Digestive malignancy with major complications in New York
What 22 hospitals in New York charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$185,869
Hospital list price billed
Average payment
$29,206
Medicare + patient + other payers
Medicare paid
$23,606
Average per stay
State rank
#25 of 28
1 = lowest average payment
Hospitals in New York billed an average of $185,869 for digestive malignancy with major complications, about 6.4 times the average total payment of $29,206. That payment is 26% above the U.S. average of $23,203.
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 $29,206Billed $185,869
About 16¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:
New York hospitals: digestive malignancy 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 103 | $246,387 | $34,035 | $27,136 |
| NYU Hospitals CenterNew York | 84 | $228,942 | $31,093 | $25,614 |
| North Shore University HospitalManhasset | 42 | $178,179 | $26,829 | $22,275 |
| Maimonides Medical CenterBrooklyn | 36 | $143,555 | $33,436 | $28,058 |
| University HospitalStony Brook | 36 | $204,370 | $33,731 | $27,643 |
| Long Island Jewish Medical CenterNew Hyde Park | 35 | $130,323 | $24,659 | $21,769 |
| Montefiore Medical CenterBronx | 34 | $261,144 | $39,125 | $24,938 |
| Mount Sinai HospitalNew York | 32 | $202,461 | $39,614 | $28,569 |
| Mount Sinai WestNew York | 23 | $167,795 | $30,696 | $26,084 |
| Staten Island University HospitalStaten Island | 21 | $132,822 | $25,700 | $21,988 |
| St Francis Hospital, RoslynRoslyn | 21 | $122,749 | $18,153 | $16,742 |
| White Plains Hospital CtrWhite Plains | 21 | $87,873 | $23,031 | $16,132 |
| Huntington HospitalHuntington | 20 | $95,531 | $14,802 | $13,242 |
| New York Hospital Medical Center of QueensNew York | 19 | $159,506 | $24,099 | $21,094 |
| South Nassau Communities HospitalOceanside | 17 | $169,510 | $21,305 | $19,029 |
| Vassar Brothers Medical CenterPoughkeepsie | 16 | $66,501 | $23,548 | $20,232 |
| University Hospital S U N Y Health Science CenterSyracuse | 15 | $209,386 | $27,957 | $23,918 |
| Southside HospitalBay Shore | 13 | $158,524 | $22,091 | $20,549 |
| Beth Israel Medical CenterNew York | 13 | $223,064 | $29,260 | $23,136 |
| Northern Westchester HospitalMt Kisco | 12 | $75,078 | $16,110 | $14,871 |
| Lenox Hill HospitalNew York | 11 | $232,649 | $22,485 | $19,198 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 11 | $179,101 | $26,506 | $17,929 |
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
| Huntington HospitalHuntington, NY | $14,802 |
|---|---|
| Northern Westchester HospitalMt Kisco, NY | $16,110 |
| St Francis Hospital, RoslynRoslyn, NY | $18,153 |
| South Nassau Communities HospitalOceanside, NY | $21,305 |
| Southside HospitalBay Shore, NY | $22,091 |
Highest
| Mount Sinai HospitalNew York, NY | $39,614 |
|---|---|
| Montefiore Medical CenterBronx, NY | $39,125 |
| New York-Presbyterian HospitalNew York, NY | $34,035 |
| University HospitalStony Brook, NY | $33,731 |
| Maimonides Medical CenterBrooklyn, NY | $33,436 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in New York?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 22 hospitals in New York was billed at $185,869 on average, while the average total payment was $29,206, of which Medicare paid $23,606. 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 6.4 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.