Diabetes with major complications in New York
What 61 hospitals in New York charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$95,572
Hospital list price billed
Average payment
$19,844
Medicare + patient + other payers
Medicare paid
$15,524
Average per stay
State rank
#42 of 43
1 = lowest average payment
Hospitals in New York billed an average of $95,572 for diabetes with major complications, about 4.8 times the average total payment of $19,844. That payment is 41% above the U.S. average of $14,037.
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 $19,844Billed $95,572
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 major 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 96 | $131,252 | $22,704 | $15,482 |
| New York-Presbyterian HospitalNew York | 85 | $137,200 | $20,310 | $16,027 |
| Montefiore Medical CenterBronx | 71 | $158,480 | $22,674 | $16,334 |
| Long Island Jewish Medical CenterNew Hyde Park | 63 | $117,781 | $20,211 | $15,614 |
| Beth Israel Medical CenterNew York | 42 | $124,912 | $19,873 | $15,361 |
| Garnet Health Medical CenterGoshen | 40 | $65,499 | $14,593 | $12,725 |
| Mount Sinai HospitalNew York | 38 | $106,448 | $24,611 | $18,531 |
| University HospitalStony Brook | 38 | $153,563 | $27,045 | $20,083 |
| North Shore University HospitalManhasset | 37 | $136,725 | $17,476 | $13,883 |
| Maimonides Medical CenterBrooklyn | 34 | $104,284 | $22,642 | $18,071 |
| Southside HospitalBay Shore | 33 | $130,467 | $20,865 | $18,812 |
| Mount Sinai WestNew York | 31 | $148,010 | $22,873 | $18,886 |
| Staten Island University HospitalStaten Island | 30 | $106,037 | $17,010 | $14,287 |
| Long Island Community HospitalPatchogue | 29 | $146,259 | $13,878 | $12,442 |
| Vassar Brothers Medical CenterPoughkeepsie | 26 | $44,631 | $16,037 | $13,806 |
| Rochester General HospitalRochester | 26 | $41,409 | $15,798 | $13,304 |
| New York Hospital Medical Center of QueensNew York | 23 | $136,366 | $23,420 | $16,782 |
| South Brooklyn HealthBrooklyn | 23 | $56,929 | $22,893 | $19,727 |
| Brookdale Hospital Medical CenterBrooklyn | 23 | $55,019 | $23,515 | $19,224 |
| Wynn HospitalUtica | 22 | $45,784 | $13,662 | $11,719 |
| Highland HospitalRochester | 22 | $42,054 | $15,655 | $12,428 |
| South Nassau Communities HospitalOceanside | 22 | $90,896 | $14,627 | $12,975 |
| White Plains Hospital CtrWhite Plains | 22 | $69,522 | $12,459 | $11,012 |
| St Joseph HospitalBethpage | 22 | $80,850 | $14,166 | $11,700 |
| Richmond University Medical CenterStaten Island | 21 | $83,801 | $19,414 | $16,464 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 21 | $86,442 | $17,269 | $13,114 |
| Albany Medical Center HospitalAlbany | 20 | $50,083 | $16,258 | $13,855 |
| Jacobi Medical CenterBronx | 20 | $67,929 | $35,371 | $24,071 |
| Good Samaritan Hospital of SuffernSuffern | 19 | $116,546 | $13,095 | $11,635 |
| Wyckoff Heights Medical CenterBrooklyn | 19 | $41,058 | $18,224 | $15,384 |
| Huntington HospitalHuntington | 18 | $55,394 | $12,603 | $10,453 |
| Kings County Hospital CenterBrooklyn | 18 | $71,399 | $60,186 | $32,865 |
| St Peter's HospitalAlbany | 17 | $38,895 | $15,215 | $10,009 |
| Good Samaritan Hospital Medical CenterWest Islip | 17 | $92,604 | $13,495 | $11,866 |
| Nyack HospitalNyack | 16 | $102,234 | $13,211 | $11,460 |
| Elmhurst Hospital CenterNew York | 16 | $44,894 | $34,011 | $31,736 |
| Flushing Hospital Medical CenterNew York | 16 | $31,715 | $18,064 | $14,989 |
| Bellevue Hospital CenterNew York | 16 | $66,864 | $50,742 | $34,155 |
| Plainview HospitalPlainview | 16 | $61,266 | $14,712 | $9,810 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 15 | $53,550 | $13,518 | $12,541 |
| Hudson Valley Hospital CenterCortlandt Manor | 15 | $73,748 | $12,130 | $11,151 |
| Mercy HospitalBuffalo | 15 | $28,292 | $14,518 | $9,537 |
| St Francis Hospital, RoslynRoslyn | 14 | $79,369 | $11,101 | $10,043 |
| University Hospital S U N Y Health Science CenterSyracuse | 14 | $88,357 | $18,158 | $12,628 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 14 | $55,772 | $15,267 | $14,211 |
| Cornwall HospitalCornwall | 14 | $90,005 | $12,933 | $11,296 |
| St Catherine of Siena HospitalSmithtown | 14 | $150,818 | $23,483 | $19,957 |
| Buffalo General HospitalBuffalo | 13 | $58,991 | $16,325 | $12,792 |
| Lincoln Medical & Mental Health CenterBronx | 13 | $31,428 | $32,168 | $29,838 |
| Peconic Bay Medical CenterRiverhead | 13 | $75,698 | $12,367 | $10,464 |
| Strong Memorial HospitalRochester | 13 | $47,202 | $20,870 | $13,845 |
| United Health Services HospsBinghamton | 13 | $36,612 | $13,710 | $11,851 |
| Samaritan HospitalTroy | 12 | $26,989 | $11,931 | $10,742 |
| Crouse HospitalSyracuse | 12 | $30,762 | $12,851 | $9,978 |
| Saratoga HospitalSaratoga Springs | 12 | $74,079 | $18,504 | $8,103 |
| Unity Hospital of RochesterRochester | 12 | $32,715 | $14,018 | $11,757 |
| Westchester Medical CenterValhalla | 12 | $222,156 | $18,906 | $16,084 |
| Bronxcare Hospital CenterBronx | 11 | $33,062 | $22,725 | $20,413 |
| Mary Imogene Bassett HospitalCooperstown | 11 | $41,983 | $17,005 | $14,586 |
| St Joseph's Hospital Health CenterSyracuse | 11 | $26,457 | $12,313 | $11,005 |
| Mercy Medical CenterRockville Centre | 11 | $161,892 | $16,220 | $14,476 |
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
| St Francis Hospital, RoslynRoslyn, NY | $11,101 |
|---|---|
| Samaritan HospitalTroy, NY | $11,931 |
| Hudson Valley Hospital CenterCortlandt Manor, NY | $12,130 |
| St Joseph's Hospital Health CenterSyracuse, NY | $12,313 |
| Peconic Bay Medical CenterRiverhead, NY | $12,367 |
Highest
| Kings County Hospital CenterBrooklyn, NY | $60,186 |
|---|---|
| Bellevue Hospital CenterNew York, NY | $50,742 |
| Jacobi Medical CenterBronx, NY | $35,371 |
| Elmhurst Hospital CenterNew York, NY | $34,011 |
| Lincoln Medical & Mental Health CenterBronx, NY | $32,168 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in New York?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 61 hospitals in New York was billed at $95,572 on average, while the average total payment was $19,844, of which Medicare paid $15,524. 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 4.8 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.