Diabetes with complications in New York
What 76 hospitals in New York charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$59,923
Hospital list price billed
Average payment
$12,304
Medicare + patient + other payers
Medicare paid
$8,820
Average per stay
State rank
#47 of 47
1 = lowest average payment
Hospitals in New York billed an average of $59,923 for diabetes with complications, about 4.9 times the average total payment of $12,304. That payment is 34% above the U.S. average of $9,215.
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 $12,304Billed $59,923
About 21¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: diabetes 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 | 133 | $113,812 | $14,375 | $9,946 |
| NYU Hospitals CenterNew York | 93 | $89,976 | $13,483 | $10,010 |
| Montefiore Medical CenterBronx | 63 | $101,139 | $19,779 | $9,485 |
| Long Island Jewish Medical CenterNew Hyde Park | 57 | $81,177 | $11,698 | $8,113 |
| North Shore University HospitalManhasset | 51 | $117,814 | $13,168 | $9,439 |
| University HospitalStony Brook | 51 | $84,008 | $13,006 | $9,337 |
| Staten Island University HospitalStaten Island | 43 | $48,129 | $11,262 | $8,780 |
| White Plains Hospital CtrWhite Plains | 42 | $48,757 | $7,935 | $6,575 |
| Garnet Health Medical CenterGoshen | 41 | $61,578 | $10,623 | $7,550 |
| Vassar Brothers Medical CenterPoughkeepsie | 37 | $26,235 | $10,077 | $8,204 |
| University Hospital S U N Y Health Science CenterSyracuse | 37 | $66,978 | $11,052 | $8,566 |
| Huntington HospitalHuntington | 35 | $48,231 | $9,081 | $5,327 |
| New York Hospital Medical Center of QueensNew York | 33 | $51,464 | $10,105 | $8,143 |
| Good Samaritan Hospital Medical CenterWest Islip | 33 | $48,618 | $9,130 | $7,089 |
| St Catherine of Siena HospitalSmithtown | 33 | $52,325 | $7,610 | $6,473 |
| Mount Sinai HospitalNew York | 31 | $70,545 | $15,552 | $9,501 |
| Buffalo General HospitalBuffalo | 30 | $31,608 | $10,713 | $6,730 |
| Maimonides Medical CenterBrooklyn | 30 | $62,580 | $13,812 | $10,406 |
| St Peter's HospitalAlbany | 29 | $23,000 | $7,846 | $6,609 |
| Peconic Bay Medical CenterRiverhead | 29 | $62,534 | $9,827 | $7,777 |
| Unity Hospital of RochesterRochester | 29 | $17,464 | $8,887 | $7,450 |
| Strong Memorial HospitalRochester | 29 | $25,089 | $13,940 | $9,212 |
| Kings County Hospital CenterBrooklyn | 28 | $47,477 | $42,482 | $22,334 |
| St Joseph's Hospital Health CenterSyracuse | 26 | $21,088 | $8,616 | $6,572 |
| Nassau University Medical CenterEast Meadow | 25 | $56,252 | $15,210 | $11,597 |
| Southside HospitalBay Shore | 25 | $58,291 | $9,949 | $7,452 |
| St Francis Hospital, RoslynRoslyn | 25 | $47,037 | $7,687 | $6,326 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 25 | $59,951 | $15,898 | $5,831 |
| South Nassau Communities HospitalOceanside | 24 | $67,923 | $10,035 | $7,221 |
| Westchester Medical CenterValhalla | 23 | $152,448 | $11,268 | $8,955 |
| St Joseph HospitalBethpage | 23 | $51,003 | $7,667 | $6,515 |
| Erie County Medical CenterBuffalo | 22 | $32,944 | $14,431 | $7,834 |
| Mercy Medical CenterRockville Centre | 22 | $58,455 | $9,143 | $6,623 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 22 | $49,123 | $16,528 | $9,948 |
| Highland HospitalRochester | 20 | $19,294 | $9,919 | $6,103 |
| Beth Israel Medical CenterNew York | 20 | $69,988 | $11,663 | $8,570 |
| Healthalliance Hospital Marys Avenue CampusKingston | 20 | $101,728 | $9,407 | $6,709 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 19 | $43,491 | $8,109 | $6,822 |
| Nyack HospitalNyack | 19 | $63,735 | $8,196 | $6,907 |
