What 15 hospitals in New York charged and were paid for a Medicare hospital stay for heart failure and shock with complications (DRG 292), from 2024 Medicare claims.
Hospitals in New York billed an average of $69,791 for heart failure and shock with complications, about 6.4 times the average total payment of $10,971. That payment is 15% above the U.S. average of $9,533.
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.
About 16¢ 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:
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 | 41 | $102,624 | $14,324 | $9,194 |
| University HospitalStony Brook | 26 | $66,490 | $11,596 | $8,946 |
| St Francis Hospital, RoslynRoslyn | 20 | $44,712 | $7,456 | $6,321 |
| NYU Hospitals CenterNew York | 19 | $109,481 | $14,118 | $9,795 |
| Strong Memorial HospitalRochester | 16 | $31,161 | $10,740 | $9,001 |
| North Shore University HospitalManhasset | 15 | $76,387 | $10,728 | $8,400 |
| Buffalo General HospitalBuffalo | 14 | $29,479 | $9,736 | $7,531 |
| Staten Island University HospitalStaten Island | 14 | $63,355 | $10,570 | $9,012 |
| Peconic Bay Medical CenterRiverhead | 13 | $59,963 | $9,018 | $7,298 |
| Healthalliance Hospital Marys Avenue CampusKingston | 13 | $76,838 | $7,695 | $6,681 |
| Long Island Jewish Medical CenterNew Hyde Park | 12 | $71,501 | $10,986 | $8,814 |
| Westchester Medical CenterValhalla | 12 | $117,761 | $10,995 | $8,744 |
| University Hospital S U N Y Health Science CenterSyracuse | 12 | $80,030 | $10,775 | $8,170 |
| St Joseph's Hospital Health CenterSyracuse | 11 | $32,901 | $9,824 | $5,994 |
| Crouse HospitalSyracuse | 11 | $13,752 | $8,187 | $6,774 |
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.
| St Francis Hospital, RoslynRoslyn, NY | $7,456 |
|---|---|
| Healthalliance Hospital Marys Avenue CampusKingston, NY | $7,695 |
| Crouse HospitalSyracuse, NY | $8,187 |
| Peconic Bay Medical CenterRiverhead, NY | $9,018 |
| Buffalo General HospitalBuffalo, NY | $9,736 |
| New York-Presbyterian HospitalNew York, NY | $14,324 |
|---|---|
| NYU Hospitals CenterNew York, NY | $14,118 |
| University HospitalStony Brook, NY | $11,596 |
| Westchester Medical CenterValhalla, NY | $10,995 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $10,986 |
In 2024 Medicare data, a hospital stay for heart failure and shock with complications (DRG 292) at 15 hospitals in New York was billed at $69,791 on average, while the average total payment was $10,971, of which Medicare paid $8,251. Your own cost depends on your insurance, deductible and the hospital.
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 6.4 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.