Cellulitis with major complications in New York
What 40 hospitals in New York charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.
Average charge
$102,182
Hospital list price billed
Average payment
$18,269
Medicare + patient + other payers
Medicare paid
$14,123
Average per stay
State rank
#38 of 40
1 = lowest average payment
Hospitals in New York billed an average of $102,182 for cellulitis with major complications, about 5.6 times the average total payment of $18,269. That payment is 32% above the U.S. average of $13,872.
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 $18,269Billed $102,182
About 18¢ 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: cellulitis with 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 98 | $137,441 | $23,121 | $15,372 |
| New York-Presbyterian HospitalNew York | 69 | $189,343 | $25,980 | $20,635 |
| North Shore University HospitalManhasset | 45 | $121,029 | $18,733 | $14,943 |
| University HospitalStony Brook | 36 | $109,425 | $18,623 | $15,522 |
| Huntington HospitalHuntington | 34 | $65,864 | $12,283 | $11,185 |
| Montefiore Medical CenterBronx | 32 | $151,797 | $29,603 | $16,447 |
| Garnet Health Medical CenterGoshen | 31 | $83,850 | $16,968 | $12,587 |
| South Nassau Communities HospitalOceanside | 31 | $113,786 | $15,698 | $12,971 |
| Mount Sinai HospitalNew York | 30 | $118,168 | $24,396 | $15,350 |
| White Plains Hospital CtrWhite Plains | 30 | $88,149 | $12,827 | $11,440 |
| St Francis Hospital, RoslynRoslyn | 29 | $70,916 | $12,580 | $11,260 |
| Long Island Jewish Medical CenterNew Hyde Park | 29 | $115,595 | $17,769 | $14,985 |
| Staten Island University HospitalStaten Island | 27 | $82,477 | $17,305 | $14,960 |
| Maimonides Medical CenterBrooklyn | 23 | $87,019 | $20,728 | $16,717 |
| Mount Sinai WestNew York | 22 | $172,402 | $23,130 | $18,450 |
| Good Samaritan Hospital Medical CenterWest Islip | 21 | $82,528 | $13,815 | $12,325 |
| Vassar Brothers Medical CenterPoughkeepsie | 19 | $49,086 | $16,550 | $14,077 |
| New York Hospital Medical Center of QueensNew York | 19 | $112,214 | $17,952 | $15,254 |
| Good Samaritan Hospital of SuffernSuffern | 19 | $127,720 | $13,423 | $12,392 |
| Plainview HospitalPlainview | 19 | $72,338 | $14,895 | $12,658 |
| University Hospital S U N Y Health Science CenterSyracuse | 18 | $89,647 | $17,144 | $14,323 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 17 | $43,663 | $14,485 | $11,902 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 17 | $96,749 | $19,935 | $10,335 |
| Crouse HospitalSyracuse | 17 | $22,274 | $12,708 | $11,126 |
| Albany Medical Center HospitalAlbany | 16 | $48,119 | $24,386 | $13,319 |
| Lenox Hill HospitalNew York | 16 | $98,079 | $17,906 | $14,618 |
| Mercy Medical CenterRockville Centre | 16 | $69,632 | $13,722 | $12,364 |
| Beth Israel Medical CenterNew York | 15 | $105,367 | $19,145 | $14,934 |
| St Catherine of Siena HospitalSmithtown | 15 | $52,952 | $12,203 | $10,788 |
| Nyack HospitalNyack | 14 | $116,506 | $15,996 | $15,064 |
| Erie County Medical CenterBuffalo | 14 | $28,440 | $14,901 | $12,057 |
| St Joseph HospitalBethpage | 14 | $47,717 | $12,224 | $10,719 |
| Southside HospitalBay Shore | 13 | $104,268 | $15,034 | $13,449 |
| Wynn HospitalUtica | 13 | $39,535 | $13,670 | $11,206 |
| Phelps Memorial Hospital AssnSleepy Hollow | 13 | $122,207 | $13,998 | $12,283 |
| Peconic Bay Medical CenterRiverhead | 12 | $68,829 | $12,822 | $10,728 |
| Highland HospitalRochester | 12 | $29,378 | $21,123 | $11,911 |
| Saratoga HospitalSaratoga Springs | 12 | $42,221 | $11,057 | $10,060 |
| Unity Hospital of RochesterRochester | 12 | $43,304 | $12,188 | $9,349 |
| Long Island Community HospitalPatchogue | 11 | $103,990 | $13,736 | $12,285 |
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
| Saratoga HospitalSaratoga Springs, NY | $11,057 |
|---|---|
| Unity Hospital of RochesterRochester, NY | $12,188 |
| St Catherine of Siena HospitalSmithtown, NY | $12,203 |
| St Joseph HospitalBethpage, NY | $12,224 |
| Huntington HospitalHuntington, NY | $12,283 |
Highest
| Montefiore Medical CenterBronx, NY | $29,603 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $25,980 |
| Mount Sinai HospitalNew York, NY | $24,396 |
| Albany Medical Center HospitalAlbany, NY | $24,386 |
| Mount Sinai WestNew York, NY | $23,130 |
Cellulitis with major complications in other states
Questions
How much does cellulitis with major complications cost in New York?
In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 40 hospitals in New York was billed at $102,182 on average, while the average total payment was $18,269, of which Medicare paid $14,123. 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 5.6 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.