BLS metro-level wage data places Orthopedic Surgeons, Except Pediatric pay in Albany-Schenectady-Troy, NY at a median of $75,720 per year ($36.40/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $358,550, Albany-Schenectady-Troy pays 79% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 30 orthopedic surgeons, except pediatrics are employed across the Albany-Schenectady-Troy MSA in SOC 29-1242.

The Albany-Schenectady-Troy pay distribution spans from $75,720 at the 10th percentile to $476,990 at the 90th — a 6.3× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $75,720 and the 75th at $476,990, so half of Albany-Schenectady-Troy-based orthopedic surgeons, except pediatrics earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Albany-Schenectady-Troy, NY covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide NY data, and peer-metro comparisons — a median is a starting point, not a ceiling.