facebook tracking Chimeric antigen receptor (car) t-cell and other immunotherapies cost in New York: 4 hospitals compared (DRG 018)

Chimeric antigen receptor (car) t-cell and other immunotherapies in New York

What 4 hospitals in New York charged and were paid for a Medicare hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018), from 2024 Medicare claims.

DRG 018 Inpatient 2024 Medicare data
Average charge $1,812,955 Hospital list price billed
Average payment $414,722 Medicare + patient + other payers
Medicare paid $386,528 Average per stay
State rank #2 of 5 1 = lowest average payment

Hospitals in New York billed an average of $1,812,955 for chimeric antigen receptor (car) t-cell and other immunotherapies, about 4.4 times the average total payment of $414,722. That payment is 10% below the U.S. average of $460,146.

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 $414,722Billed $1,812,955

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

New York hospitals: chimeric antigen receptor (car) t-cell and other immunotherapies

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 26 $1,942,978 $399,607 $387,660
Strong Memorial HospitalRochester 23 $724,963 $339,500 $278,617
Mount Sinai HospitalNew York 14 $2,524,121 $543,715 $528,713
Montefiore Medical CenterBronx 13 $2,711,945 $439,122 $422,061
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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

Strong Memorial HospitalRochester, NY$339,500
New York-Presbyterian HospitalNew York, NY$399,607
Montefiore Medical CenterBronx, NY$439,122
Mount Sinai HospitalNew York, NY$543,715

Highest

Mount Sinai HospitalNew York, NY$543,715
Montefiore Medical CenterBronx, NY$439,122
New York-Presbyterian HospitalNew York, NY$399,607
Strong Memorial HospitalRochester, NY$339,500

Chimeric antigen receptor (car) t-cell and other immunotherapies in other states

Questions

How much does chimeric antigen receptor (car) t-cell and other immunotherapies cost in New York?

In 2024 Medicare data, a hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018) at 4 hospitals in New York was billed at $1,812,955 on average, while the average total payment was $414,722, of which Medicare paid $386,528. 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.