facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost in New York: 11 hospitals compared (DRG 562)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in New York

What 11 hospitals in New York charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562), from 2024 Medicare claims.

DRG 562 Inpatient 2024 Medicare data
Average charge $109,535 Hospital list price billed
Average payment $19,231 Medicare + patient + other payers
Medicare paid $15,760 Average per stay
State rank #11 of 12 1 = lowest average payment

Hospitals in New York billed an average of $109,535 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications, about 5.7 times the average total payment of $19,231. That payment is 32% above the U.S. average of $14,612.

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 $19,231Billed $109,535

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:

Major complications $19,231 DRG 562 · this page No major complications $8,749 DRG 563 · U.S. average

New York hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 36 $117,092 $20,522 $16,366
Long Island Jewish Medical CenterNew Hyde Park 31 $112,726 $17,631 $14,673
NYU Hospitals CenterNew York 31 $119,563 $20,926 $16,704
North Shore University HospitalManhasset 22 $148,062 $19,907 $15,604
University HospitalStony Brook 21 $149,991 $24,284 $20,023
Huntington HospitalHuntington 16 $63,075 $12,239 $10,735
Mount Sinai WestNew York 15 $106,145 $19,944 $16,592
New York Hospital Medical Center of QueensNew York 14 $84,005 $17,494 $14,822
Staten Island University HospitalStaten Island 14 $52,505 $17,072 $15,018
Montefiore Medical CenterBronx 13 $129,602 $20,613 $16,468
Albany Medical Center HospitalAlbany 11 $46,824 $16,262 $13,821
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications: all states All New York hospitals New York hospital finances
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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

Huntington HospitalHuntington, NY$12,239
Albany Medical Center HospitalAlbany, NY$16,262
Staten Island University HospitalStaten Island, NY$17,072
New York Hospital Medical Center of QueensNew York, NY$17,494
Long Island Jewish Medical CenterNew Hyde Park, NY$17,631

Highest

University HospitalStony Brook, NY$24,284
NYU Hospitals CenterNew York, NY$20,926
Montefiore Medical CenterBronx, NY$20,613
New York-Presbyterian HospitalNew York, NY$20,522
Mount Sinai WestNew York, NY$19,944

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in other states

California · $16,651 Connecticut · $15,784 Georgia · $19,662 Massachusetts · $13,921 New Jersey · $14,196 New Mexico · $15,825 North Carolina · $14,949 Tennessee · $15,018

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost in New York?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562) at 11 hospitals in New York was billed at $109,535 on average, while the average total payment was $19,231, of which Medicare paid $15,760. 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 5.7 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.