Fractures of hip and pelvis without major complications in New York
What 42 hospitals in New York charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$55,855
Hospital list price billed
Average payment
$9,280
Medicare + patient + other payers
Medicare paid
$6,930
Average per stay
State rank
#36 of 37
1 = lowest average payment
Hospitals in New York billed an average of $55,855 for fractures of hip and pelvis without major complications, about 6.0 times the average total payment of $9,280. That payment is 22% above the U.S. average of $7,596.
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 $9,280Billed $55,855
About 17¢ 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: fractures of hip and pelvis 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 63 | $88,961 | $12,992 | $9,480 |
| University HospitalStony Brook | 62 | $82,575 | $10,814 | $8,200 |
| New York-Presbyterian HospitalNew York | 58 | $80,578 | $11,629 | $8,488 |
| North Shore University HospitalManhasset | 50 | $76,193 | $10,901 | $6,759 |
| Plainview HospitalPlainview | 33 | $34,041 | $6,929 | $5,333 |
| Huntington HospitalHuntington | 30 | $43,268 | $6,944 | $5,501 |
| Long Island Jewish Medical CenterNew Hyde Park | 30 | $57,386 | $9,923 | $7,511 |
| Staten Island University HospitalStaten Island | 29 | $43,401 | $9,499 | $7,539 |
| University Hospital S U N Y Health Science CenterSyracuse | 29 | $67,149 | $9,678 | $7,255 |
| White Plains Hospital CtrWhite Plains | 28 | $47,992 | $6,833 | $5,492 |
| Mount Sinai HospitalNew York | 27 | $40,146 | $10,311 | $7,802 |
| Wynn HospitalUtica | 26 | $30,649 | $8,049 | $5,552 |
| Peconic Bay Medical CenterRiverhead | 23 | $51,572 | $7,247 | $5,111 |
| Garnet Health Medical CenterGoshen | 23 | $54,124 | $8,785 | $6,322 |
| Westchester Medical CenterValhalla | 23 | $119,694 | $10,166 | $7,829 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 20 | $34,143 | $7,331 | $6,188 |
| Crouse HospitalSyracuse | 20 | $13,122 | $7,633 | $6,071 |
| Good Samaritan Hospital of SuffernSuffern | 19 | $77,696 | $6,976 | $5,860 |
| South Nassau Communities HospitalOceanside | 19 | $58,584 | $8,547 | $5,289 |
| Albany Medical Center HospitalAlbany | 18 | $36,250 | $9,060 | $6,925 |
| Mount Sinai WestNew York | 18 | $58,310 | $11,615 | $8,060 |
| St Peter's HospitalAlbany | 18 | $27,844 | $6,795 | $5,325 |
| St John's Riverside HospitalYonkers | 18 | $31,073 | $8,736 | $6,891 |
| Vassar Brothers Medical CenterPoughkeepsie | 17 | $31,712 | $8,831 | $6,594 |
| Good Samaritan Hospital Medical CenterWest Islip | 17 | $55,848 | $7,721 | $6,059 |
| Nyack HospitalNyack | 16 | $66,297 | $7,027 | $5,650 |
| Beth Israel Medical CenterNew York | 16 | $61,854 | $10,798 | $7,944 |
| St Francis Hospital, RoslynRoslyn | 16 | $53,855 | $7,476 | $5,440 |
| Southside HospitalBay Shore | 15 | $62,720 | $8,003 | $6,411 |
| New York Hospital Medical Center of QueensNew York | 15 | $44,699 | $9,375 | $7,499 |
| St Joseph's Hospital Health CenterSyracuse | 15 | $25,715 | $7,499 | $5,472 |
| Northern Westchester HospitalMt Kisco | 15 | $25,385 | $6,461 | $5,052 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 14 | $49,426 | $8,456 | $5,710 |
| Maimonides Medical CenterBrooklyn | 14 | $36,687 | $11,268 | $8,786 |
| St Joseph HospitalBethpage | 14 | $36,707 | $6,682 | $5,390 |
| Glen Cove HospitalGlen Cove | 13 | $33,736 | $7,688 | $6,770 |
| Saratoga HospitalSaratoga Springs | 13 | $29,782 | $6,268 | $5,104 |
| Jamaica Hospital Med CenterJamaica | 11 | $21,956 | $13,227 | $10,279 |
| Montefiore Medical CenterBronx | 11 | $88,212 | $13,242 | $9,055 |
| Lenox Hill HospitalNew York | 11 | $55,216 | $10,736 | $8,088 |
| Unity Hospital of RochesterRochester | 11 | $17,422 | $8,196 | $6,238 |
| St Catherine of Siena HospitalSmithtown | 11 | $37,299 | $6,621 | $5,286 |
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
| Saratoga HospitalSaratoga Springs, NY | $6,268 |
|---|---|
| Northern Westchester HospitalMt Kisco, NY | $6,461 |
| St Catherine of Siena HospitalSmithtown, NY | $6,621 |
| St Joseph HospitalBethpage, NY | $6,682 |
| St Peter's HospitalAlbany, NY | $6,795 |
Highest
| Montefiore Medical CenterBronx, NY | $13,242 |
|---|---|
| Jamaica Hospital Med CenterJamaica, NY | $13,227 |
| NYU Hospitals CenterNew York, NY | $12,992 |
| New York-Presbyterian HospitalNew York, NY | $11,629 |
| Mount Sinai WestNew York, NY | $11,615 |
Fractures of hip and pelvis without major complications in other states
Questions
How much does fractures of hip and pelvis without major complications cost in New York?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 42 hospitals in New York was billed at $55,855 on average, while the average total payment was $9,280, of which Medicare paid $6,930. 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 6.0 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.