.O. Fox Memorial Hospital 739 3801000H
Troy Samaritan Hospital - St. Mary's Campus 755 4102002H
Troy Samaritan Hospital 756 4102002H
West Haverstraw Helen Hayes Hospital 775 4322000H
Massena Massena Hospital 804 4402701C
Gouverneur Gouverneur Hospital 812 4423701C
Schenectady Ellis Hospital 829 4601001H
Schenectady Ellis Hospital McClellan St. Health Center 830 4601001H
Schenectady Sunnyview Hospital and Rehabilitation Center 831 4601004H
Montour Falls Schuyler Hospital 858 4823700C
Hornell St. James Hospital 870 5002001H
Bath Ira Davenport Memorial Hospital 873 5022000H
Greenport Stony Brook Eastern Long Island Hospital 891 5151001H
Port Jefferson St. Charles Hospital 896 5149001H
Callicoon Garnet Health Medical Center - Catskills - G. Hermann Site 968 5263700C
Harris Garnet Health Medical Center - Catskills 971 5263000H
Kingston HealthAlliance Hospital Mary's Avenue Campus 989 5501000H
Ellenville Ellenville Regional Hospital 1002 5526700C
Newark Newark-Wayne Community Hospital 1028 5820000H
Mount Vernon Montefiore Mount Vernon Hospital 1061 5903001H
Yonkers St. Joseph's Medical Center 1098 5907002H
Dobbs Ferry SJRH - Dobbs Ferry Pavillion 1124 5907001H
Valhalla Blythedale Children's Hospital 1138 5957000H
Valhalla Westchester Medical Center 1139 5957001H
Warsaw Wyoming County Community Hospital 1153 6027000H
Penn Yan Soldiers and Sailors Memorial Hospital of Yates County 1158 6120700C
Bronx BronxCare Hospital Center 1164 7000001H
Bronx Montefiore Medical Center-Wakefield Hospital 1168 7000006H
Bronx Montefiore Medical Center - Henry & Lucy Moses Div 1169 7000006H
Bronx Calvary Hospital Inc 1175 7000011H
Bronx Montefiore Medical Center - Montefiore Westchester Square 1185 7000006H
Bronx North Central Bronx Hospital 1186 7000002H
Brooklyn Maimonides Midwood Community Hospital 1293 7001008H
Brooklyn NYC Health + Hospitals/South Brooklyn Health 1294 7001009H
Brooklyn Kingsbrook Jewish Medical Center 1315 7001002H
Brooklyn University Hospital of Brooklyn 1320 7001037H
Brooklyn Mount Sinai Brooklyn 1324 7002002H
New York Mount Sinai Beth Israel 1439 7002002H
New York Harlem Hospital Center 1445 7002009H
New York NYU Langone Orthopedic Hospital 1446 7002053H
New York Hospital for Special Surgery 1447 7002012H
New York Metropolitan Hospital Center 1454 7002021H
New York New York Eye and Ear Infirmary of Mount Sinai 1460 7002026H
New York Rockefeller University Hospital 1465 7002031H
New York Henry J. Carter Specialty Hospital 1486 7002050H
Orchard Park Mercy Hospital - Mercy Hospital Orchard Park Division 1723 1401008H
Staten Island Staten Island University Hospital Prince's Bay 1737 7004003H
Garden City Garden City Surgi Center 3853 2905204R
Rochester Westfall Surgery Center 3894 2701242R
Bronx Ambulatory Surgery Center of Greater New York 3898 7000241R
New York New York-Presbyterian Hospital - Allen Hospital 3975 7002054H
Williamsville Millard Fillmore Surgery Center, LLC 4009 1451202R
Melville Melville Surgery Center 4068 5153209R
Herkimer Bassett Healthcare Herkimer 4100 3824000H
Smithtown North Shore Surgi-Center 4110 5157204R
Brooklyn Brook Plaza Ambulatory Surgical Center Inc 4136 7001263R
Mineola ProHEALTH Day Op Ambulatory Surgery Center 4140 2908202R
Long Island City New York Surgery Center Queens, LLC 4146 7003273R
