facebook tracking Hip and femur procedures except major joint with complications cost in New York: 86 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in New York

What 86 hospitals in New York charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $114,705 Hospital list price billed
Average payment $23,676 Medicare + patient + other payers
Medicare paid $20,172 Average per stay
State rank #47 of 50 1 = lowest average payment

Hospitals in New York billed an average of $114,705 for hip and femur procedures except major joint with complications, about 4.8 times the average total payment of $23,676. That payment is 28% above the U.S. average of $18,473.

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 $23,676Billed $114,705

About 21¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: hip and femur procedures except major joint 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 216 $218,662 $28,575 $23,163
New York-Presbyterian HospitalNew York 214 $156,488 $27,376 $22,359
University HospitalStony Brook 167 $162,985 $26,404 $22,672
North Shore University HospitalManhasset 162 $131,967 $23,170 $19,873
Maimonides Medical CenterBrooklyn 91 $110,352 $27,831 $24,173
South Nassau Communities HospitalOceanside 83 $129,145 $21,143 $18,209
White Plains Hospital CtrWhite Plains 74 $110,868 $19,446 $15,975
Staten Island University HospitalStaten Island 72 $111,214 $24,191 $20,010
Long Island Jewish Medical CenterNew Hyde Park 72 $135,884 $23,603 $21,099
Westchester Medical CenterValhalla 72 $260,870 $25,051 $21,649
Albany Medical Center HospitalAlbany 71 $69,524 $22,690 $20,119
Garnet Health Medical CenterGoshen 67 $101,425 $22,493 $18,106
Good Samaritan Hospital Medical CenterWest Islip 67 $125,811 $19,561 $17,066
Southside HospitalBay Shore 64 $106,294 $19,667 $17,882
Mount Sinai WestNew York 64 $156,009 $28,202 $23,753
University Hospital S U N Y Health Science CenterSyracuse 62 $135,024 $22,964 $19,725
Erie County Medical CenterBuffalo 54 $52,459 $24,279 $19,267
St Francis Hospital, RoslynRoslyn 53 $104,364 $17,783 $16,344
New York Hospital Medical Center of QueensNew York 52 $101,187 $22,241 $19,962
Huntington HospitalHuntington 51 $90,193 $19,558 $15,155
United Health Services HospsBinghamton 49 $60,961 $19,572 $17,590
Vassar Brothers Medical CenterPoughkeepsie 44 $67,121 $22,616 $20,010
Buffalo General HospitalBuffalo 43 $58,203 $21,940 $19,553
Montefiore Medical CenterBronx 43 $171,278 $30,503 $22,254
Lenox Hill HospitalNew York 41 $147,192 $25,405 $21,638
Wynn HospitalUtica 40 $76,136 $18,190 $16,224
St Peter's HospitalAlbany 40 $58,560 $17,690 $16,105
Peconic Bay Medical CenterRiverhead 39 $100,299 $18,571 $16,299
Jacobi Medical CenterBronx 38 $79,126 $38,889 $29,443
Mary Imogene Bassett HospitalCooperstown 38 $51,723 $23,041 $20,645
Nyack HospitalNyack 37 $96,500 $18,081 $16,626
Highland HospitalRochester 37 $54,868 $19,531 $17,621
Crouse HospitalSyracuse 37 $46,499 $18,582 $15,966
Glens Falls HospitalGlens Falls 35 $46,533 $17,070 $15,624
Bellevue Hospital CenterNew York 35 $73,664 $49,960 $41,350
Strong Memorial HospitalRochester 33 $64,223 $28,276 $20,790
Jamaica Hospital Med CenterJamaica 32 $44,566 $27,660 $23,772
Healthalliance Hospital Marys Avenue CampusKingston 32 $129,077 $19,228 $17,057
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 30 $92,738 $20,366 $17,348
South Brooklyn HealthBrooklyn 30 $82,489 $30,045 $27,001
Hudson Valley Hospital CenterCortlandt Manor 30 $83,816 $18,674 $15,965
Long Island Community HospitalPatchogue 28 $204,503 $18,926 $17,149
Cornwall HospitalCornwall 28 $115,001 $19,304 $17,476
