facebook tracking Bone diseases and arthropathies without major complications cost in New York: 16 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in New York

What 16 hospitals in New York charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $64,122 Hospital list price billed
Average payment $10,654 Medicare + patient + other payers
Medicare paid $7,938 Average per stay
State rank #18 of 19 1 = lowest average payment

Hospitals in New York billed an average of $64,122 for bone diseases and arthropathies without major complications, about 6.0 times the average total payment of $10,654. That payment is 21% above the U.S. average of $8,815.

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 $10,654Billed $64,122

About 17¢ 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: bone diseases and arthropathies without major 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 82 $88,952 $12,049 $8,733
NYU Hospitals CenterNew York 48 $75,081 $12,065 $9,068
Montefiore Medical CenterBronx 46 $79,707 $13,775 $8,941
North Shore University HospitalManhasset 39 $69,541 $10,509 $7,472
University HospitalStony Brook 37 $60,393 $11,147 $8,705
Long Island Jewish Medical CenterNew Hyde Park 36 $71,451 $10,816 $8,438
St Francis Hospital, RoslynRoslyn 33 $40,120 $7,168 $5,862
Staten Island University HospitalStaten Island 32 $43,473 $9,634 $7,750
White Plains Hospital CtrWhite Plains 17 $45,839 $7,396 $5,860
St Catherine of Siena HospitalSmithtown 16 $43,199 $6,941 $5,717
St Joseph's Hospital Health CenterSyracuse 14 $21,169 $7,816 $6,400
Good Samaritan Hospital Medical CenterWest Islip 14 $50,934 $9,151 $5,831
Mount Sinai WestNew York 13 $57,504 $11,760 $9,586
Maimonides Medical CenterBrooklyn 13 $42,085 $12,288 $9,051
Huntington HospitalHuntington 11 $47,524 $7,697 $6,318
New York Hospital Medical Center of QueensNew York 11 $48,064 $8,464 $6,533
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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 Catherine of Siena HospitalSmithtown, NY$6,941
St Francis Hospital, RoslynRoslyn, NY$7,168
White Plains Hospital CtrWhite Plains, NY$7,396
Huntington HospitalHuntington, NY$7,697
St Joseph's Hospital Health CenterSyracuse, NY$7,816

Highest

Montefiore Medical CenterBronx, NY$13,775
Maimonides Medical CenterBrooklyn, NY$12,288
NYU Hospitals CenterNew York, NY$12,065
New York-Presbyterian HospitalNew York, NY$12,049
Mount Sinai WestNew York, NY$11,760

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in New York?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 16 hospitals in New York was billed at $64,122 on average, while the average total payment was $10,654, of which Medicare paid $7,938. 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 6.0 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.