Brentwood Long Island Ambulatory Surgery Center 4159 5154205R
Liverpool St Josephs Hospital Health Center-Asc 4185 3301003H
Cheektowaga Buffalo Ambulatory Surgery Center 4214 1455201R
Rochester Rochester Surgery Center 4291 2701241R
New York Fifth Avenue Surgery Center 4295 7002195R
Ithaca Convenient Care Center 4333 5401001H
Syracuse UHCC - Harrison 4466 3301007H
Lockport Eastern Niagara Hospital Health Center 4486 3121001H
Glendale EMU Health 4563 7003287R
Brooklyn SurgiCare of Brooklyn 4754 7001801R
New York Mount Sinai Downtown Union Square 5936 7002002H
Oneonta Bassett Healthcare Oneonta Specialty Services 6013 3824000H
Forest Hills Medex Diagnostic and Treatment Center 6178 7003254R
Shirley Suffolk Surgery Center, LLC 6184 5151207R
Albany Capital Region Ambulatory Surgery Center 6214 0101220R
West Seneca Center for Ambulatory Surgery LLC 6253 1474201R
Geneseo Livingston Health Services 6255 2527000H
Camillus Camillus Surgery Center 6266 3350200R
Mount Kisco The Ambulatory Surgery Center of Westchester 6329 5946202R
Fishkill Fishkill Ambulatory Surgery Center 6343 1302001H
East Syracuse Specialists' One-Day Surgery Center, LLC 6385 3301216R
Albany St. Peter's Surgery And Endoscopy Center 6405 0101221R
Orchard Park Sterling Surgical Center, LLC 6412 1435203R
Lynbrook Lynbrook Surgery Center 6457 2907201R
Rochester Brighton Surgery Center,LLC 6536 2701237R
Farmingdale Progressive Surgery Center, LLC 6557 5150202R
Kingston Grand Street Gastroenterology, Inc. 6593 5501209R
Williamsville Endoscopy Center of Western New York, LLC 6629 1421202R
Brooklyn All City Family Healthcare Center, Inc. 6637 7001285R
Rochester Linden Surgery Center 6678 2701242R
Geneva Finger Lakes Surgery Center 6812 3402000H
New York Gramercy Surgery Center, Inc 6908 7002183R
Middletown Hudson Valley Ambulatory Surgery, LLC 6949 3501204R
Lake Success Pro Health Ambulatory Surgery Center, Inc 7647 2963201R
Jamaica Choices Women's Medical Center Inc 7654 7003223R
Poughkeepsie Dutchess Ambulatory Surgical Center 7660 1302208R
Bronx East Tremont Medical Center 7675 7002150R
Great Neck Day OP of North Nassau Inc 7710 2913201R
Rochester Lindsay House Surgery Center, LLC 7721 2701239R
Middletown Orange Regional Medical Pavilion 7735 3523000H
Latham New England Laser & Cosmetic Surgery Center 7770 0153203R
Plattsburgh The University of Vermont Health Network- Champlain Valley Physicians Hospital Kevin J. Carroll Ambulatory Svce. 7808 0901001H
Amherst Ambulatory Surgery Center of Western New York LLC 7832 1451201R
Liverpool Specialty Surgery Center of Central New York 7854 3331212R
Howard Beach Physicians Choice Surgicenter 7889 7003253R
Cornwall Eastern Orange Ambulatory Surgery Center, LLC 8500 3552200R
Rochester URMC Ambulatory Center 9058 2701005H
New York NYU Langone Outpatient Surgery Center 9090 7002053H
New York East Side Endoscopy and Pain Management Center 9115 7002192R
Middletown Crystal Run Ambulatory Surgery Center of Middletown 9119 3501205R
New York Midtown Surgery Center 9139 7002193R
Johnson City Wilson Place Ambulatory Surgery Center 9145 0303001H
New York SurgiCare of Manhattan, LLC 9148 7002194R
Pearl River Advanced Surgery Center 9149 4352202R
Brooklyn University Hospital of Brooklyn - SUNY Downstate at Bay Ridge 9175 7001037H
