Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in New York
What 59 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 without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$59,028
Hospital list price billed
Average payment
$11,387
Medicare + patient + other payers
Medicare paid
$8,486
Average per stay
State rank
#39 of 39
1 = lowest average payment
Hospitals in New York billed an average of $59,028 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 5.2 times the average total payment of $11,387. That payment is 30% above the U.S. average of $8,749.
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 $11,387Billed $59,028
About 19¢ 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:
New York hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 | 127 | $94,680 | $14,042 | $9,368 |
| University HospitalStony Brook | 99 | $75,055 | $11,864 | $9,241 |
| NYU Hospitals CenterNew York | 91 | $90,412 | $13,669 | $9,555 |
| North Shore University HospitalManhasset | 82 | $72,066 | $10,808 | $7,940 |
| Long Island Jewish Medical CenterNew Hyde Park | 52 | $73,498 | $11,620 | $8,376 |
| Montefiore Medical CenterBronx | 47 | $82,106 | $15,950 | $9,642 |
| Huntington HospitalHuntington | 44 | $45,949 | $7,661 | $5,984 |
| Staten Island University HospitalStaten Island | 41 | $49,428 | $10,596 | $8,446 |
| Peconic Bay Medical CenterRiverhead | 40 | $51,894 | $8,436 | $6,422 |
| Wynn HospitalUtica | 37 | $25,561 | $8,601 | $6,579 |
| Garnet Health Medical CenterGoshen | 34 | $46,676 | $9,317 | $6,525 |
| New York Hospital Medical Center of QueensNew York | 33 | $51,249 | $10,633 | $8,377 |
| Westchester Medical CenterValhalla | 33 | $124,221 | $11,341 | $8,767 |
| Southside HospitalBay Shore | 32 | $48,950 | $8,871 | $7,093 |
| St Catherine of Siena HospitalSmithtown | 32 | $44,460 | $7,424 | $5,895 |
| Plainview HospitalPlainview | 31 | $44,331 | $9,129 | $6,782 |
| Mount Sinai WestNew York | 29 | $67,536 | $12,145 | $9,694 |
| Long Island Community HospitalPatchogue | 29 | $82,940 | $8,891 | $7,139 |
| White Plains Hospital CtrWhite Plains | 27 | $42,433 | $10,972 | $5,683 |
| Beth Israel Medical CenterNew York | 26 | $69,093 | $12,361 | $8,626 |
| St Francis Hospital, RoslynRoslyn | 26 | $52,154 | $7,814 | $6,650 |
| South Nassau Communities HospitalOceanside | 26 | $72,824 | $9,040 | $7,024 |
| University Hospital S U N Y Health Science CenterSyracuse | 26 | $55,405 | $10,562 | $8,126 |
| Nassau University Medical CenterEast Meadow | 25 | $59,370 | $15,182 | $11,326 |
| Lenox Hill HospitalNew York | 25 | $62,676 | $12,844 | $8,681 |
| South Brooklyn HealthBrooklyn | 25 | $38,518 | $16,288 | $13,743 |
| St Joseph HospitalBethpage | 25 | $45,417 | $7,655 | $6,203 |
| Jacobi Medical CenterBronx | 24 | $46,193 | $22,873 | $15,372 |
| Mount Sinai HospitalNew York | 23 | $60,350 | $13,936 | $9,904 |
| Good Samaritan Hospital of SuffernSuffern | 23 | $80,378 | $8,209 | $6,790 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 23 | $52,144 | $9,492 | $6,223 |
| Maimonides Medical CenterBrooklyn | 23 | $54,495 | $14,437 | $10,851 |
| Good Samaritan Hospital Medical CenterWest Islip | 22 | $62,654 | $8,539 | $6,964 |
| Rochester General HospitalRochester | 20 | $22,224 | $9,830 | $7,941 |
| Elmhurst Hospital CenterNew York | 19 | $38,313 | $29,250 | $26,285 |
| Albany Medical Center HospitalAlbany | 18 | $40,933 | $10,431 | $7,702 |
| Nyack HospitalNyack | 18 | $52,247 | $8,071 | $6,711 |
| Vassar Brothers Medical CenterPoughkeepsie | 17 | $32,399 | $10,416 | $8,273 |
| St Joseph's Hospital Health CenterSyracuse | 17 | $20,946 | $7,505 | $5,752 |
| Glens Falls HospitalGlens Falls | 17 | $21,124 | $7,845 | $6,693 |
| Highland HospitalRochester | 16 | $16,756 | $8,991 | $7,171 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 16 | $42,506 | $9,502 | $7,897 |
| Saratoga HospitalSaratoga Springs | 15 | $29,802 | $7,428 | $5,872 |
| Bellevue Hospital CenterNew York | 14 | $56,337 | $35,961 | $25,640 |
| Erie County Medical CenterBuffalo | 14 | $36,023 | $11,298 | $8,394 |
| Unity Hospital of RochesterRochester | 14 | $16,886 | $9,206 | $7,498 |
| Phelps Memorial Hospital AssnSleepy Hollow | 14 | $52,916 | $9,027 | $7,243 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 13 | $23,434 | $8,929 | $7,084 |
| Northern Dutchess HospitalRhinebeck | 13 | $28,538 | $9,419 | $7,096 |
| Crouse HospitalSyracuse | 13 | $15,993 | $8,253 | $6,556 |
| St Peter's HospitalAlbany | 12 | $23,493 | $7,883 | $6,439 |
| Glen Cove HospitalGlen Cove | 12 | $49,206 | $8,632 | $7,174 |
| Hudson Valley Hospital CenterCortlandt Manor | 12 | $30,018 | $8,033 | $6,537 |
| Ellis HospitalSchenectady | 11 | $23,560 | $8,472 | $6,513 |
| St John's Riverside HospitalYonkers | 11 | $36,402 | $10,121 | $8,624 |
| Healthalliance Hospital Marys Avenue CampusKingston | 11 | $60,726 | $8,148 | $6,328 |
| St Charles HospitalPort Jefferson | 11 | $38,809 | $8,293 | $6,774 |
| Mercy HospitalBuffalo | 11 | $14,663 | $7,736 | $6,406 |
| United Health Services HospsBinghamton | 11 | $26,847 | $9,174 | $7,042 |
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 Catherine of Siena HospitalSmithtown, NY | $7,424 |
|---|---|
| Saratoga HospitalSaratoga Springs, NY | $7,428 |
| St Joseph's Hospital Health CenterSyracuse, NY | $7,505 |
| St Joseph HospitalBethpage, NY | $7,655 |
| Huntington HospitalHuntington, NY | $7,661 |
Highest
| Bellevue Hospital CenterNew York, NY | $35,961 |
|---|---|
| Elmhurst Hospital CenterNew York, NY | $29,250 |
| Jacobi Medical CenterBronx, NY | $22,873 |
| South Brooklyn HealthBrooklyn, NY | $16,288 |
| Montefiore Medical CenterBronx, NY | $15,950 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 without major complications (DRG 563) at 59 hospitals in New York was billed at $59,028 on average, while the average total payment was $11,387, of which Medicare paid $8,486. 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 5.2 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.