Disorders of the biliary tract with major complications in New York
What 26 hospitals in New York charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$126,378
Hospital list price billed
Average payment
$21,362
Medicare + patient + other payers
Medicare paid
$16,960
Average per stay
State rank
#32 of 34
1 = lowest average payment
Hospitals in New York billed an average of $126,378 for disorders of the biliary tract with major complications, about 5.9 times the average total payment of $21,362. That payment is 24% above the U.S. average of $17,218.
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 $21,362Billed $126,378
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 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 47 | $172,886 | $25,041 | $20,511 |
| New York-Presbyterian HospitalNew York | 41 | $202,020 | $29,125 | $22,392 |
| North Shore University HospitalManhasset | 33 | $123,171 | $19,846 | $16,517 |
| Long Island Jewish Medical CenterNew Hyde Park | 31 | $152,363 | $22,066 | $17,111 |
| Albany Medical Center HospitalAlbany | 27 | $64,764 | $20,118 | $14,685 |
| Buffalo General HospitalBuffalo | 25 | $51,351 | $18,797 | $14,960 |
| White Plains Hospital CtrWhite Plains | 25 | $95,275 | $14,271 | $13,357 |
| University HospitalStony Brook | 25 | $138,242 | $20,714 | $17,498 |
| Mount Sinai HospitalNew York | 24 | $126,162 | $28,676 | $18,876 |
| Huntington HospitalHuntington | 20 | $75,638 | $14,776 | $13,882 |
| St Francis Hospital, RoslynRoslyn | 20 | $154,844 | $16,253 | $14,812 |
| Montefiore Medical CenterBronx | 18 | $178,181 | $33,358 | $16,424 |
| Maimonides Medical CenterBrooklyn | 18 | $114,530 | $26,352 | $21,851 |
| St Peter's HospitalAlbany | 16 | $66,655 | $14,815 | $11,123 |
| Lenox Hill HospitalNew York | 15 | $119,156 | $23,029 | $16,524 |
| Westchester Medical CenterValhalla | 15 | $349,953 | $27,861 | $22,965 |
| Staten Island University HospitalStaten Island | 14 | $74,320 | $18,369 | $16,261 |
| Vassar Brothers Medical CenterPoughkeepsie | 13 | $53,764 | $18,731 | $16,048 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 13 | $155,301 | $20,617 | $16,642 |
| St Joseph HospitalBethpage | 13 | $70,069 | $13,823 | $12,925 |
| Southside HospitalBay Shore | 12 | $115,858 | $15,530 | $14,012 |
| Garnet Health Medical CenterGoshen | 12 | $116,777 | $17,508 | $14,733 |
| South Nassau Communities HospitalOceanside | 12 | $121,996 | $16,954 | $14,918 |
| Strong Memorial HospitalRochester | 12 | $93,821 | $25,135 | $19,702 |
| Good Samaritan Hospital Medical CenterWest Islip | 11 | $65,275 | $15,472 | $13,885 |
| United Health Services HospsBinghamton | 11 | $22,788 | $15,520 | $13,681 |
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 | $13,823 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $14,271 |
| Huntington HospitalHuntington, NY | $14,776 |
| St Peter's HospitalAlbany, NY | $14,815 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | $15,472 |
Highest
| Montefiore Medical CenterBronx, NY | $33,358 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $29,125 |
| Mount Sinai HospitalNew York, NY | $28,676 |
| Westchester Medical CenterValhalla, NY | $27,861 |
| Maimonides Medical CenterBrooklyn, NY | $26,352 |
Disorders of the biliary tract with major complications in other states
Questions
How much does disorders of the biliary tract with major complications cost in New York?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 26 hospitals in New York was billed at $126,378 on average, while the average total payment was $21,362, of which Medicare paid $16,960. 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 5.9 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.