Bay Shore South Shore Surgery Center 9185 5154210R
Uniondale HSS Long Island Outpatient Center 9201 7002012H
Brooklyn Millenium Ambulatory Surgery Center 9229 7001811R
Harrison Surgical Specialty Center of Westchester 9231 5945200R
Rome Griffiss Surgery Center 9263 3201201R
North Syracuse Heritage One Day Surgery 9290 3335202R
New York HSS Physiatry & Pain Management 9310 7002012H
Johnstown Johnstown Surgery Center 9319 1701000H
New York NYU Langone Rusk Ambulatory Care Center 9342 7002053H
Horseheads Corning Hospital Same Day Surgery Center 9410 5001000H
Buffalo WNY Medical Management 9467 1401236R
Brooklyn NYU Langone Brooklyn Ambulatory Surgery and Endoscopy Center 9492 7002053H
Poughkeepsie The Surgery Center at Orthopedic Associates, LLC 9526 1363200R
Brockport URMC Strong West 9531 2701005H
Brooklyn Brooklyn Surgery Center 9589 7001136R
Port Jefferson Station Advanced Surgery Center of Long Island 9693 5151208R
New York Lenox Health Greenwich Village 9700 7002017H
Cortland Cortland Surgical Center 9733 1101202R
Brooklyn PBGS, LLC 9744 7002805R
Brooklyn NYU Langone Hospital - Joseph S. and Diane H. Steinberg Ambulatory Care Center 9753 7002053H
Bronx Avicenna ASC 9783 7000282R
Bayside North Queens Surgical Center 9784 7003280R
Brooklyn Island Ambulatory Surgery Center 9800 7001140R
Bronx Empire State Ambulatory Surgery Center 9804 7000284R
Westmoreland Apex Surgical Center 9816 3274200R
Brooklyn GoldStep Ambulatory Surgery Center, LLC 9820 7001800R
Clifton Park The Northway Surgery and Pain Center 9849 4552201R
Utica OMNI Surgery Center 9863 3202209R
Brooklyn Surgery of Tomorrow 9909 7001143R
Orchard Park Southtowns Surgery Center 9947 1460200R
Staten Island Richmond Pain Management ASC 9958 7004213R
Bronx Downtown Bronx ASC 9996 7000289R
Bay Shore South Shore University Hospital Endoscopy and Pain Management Center 10006 5154000H
East Hills East Hills Surgery Center 10102 2977200R
Port Jefferson Station Port Jefferson Ambulatory Surgery Center 10134 5151210R
Hamburg Premier Ambulatory Surgery Center 10175 1465200R
Cobleskill Cobleskill Regional Hospital 10216 4720700C
Brooklyn Calvary Hospital 10223 7000011H
Brooklyn Bay Ridge Surgi-Center 10225 7001152R
Plattsburgh Surgical Pain Center of the Adirondacks LLC 10239 0901206R
Yorktown Heights Yorktown Center for Specialty Surgery 10241 5968200R
New York NYU Langone Ambulatory Surgery Center 10243 7002053H
Syosset Syosset SurgiCenter 10244 2905204R
Clifton Park OrthoNY Surgical Suites 10250 4552202R
Syracuse Specialists' One-Day Surgery Center, LLC 10265 3301216R
New York Manhattan Reproductive Surgery Center 10266 7002814R
Rockaway Park Rockaways ASC Development, LLC 10301 7003290R
Niskayuna Albany Medical Center Hospital Ambulatory Surgery Center - Niskayuna 10328 0101000H
New York David H. Koch Center For Cancer Care 10355 7002020H
Albany Everett Road Surgery Center 10366 0153206R
New York New York Center For Ambulatory Surgery 10373 7002818R
Southold North Fork Surgery Center 10393 5159200R
White Plains White Plains Hospital Ambulatory Surgery Center 13955 5902001H
Flushing Queens Surgical Center 13957 7003000R
Bronx Triborough Ambulatory Surgery Center 13981 7000296R
Jamaica CitiMed Surgery Center 13982 7003292R
New York Surgicare of Westside 13983 7002819R