facebook tracking Extracranial procedures with complications cost in New York: 10 hospitals compared (DRG 038)

Extracranial procedures with complications in New York

What 10 hospitals in New York charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $101,655 Hospital list price billed
Average payment $19,740 Medicare + patient + other payers
Medicare paid $15,949 Average per stay
State rank #29 of 29 1 = lowest average payment

Hospitals in New York billed an average of $101,655 for extracranial procedures with complications, about 5.1 times the average total payment of $19,740. That payment is 32% above the U.S. average of $14,903.

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 $19,740Billed $101,655

About 19¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: extracranial procedures 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 48 $157,938 $21,422 $18,280
New York-Presbyterian HospitalNew York 27 $123,389 $23,082 $18,070
Albany Medical Center HospitalAlbany 17 $57,473 $17,601 $15,459
St Francis Hospital, RoslynRoslyn 17 $103,991 $14,759 $13,519
St Peter's HospitalAlbany 14 $34,031 $26,674 $10,430
Vassar Brothers Medical CenterPoughkeepsie 13 $45,848 $16,135 $14,403
North Shore University HospitalManhasset 13 $132,800 $17,627 $14,933
St Joseph's Hospital Health CenterSyracuse 13 $31,538 $14,314 $12,625
Maimonides Medical CenterBrooklyn 12 $103,894 $20,881 $18,473
Staten Island University HospitalStaten Island 11 $63,016 $18,294 $16,311
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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

Highest

St Peter's HospitalAlbany, NY$26,674
New York-Presbyterian HospitalNew York, NY$23,082
NYU Hospitals CenterNew York, NY$21,422
Maimonides Medical CenterBrooklyn, NY$20,881
Staten Island University HospitalStaten Island, NY$18,294

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in New York?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 10 hospitals in New York was billed at $101,655 on average, while the average total payment was $19,740, of which Medicare paid $15,949. 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 5.1 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.