facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in New York: 7 hospitals compared (DRG 442)

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in New York

What 7 hospitals in New York charged and were paid for a Medicare hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442), from 2024 Medicare claims.

DRG 442 Inpatient 2024 Medicare data
Average charge $106,306 Hospital list price billed
Average payment $15,438 Medicare + patient + other payers
Medicare paid $9,629 Average per stay
State rank #27 of 27 1 = lowest average payment

Hospitals in New York billed an average of $106,306 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications, about 6.9 times the average total payment of $15,438. That payment is 37% above the U.S. average of $11,272.

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 $15,438Billed $106,306

About 15¢ 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: disorders of liver except malignancy, cirrhosis or alcoholic hepatitis 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
NYU Hospitals CenterNew York 35 $122,059 $14,896 $10,594
New York-Presbyterian HospitalNew York 28 $126,076 $17,377 $9,242
North Shore University HospitalManhasset 19 $101,839 $11,640 $8,889
Montefiore Medical CenterBronx 16 $141,026 $15,672 $10,656
Strong Memorial HospitalRochester 16 $30,963 $14,559 $10,122
Garnet Health Medical CenterGoshen 15 $74,013 $14,663 $6,767
Mount Sinai HospitalNew York 12 $115,838 $20,337 $10,439
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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$11,640
Strong Memorial HospitalRochester, NY$14,559
Garnet Health Medical CenterGoshen, NY$14,663
NYU Hospitals CenterNew York, NY$14,896
Montefiore Medical CenterBronx, NY$15,672

Highest

Mount Sinai HospitalNew York, NY$20,337
New York-Presbyterian HospitalNew York, NY$17,377
Montefiore Medical CenterBronx, NY$15,672
NYU Hospitals CenterNew York, NY$14,896
Garnet Health Medical CenterGoshen, NY$14,663

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in other states

Questions

How much does disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in New York?

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442) at 7 hospitals in New York was billed at $106,306 on average, while the average total payment was $15,438, of which Medicare paid $9,629. 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 6.9 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.