Extensive operating room procedures unrelated to principal diagnosis with major complications in New York
What 39 hospitals in New York charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$300,059
Hospital list price billed
Average payment
$60,614
Medicare + patient + other payers
Medicare paid
$52,206
Average per stay
State rank
#40 of 42
1 = lowest average payment
Hospitals in New York billed an average of $300,059 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.0 times the average total payment of $60,614. That payment is 29% above the U.S. average of $47,051.
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 $60,614Billed $300,059
About 20¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 138 | $434,541 | $79,113 | $67,504 |
| NYU Hospitals CenterNew York | 111 | $461,664 | $72,112 | $61,362 |
| North Shore University HospitalManhasset | 57 | $356,689 | $57,260 | $50,700 |
| Huntington HospitalHuntington | 48 | $196,947 | $40,243 | $38,254 |
| Mount Sinai HospitalNew York | 47 | $340,087 | $79,899 | $64,139 |
| Montefiore Medical CenterBronx | 43 | $407,865 | $64,632 | $54,472 |
| Long Island Jewish Medical CenterNew Hyde Park | 42 | $350,849 | $59,616 | $49,998 |
| University HospitalStony Brook | 41 | $376,324 | $74,587 | $59,891 |
| Staten Island University HospitalStaten Island | 38 | $283,364 | $57,825 | $50,394 |
| Albany Medical Center HospitalAlbany | 35 | $155,309 | $53,871 | $46,753 |
| Southside HospitalBay Shore | 33 | $223,983 | $41,597 | $39,984 |
| Buffalo General HospitalBuffalo | 29 | $163,157 | $53,228 | $47,575 |
| St Francis Hospital, RoslynRoslyn | 28 | $367,995 | $57,001 | $48,975 |
| Westchester Medical CenterValhalla | 27 | $750,021 | $91,753 | $80,993 |
| Wynn HospitalUtica | 26 | $156,401 | $43,233 | $40,258 |
| Garnet Health Medical CenterGoshen | 26 | $195,179 | $43,935 | $41,128 |
| Brookdale Hospital Medical CenterBrooklyn | 26 | $206,326 | $88,256 | $73,948 |
| Good Samaritan Hospital Medical CenterWest Islip | 26 | $206,753 | $40,812 | $36,211 |
| Vassar Brothers Medical CenterPoughkeepsie | 25 | $143,492 | $47,124 | $43,227 |
| Rochester General HospitalRochester | 25 | $150,612 | $55,949 | $46,481 |
| St Peter's HospitalAlbany | 24 | $124,868 | $42,054 | $36,639 |
| Crouse HospitalSyracuse | 24 | $95,760 | $45,438 | $39,602 |
| Lenox Hill HospitalNew York | 21 | $253,938 | $54,249 | $49,647 |
| Maimonides Medical CenterBrooklyn | 21 | $270,117 | $59,210 | $52,388 |
| South Nassau Communities HospitalOceanside | 21 | $277,652 | $44,579 | $40,808 |
| White Plains Hospital CtrWhite Plains | 20 | $185,823 | $53,871 | $35,638 |
| Strong Memorial HospitalRochester | 19 | $144,387 | $68,393 | $48,558 |
| Mount Sinai WestNew York | 18 | $349,574 | $73,412 | $59,674 |
| South Brooklyn HealthBrooklyn | 18 | $215,843 | $64,312 | $56,851 |
| New York Hospital Medical Center of QueensNew York | 17 | $271,988 | $55,205 | $51,396 |
| University Hospital S U N Y Health Science CenterSyracuse | 17 | $438,082 | $74,920 | $68,049 |
| Long Island Community HospitalPatchogue | 15 | $218,276 | $33,346 | $31,594 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 13 | $174,856 | $51,480 | $36,510 |
| Erie County Medical CenterBuffalo | 13 | $62,024 | $46,802 | $42,930 |
| United Health Services HospsBinghamton | 13 | $95,141 | $39,228 | $32,490 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 12 | $107,556 | $40,423 | $39,607 |
| Peconic Bay Medical CenterRiverhead | 12 | $202,481 | $42,789 | $40,569 |
| St Joseph's Hospital Health CenterSyracuse | 11 | $142,964 | $45,901 | $43,502 |
| Good Samaritan Hospital of SuffernSuffern | 11 | $259,014 | $38,969 | $38,079 |
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
| Long Island Community HospitalPatchogue, NY | $33,346 |
|---|---|
| Good Samaritan Hospital of SuffernSuffern, NY | $38,969 |
| United Health Services HospsBinghamton, NY | $39,228 |
| Huntington HospitalHuntington, NY | $40,243 |
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $40,423 |
Highest
| Westchester Medical CenterValhalla, NY | $91,753 |
|---|---|
| Brookdale Hospital Medical CenterBrooklyn, NY | $88,256 |
| Mount Sinai HospitalNew York, NY | $79,899 |
| New York-Presbyterian HospitalNew York, NY | $79,113 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $74,920 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in New York?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 39 hospitals in New York was billed at $300,059 on average, while the average total payment was $60,614, of which Medicare paid $52,206. 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 5.0 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.