facebook tracking Connective tissue disorders with complications cost in New York: 4 hospitals compared (DRG 546)

Connective tissue disorders with complications in New York

What 4 hospitals in New York charged and were paid for a Medicare hospital stay for connective tissue disorders with complications (DRG 546), from 2024 Medicare claims.

DRG 546 Inpatient 2024 Medicare data
Average charge $136,851 Hospital list price billed
Average payment $18,049 Medicare + patient + other payers
Medicare paid $12,966 Average per stay
State rank #2 of 2 1 = lowest average payment

Hospitals in New York billed an average of $136,851 for connective tissue disorders with complications, about 7.6 times the average total payment of $18,049. That payment is 12% above the U.S. average of $16,072.

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 $18,049Billed $136,851

About 13¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: connective tissue disorders 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
New York-Presbyterian HospitalNew York 28 $126,719 $17,080 $12,682
NYU Hospitals CenterNew York 16 $164,425 $21,920 $15,406
North Shore University HospitalManhasset 14 $144,297 $15,241 $9,898
Montefiore Medical CenterBronx 12 $115,044 $18,424 $13,955
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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

North Shore University HospitalManhasset, NY$15,241
New York-Presbyterian HospitalNew York, NY$17,080
Montefiore Medical CenterBronx, NY$18,424
NYU Hospitals CenterNew York, NY$21,920

Highest

NYU Hospitals CenterNew York, NY$21,920
Montefiore Medical CenterBronx, NY$18,424
New York-Presbyterian HospitalNew York, NY$17,080
North Shore University HospitalManhasset, NY$15,241

Connective tissue disorders with complications in other states

Questions

How much does connective tissue disorders with complications cost in New York?

In 2024 Medicare data, a hospital stay for connective tissue disorders with complications (DRG 546) at 4 hospitals in New York was billed at $136,851 on average, while the average total payment was $18,049, of which Medicare paid $12,966. 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 7.6 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.