Disorders of pancreas except malignancy without complications in New York
What 2 hospitals in New York charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy without complications (DRG 440), from 2024 Medicare claims.
Average charge
$48,468
Hospital list price billed
Average payment
$9,401
Medicare + patient + other payers
Medicare paid
$5,157
Average per stay
Volume
31
Medicare hospital stays
Hospitals in New York billed an average of $48,468 for disorders of pancreas except malignancy without complications, about 5.2 times the average total payment of $9,401. That payment is 49% above the U.S. average of $6,307.
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 $9,401Billed $48,468
About 19¢ 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: disorders of pancreas except malignancy 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 |
|---|---|---|---|---|
| University HospitalStony Brook | 19 | $52,753 | $8,910 | $6,045 |
| Garnet Health Medical CenterGoshen | 12 | $41,682 | $10,178 | $3,752 |
Disorders of pancreas except malignancy without complications in other states
Questions
How much does disorders of pancreas except malignancy without complications cost in New York?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy without complications (DRG 440) at 2 hospitals in New York was billed at $48,468 on average, while the average total payment was $9,401, of which Medicare paid $5,157. 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 5.2 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.