facebook tracking Amputation for circulatory system disorders except upper limb and toe with complications cost in New York: 6 hospitals compared (DRG 240)

Amputation for circulatory system disorders except upper limb and toe with complications in New York

What 6 hospitals in New York charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240), from 2024 Medicare claims.

DRG 240 Inpatient 2024 Medicare data
Average charge $190,454 Hospital list price billed
Average payment $38,311 Medicare + patient + other payers
Medicare paid $29,043 Average per stay
State rank #6 of 7 1 = lowest average payment

Hospitals in New York billed an average of $190,454 for amputation for circulatory system disorders except upper limb and toe with complications, about 5.0 times the average total payment of $38,311. That payment is 35% above the U.S. average of $28,370.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $38,311Billed $190,454

About 20¢ was paid for every $1 hospitals in New York billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:

New York hospitals: amputation for circulatory system disorders except upper limb and toe with complications

Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
New York-Presbyterian HospitalNew York 28 $208,585 $39,822 $31,140
Montefiore Medical CenterBronx 21 $241,043 $41,496 $33,729
North Shore University HospitalManhasset 16 $223,193 $41,780 $25,139
St Francis Hospital, RoslynRoslyn 15 $148,612 $30,524 $19,859
Mount Sinai WestNew York 11 $160,775 $31,291 $27,942
Brookdale Hospital Medical CenterBrooklyn 11 $86,842 $40,980 $34,064
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Lowest and highest payments in New York

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Francis Hospital, RoslynRoslyn, NY$30,524
Mount Sinai WestNew York, NY$31,291
New York-Presbyterian HospitalNew York, NY$39,822
Brookdale Hospital Medical CenterBrooklyn, NY$40,980
Montefiore Medical CenterBronx, NY$41,496

Highest

North Shore University HospitalManhasset, NY$41,780
Montefiore Medical CenterBronx, NY$41,496
Brookdale Hospital Medical CenterBrooklyn, NY$40,980
New York-Presbyterian HospitalNew York, NY$39,822
Mount Sinai WestNew York, NY$31,291

Amputation for circulatory system disorders except upper limb and toe with complications in other states

Questions

How much does amputation for circulatory system disorders except upper limb and toe with complications cost in New York?

In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240) at 6 hospitals in New York was billed at $190,454 on average, while the average total payment was $38,311, of which Medicare paid $29,043. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New York, average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.