Disorders of the biliary tract with complications in New York
What 36 hospitals in New York charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$77,156
Hospital list price billed
Average payment
$13,252
Medicare + patient + other payers
Medicare paid
$10,037
Average per stay
State rank
#37 of 40
1 = lowest average payment
Hospitals in New York billed an average of $77,156 for disorders of the biliary tract with complications, about 5.8 times the average total payment of $13,252. That payment is 21% above the U.S. average of $10,996.
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 $13,252Billed $77,156
About 17¢ 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 the biliary tract 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 73 | $98,430 | $15,736 | $12,083 |
| NYU Hospitals CenterNew York | 61 | $132,263 | $16,026 | $12,027 |
| University HospitalStony Brook | 44 | $85,602 | $14,722 | $11,455 |
| North Shore University HospitalManhasset | 38 | $96,629 | $14,059 | $10,122 |
| Albany Medical Center HospitalAlbany | 36 | $52,768 | $13,027 | $9,996 |
| St Francis Hospital, RoslynRoslyn | 32 | $69,068 | $9,359 | $8,084 |
| Maimonides Medical CenterBrooklyn | 27 | $72,136 | $15,671 | $12,223 |
| Garnet Health Medical CenterGoshen | 25 | $69,688 | $11,341 | $9,489 |
| White Plains Hospital CtrWhite Plains | 23 | $63,325 | $12,726 | $8,014 |
| Strong Memorial HospitalRochester | 21 | $45,846 | $17,857 | $9,592 |
| Vassar Brothers Medical CenterPoughkeepsie | 20 | $37,470 | $11,942 | $9,895 |
| St Peter's HospitalAlbany | 20 | $38,260 | $10,225 | $7,137 |
| Long Island Jewish Medical CenterNew Hyde Park | 19 | $94,258 | $13,605 | $11,050 |
| Staten Island University HospitalStaten Island | 18 | $51,024 | $13,822 | $9,936 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 17 | $49,246 | $10,267 | $9,117 |
| Montefiore Medical CenterBronx | 17 | $93,720 | $16,595 | $12,945 |
| University Hospital S U N Y Health Science CenterSyracuse | 17 | $97,517 | $12,926 | $10,577 |
| Plainview HospitalPlainview | 15 | $71,049 | $11,306 | $9,044 |
| Mount Sinai HospitalNew York | 14 | $100,104 | $18,259 | $12,461 |
| Wynn HospitalUtica | 14 | $53,107 | $10,409 | $8,298 |
| Mount Sinai WestNew York | 14 | $87,639 | $15,408 | $12,542 |
| South Nassau Communities HospitalOceanside | 14 | $93,280 | $12,554 | $8,921 |
| Crouse HospitalSyracuse | 14 | $22,965 | $10,229 | $8,610 |
| Good Samaritan Hospital Medical CenterWest Islip | 14 | $69,136 | $10,379 | $8,601 |
| St Catherine of Siena HospitalSmithtown | 14 | $60,015 | $10,389 | $7,171 |
| Southside HospitalBay Shore | 13 | $79,811 | $10,437 | $8,789 |
| Huntington HospitalHuntington | 12 | $52,931 | $9,367 | $7,977 |
| Westchester Medical CenterValhalla | 12 | $196,162 | $14,330 | $11,712 |
| St Joseph HospitalBethpage | 12 | $52,786 | $9,019 | $7,511 |
| New York Hospital Medical Center of QueensNew York | 11 | $82,287 | $15,502 | $9,723 |
| Rochester General HospitalRochester | 11 | $21,391 | $10,979 | $9,278 |
| St Joseph's Hospital Health CenterSyracuse | 11 | $37,816 | $10,356 | $8,860 |
| Good Samaritan Hospital of SuffernSuffern | 11 | $106,621 | $9,580 | $8,248 |
| Highland HospitalRochester | 11 | $25,182 | $12,043 | $7,345 |
| Hudson Valley Hospital CenterCortlandt Manor | 11 | $60,848 | $9,674 | $8,635 |
| Mercy HospitalBuffalo | 11 | $18,510 | $13,377 | $5,072 |
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 Joseph HospitalBethpage, NY | $9,019 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $9,359 |
| Huntington HospitalHuntington, NY | $9,367 |
| Good Samaritan Hospital of SuffernSuffern, NY | $9,580 |
| Hudson Valley Hospital CenterCortlandt Manor, NY | $9,674 |
Highest
| Mount Sinai HospitalNew York, NY | $18,259 |
|---|---|
| Strong Memorial HospitalRochester, NY | $17,857 |
| Montefiore Medical CenterBronx, NY | $16,595 |
| NYU Hospitals CenterNew York, NY | $16,026 |
| New York-Presbyterian HospitalNew York, NY | $15,736 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in New York?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 36 hospitals in New York was billed at $77,156 on average, while the average total payment was $13,252, of which Medicare paid $10,037. 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 5.8 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.