| Long Island Community HospitalPatchogue | 19 | $75,373 | $8,616 | $7,504 |
| St John's Riverside HospitalYonkers | 19 | $45,299 | $10,025 | $8,240 |
| Plainview HospitalPlainview | 19 | $48,338 | $8,568 | $6,240 |
| Mount Sinai WestNew York | 18 | $97,412 | $13,050 | $9,714 |
| Good Samaritan Hospital of SuffernSuffern | 18 | $82,910 | $8,964 | $6,713 |
| Richmond University Medical CenterStaten Island | 17 | $66,196 | $12,966 | $10,233 |
| Wynn HospitalUtica | 17 | $36,933 | $8,866 | $7,135 |
| Brookdale Hospital Medical CenterBrooklyn | 17 | $30,606 | $15,113 | $11,395 |
| St Charles HospitalPort Jefferson | 17 | $41,473 | $9,263 | $6,916 |
| Jacobi Medical CenterBronx | 16 | $29,629 | $22,947 | $16,858 |
| Samaritan HospitalTroy | 16 | $21,389 | $8,320 | $7,109 |
| Bronxcare Hospital CenterBronx | 15 | $33,151 | $20,857 | $17,709 |
| Lenox Hill HospitalNew York | 15 | $76,185 | $12,289 | $9,198 |
| Glens Falls HospitalGlens Falls | 15 | $27,587 | $7,898 | $6,594 |
| South Brooklyn HealthBrooklyn | 15 | $51,110 | $16,055 | $13,392 |
| St Barnabas HospitalBronx | 15 | $35,938 | $23,066 | $18,985 |
| Sisters of Charity HospitalBuffalo | 14 | $20,134 | $11,367 | $7,216 |
| Mount St Mary's Hospital and Health CenterLewiston | 14 | $12,953 | $7,798 | $6,632 |
| Cornwall HospitalCornwall | 14 | $78,120 | $8,157 | $6,761 |
| Mercy HospitalBuffalo | 14 | $14,940 | $7,786 | $6,136 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 13 | $23,738 | $9,228 | $7,762 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 13 | $55,104 | $14,899 | $11,095 |
| Elmhurst Hospital CenterNew York | 13 | $29,408 | $24,788 | $21,313 |
| Flushing Hospital Medical CenterNew York | 13 | $18,952 | $12,472 | $8,969 |
| Crouse HospitalSyracuse | 13 | $17,324 | $8,753 | $6,515 |
| Saratoga HospitalSaratoga Springs | 13 | $32,774 | $8,076 | $6,654 |
| Lincoln Medical & Mental Health CenterBronx | 12 | $16,919 | $24,877 | $22,977 |
| Kenmore Mercy HospitalBuffalo | 12 | $17,768 | $7,302 | $6,285 |
| Mary Imogene Bassett HospitalCooperstown | 12 | $19,947 | $10,491 | $8,557 |
| Cortland Regional Medical Center, INCCortland | 12 | $18,512 | $8,207 | $6,967 |
| Auburn Memorial HospitalAuburn | 12 | $18,394 | $7,846 | $6,622 |
| UPMC Chautauqua at WcaJamestown | 12 | $9,515 | $7,434 | $6,309 |
| Albany Medical Center HospitalAlbany | 11 | $29,196 | $10,429 | $8,051 |
| Rochester General HospitalRochester | 11 | $18,055 | $10,393 | $7,462 |
| Canton-Potsdam HospitalPotsdam | 11 | $25,767 | $7,595 | $6,216 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 11 | $35,501 | $9,357 | $7,708 |
| Hudson Valley Hospital CenterCortlandt Manor | 11 | $101,559 | $15,178 | $11,024 |
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
| Kenmore Mercy HospitalBuffalo, NY | $7,302 |
|---|---|
| UPMC Chautauqua at WcaJamestown, NY | $7,434 |
| Canton-Potsdam HospitalPotsdam, NY | $7,595 |
| St Catherine of Siena HospitalSmithtown, NY | $7,610 |
| St Joseph HospitalBethpage, NY | $7,667 |
Highest
| Kings County Hospital CenterBrooklyn, NY | $42,482 |
|---|---|
| Lincoln Medical & Mental Health CenterBronx, NY | $24,877 |
| Elmhurst Hospital CenterNew York, NY | $24,788 |
| St Barnabas HospitalBronx, NY | $23,066 |
| Jacobi Medical CenterBronx, NY | $22,947 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in New York?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 76 hospitals in New York was billed at $59,923 on average, while the average total payment was $12,304, of which Medicare paid $8,820. 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 4.9 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.