facebook tracking Cervical spinal fusion with complications cost in New York: 24 hospitals compared (DRG 472)

Cervical spinal fusion with complications in New York

What 24 hospitals in New York charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $156,148 Hospital list price billed
Average payment $35,198 Medicare + patient + other payers
Medicare paid $27,972 Average per stay
State rank #36 of 38 1 = lowest average payment

Hospitals in New York billed an average of $156,148 for cervical spinal fusion with complications, about 4.4 times the average total payment of $35,198. That payment is 25% above the U.S. average of $28,116.

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 $35,198Billed $156,148

About 23¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: cervical spinal fusion 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
Hospital for Special SurgeryNew York 80 $150,533 $36,408 $27,163
New York-Presbyterian HospitalNew York 67 $165,359 $40,476 $31,266
NYU Hospitals CenterNew York 67 $316,826 $40,697 $34,171
Mount Sinai HospitalNew York 37 $144,819 $44,881 $33,179
St Francis Hospital, RoslynRoslyn 37 $176,911 $29,697 $22,547
Albany Medical Center HospitalAlbany 25 $62,881 $30,259 $27,330
North Shore University HospitalManhasset 25 $153,478 $37,773 $27,219
University Hospital S U N Y Health Science CenterSyracuse 24 $154,707 $32,385 $29,140
Crouse HospitalSyracuse 23 $38,523 $26,424 $20,728
Southside HospitalBay Shore 21 $135,659 $26,628 $24,248
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 20 $150,929 $35,145 $22,969
Lenox Hill HospitalNew York 18 $136,430 $34,362 $31,261
University HospitalStony Brook 18 $155,967 $39,620 $32,208
Buffalo General HospitalBuffalo 17 $91,351 $30,171 $28,282
United Health Services HospsBinghamton 17 $64,623 $28,704 $22,186
White Plains Hospital CtrWhite Plains 16 $157,773 $25,676 $24,248
Westchester Medical CenterValhalla 14 $339,709 $34,433 $30,630
Vassar Brothers Medical CenterPoughkeepsie 13 $73,470 $35,733 $26,544
Long Island Jewish Medical CenterNew Hyde Park 13 $167,896 $34,118 $31,138
Mount Sinai WestNew York 12 $120,323 $39,543 $31,472
Unity Hospital of RochesterRochester 12 $45,040 $30,070 $21,314
Rochester General HospitalRochester 11 $54,463 $33,743 $22,748
Mercy HospitalBuffalo 11 $49,199 $26,091 $18,822
Good Samaritan Hospital Medical CenterWest Islip 11 $137,140 $31,846 $22,681
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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

White Plains Hospital CtrWhite Plains, NY$25,676
Mercy HospitalBuffalo, NY$26,091
Crouse HospitalSyracuse, NY$26,424
Southside HospitalBay Shore, NY$26,628
United Health Services HospsBinghamton, NY$28,704

Highest

Mount Sinai HospitalNew York, NY$44,881
NYU Hospitals CenterNew York, NY$40,697
New York-Presbyterian HospitalNew York, NY$40,476
University HospitalStony Brook, NY$39,620
Mount Sinai WestNew York, NY$39,543

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in New York?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 24 hospitals in New York was billed at $156,148 on average, while the average total payment was $35,198, of which Medicare paid $27,972. 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 4.4 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.