facebook tracking Chronic obstructive pulmonary disease without complications cost in New York: 3 hospitals compared (DRG 192)

Chronic obstructive pulmonary disease without complications in New York

What 3 hospitals in New York charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease without complications (DRG 192), from 2024 Medicare claims.

DRG 192 Inpatient 2024 Medicare data
Average charge $33,214 Hospital list price billed
Average payment $9,155 Medicare + patient + other payers
Medicare paid $6,204 Average per stay
State rank #2 of 2 1 = lowest average payment

Hospitals in New York billed an average of $33,214 for chronic obstructive pulmonary disease without complications, about 3.6 times the average total payment of $9,155. That payment is 43% above the U.S. average of $6,393.

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 $9,155Billed $33,214

About 28¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: chronic obstructive pulmonary disease without 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
St John's Episcopal Hospital at South ShoreFar Rockaway 18 $37,892 $12,009 $7,584
Wynn HospitalUtica 12 $20,473 $6,383 $4,586
St John's Riverside HospitalYonkers 11 $39,457 $7,509 $5,709
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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

Wynn HospitalUtica, NY$6,383
St John's Riverside HospitalYonkers, NY$7,509
St John's Episcopal Hospital at South ShoreFar Rockaway, NY$12,009

Highest

St John's Episcopal Hospital at South ShoreFar Rockaway, NY$12,009
St John's Riverside HospitalYonkers, NY$7,509
Wynn HospitalUtica, NY$6,383

Chronic obstructive pulmonary disease without complications in other states

Questions

How much does chronic obstructive pulmonary disease without complications cost in New York?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease without complications (DRG 192) at 3 hospitals in New York was billed at $33,214 on average, while the average total payment was $9,155, of which Medicare paid $6,204. 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 3.6 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.