St Joseph HospitalBethpage 28 $90,293 $17,360 $15,826
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 27 $68,064 $21,548 $19,695
Hospital for Special SurgeryNew York 27 $181,868 $38,865 $29,119
Good Samaritan Hospital of SuffernSuffern 26 $170,784 $18,440 $17,122
Northern Westchester HospitalMt Kisco 26 $76,039 $16,461 $14,971
Glen Cove HospitalGlen Cove 26 $86,392 $20,704 $16,440
Elmhurst Hospital CenterNew York 25 $103,602 $41,399 $36,718
St Joseph's Hospital Health CenterSyracuse 25 $61,048 $18,647 $16,606
Plainview HospitalPlainview 25 $89,988 $20,745 $18,049
New York Community Hospital of Brooklyn, INC.Brooklyn 23 $72,843 $18,472 $17,266
Mount Sinai HospitalNew York 22 $151,034 $31,726 $25,230
Nassau University Medical CenterEast Meadow 21 $102,132 $28,505 $24,924
Unity Hospital of RochesterRochester 21 $43,177 $19,491 $17,625
Phelps Memorial Hospital AssnSleepy Hollow 20 $108,070 $20,423 $18,183
St Catherine of Siena HospitalSmithtown 20 $104,625 $17,218 $15,586
Richmond University Medical CenterStaten Island 19 $138,870 $25,365 $22,351
Ellis HospitalSchenectady 19 $57,914 $20,066 $15,656
Samaritan Medical CenterWatertown 19 $48,780 $23,951 $22,429
Mercy HospitalBuffalo 19 $40,574 $17,575 $15,998
Our Lady of Lourdes Memorial Hospital, INCBinghamton 18 $67,427 $19,264 $17,541
Kenmore Mercy HospitalBuffalo 18 $40,888 $17,461 $16,012
Saratoga HospitalSaratoga Springs 18 $69,072 $17,794 $16,184
Putnam Hospital CenterCarmel 18 $70,433 $16,850 $15,277
Rome Memorial Hospital, INCRome 17 $57,186 $17,594 $16,154
St Charles HospitalPort Jefferson 17 $86,268 $18,682 $17,388
Columbia Memorial HospitalHudson 16 $38,710 $18,064 $16,636
Rochester General HospitalRochester 16 $49,637 $21,569 $19,246
Samaritan HospitalTroy 16 $42,465 $17,883 $16,339
Cayuga Medical Center at IthacaIthaca 16 $52,162 $18,510 $16,647
Northern Dutchess HospitalRhinebeck 15 $53,815 $20,745 $18,283
Canton-Potsdam HospitalPotsdam 15 $40,350 $17,394 $15,825
Kings County Hospital CenterBrooklyn 15 $113,243 $49,728 $35,182
Corning HospitalCorning 14 $60,733 $17,420 $14,213
Garnet Health Medical Center CatskillsHarris 14 $92,944 $19,714 $18,036
F F Thompson HospitalCanandaigua 13 $41,286 $18,599 $14,114
Arnot Ogden Medical CenterElmira 13 $49,533 $25,048 $21,115
Beth Israel Medical CenterNew York 13 $145,785 $26,583 $22,516
St John's Riverside HospitalYonkers 13 $88,785 $22,479 $20,179
Mercy Medical CenterRockville Centre 13 $92,005 $15,931 $14,995
Olean General HospitalOlean 12 $37,058 $17,095 $15,521
Brooklyn Hospital Center at Downtown CampusBrooklyn 11 $162,392 $34,035 $26,057
Adirondack Medical CenterSaranac Lake 11 $48,442 $19,585 $17,953
Brookdale Hospital Medical CenterBrooklyn 11 $80,746 $30,673 $25,929
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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

Mercy Medical CenterRockville Centre, NY$15,931
Northern Westchester HospitalMt Kisco, NY$16,461
Putnam Hospital CenterCarmel, NY$16,850
Glens Falls HospitalGlens Falls, NY$17,070
Olean General HospitalOlean, NY$17,095

Highest

Bellevue Hospital CenterNew York, NY$49,960
Kings County Hospital CenterBrooklyn, NY$49,728
Elmhurst Hospital CenterNew York, NY$41,399
Jacobi Medical CenterBronx, NY$38,889
Hospital for Special SurgeryNew York, NY$38,865

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in New York?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 86 hospitals in New York was billed at $114,705 on average, while the average total payment was $23,676, of which Medicare paid $20,172. 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 4.8 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.