Diabetes without complications in New York
What 2 hospitals in New York charged and were paid for a Medicare hospital stay for diabetes without complications (DRG 639), from 2024 Medicare claims.
Average charge
$39,900
Hospital list price billed
Average payment
$10,634
Medicare + patient + other payers
Medicare paid
$6,856
Average per stay
Volume
32
Medicare hospital stays
Hospitals in New York billed an average of $39,900 for diabetes without complications, about 3.8 times the average total payment of $10,634. That payment is 43% above the U.S. average of $7,422.
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 $10,634Billed $39,900
About 27¢ 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 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 | 20 | $28,437 | $11,558 | $7,294 |
| New York-Presbyterian HospitalNew York | 12 | $59,005 | $9,093 | $6,126 |
Diabetes without complications in other states
Questions
How much does diabetes without complications cost in New York?
In 2024 Medicare data, a hospital stay for diabetes without complications (DRG 639) at 2 hospitals in New York was billed at $39,900 on average, while the average total payment was $10,634, of which Medicare paid $6,856. 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 3.8 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.