Hip and femur procedures except major joint with major complications in New York
What 42 hospitals in New York charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$182,691
Hospital list price billed
Average payment
$34,260
Medicare + patient + other payers
Medicare paid
$30,007
Average per stay
State rank
#44 of 46
1 = lowest average payment
Hospitals in New York billed an average of $182,691 for hip and femur procedures except major joint with major complications, about 5.3 times the average total payment of $34,260. That payment is 30% above the U.S. average of $26,284.
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 $34,260Billed $182,691
About 19¢ 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:
New York hospitals: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 173 | $280,644 | $39,649 | $34,335 |
| New York-Presbyterian HospitalNew York | 90 | $237,066 | $40,267 | $33,702 |
| Mount Sinai WestNew York | 58 | $199,217 | $38,920 | $34,645 |
| Huntington HospitalHuntington | 47 | $132,034 | $25,471 | $23,815 |
| University HospitalStony Brook | 45 | $245,366 | $38,364 | $34,271 |
| Albany Medical Center HospitalAlbany | 38 | $113,004 | $33,620 | $27,573 |
| North Shore University HospitalManhasset | 38 | $206,711 | $35,300 | $30,380 |
| South Nassau Communities HospitalOceanside | 35 | $182,306 | $28,679 | $26,388 |
| Staten Island University HospitalStaten Island | 33 | $190,896 | $35,604 | $32,519 |
| Long Island Jewish Medical CenterNew Hyde Park | 33 | $189,746 | $32,386 | $29,112 |
| White Plains Hospital CtrWhite Plains | 31 | $147,497 | $23,337 | $22,180 |
| Westchester Medical CenterValhalla | 28 | $272,287 | $32,929 | $29,721 |
| New York Hospital Medical Center of QueensNew York | 27 | $138,612 | $32,997 | $30,354 |
| Mount Sinai HospitalNew York | 26 | $204,892 | $45,308 | $36,711 |
| Garnet Health Medical CenterGoshen | 26 | $108,609 | $28,566 | $26,513 |
| University Hospital S U N Y Health Science CenterSyracuse | 25 | $189,324 | $39,172 | $30,475 |
| Maimonides Medical CenterBrooklyn | 24 | $202,391 | $41,488 | $36,402 |
| Erie County Medical CenterBuffalo | 24 | $69,584 | $32,513 | $27,998 |
| Strong Memorial HospitalRochester | 23 | $130,764 | $44,327 | $35,632 |
| Good Samaritan Hospital Medical CenterWest Islip | 23 | $201,521 | $26,785 | $25,096 |
| Southside HospitalBay Shore | 22 | $131,549 | $26,487 | $25,051 |
| Vassar Brothers Medical CenterPoughkeepsie | 20 | $81,214 | $31,410 | $28,239 |
| St Peter's HospitalAlbany | 20 | $87,040 | $23,046 | $21,405 |
| Lenox Hill HospitalNew York | 20 | $215,314 | $36,743 | $32,052 |
| Northern Westchester HospitalMt Kisco | 19 | $111,254 | $22,970 | $21,195 |
| Montefiore Medical CenterBronx | 18 | $207,869 | $38,342 | $33,351 |
| Wynn HospitalUtica | 16 | $113,770 | $26,851 | $24,245 |
| Plainview HospitalPlainview | 16 | $102,700 | $27,307 | $24,654 |
| Long Island Community HospitalPatchogue | 15 | $245,372 | $25,373 | $23,875 |
| Bellevue Hospital CenterNew York | 15 | $125,842 | $65,663 | $53,273 |
| Hudson Valley Hospital CenterCortlandt Manor | 15 | $135,763 | $26,657 | $25,353 |
| Buffalo General HospitalBuffalo | 14 | $111,257 | $29,891 | $26,478 |
| St Joseph's Hospital Health CenterSyracuse | 14 | $72,684 | $27,177 | $21,986 |
| Good Samaritan Hospital of SuffernSuffern | 14 | $202,088 | $25,282 | $24,002 |
| Nyack HospitalNyack | 13 | $157,400 | $24,902 | $23,772 |
| Jacobi Medical CenterBronx | 13 | $113,655 | $52,226 | $40,645 |
| Glen Cove HospitalGlen Cove | 13 | $103,064 | $28,648 | $21,599 |
| St Francis Hospital, RoslynRoslyn | 13 | $129,448 | $24,087 | $23,187 |
| St Joseph HospitalBethpage | 12 | $125,679 | $23,578 | $22,327 |
| United Health Services HospsBinghamton | 12 | $78,785 | $28,678 | $26,536 |
| Ellis HospitalSchenectady | 11 | $65,631 | $23,002 | $21,056 |
| Mercy HospitalBuffalo | 11 | $66,764 | $24,039 | $22,427 |
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
| Northern Westchester HospitalMt Kisco, NY | $22,970 |
|---|---|
| Ellis HospitalSchenectady, NY | $23,002 |
| St Peter's HospitalAlbany, NY | $23,046 |
| White Plains Hospital CtrWhite Plains, NY | $23,337 |
| St Joseph HospitalBethpage, NY | $23,578 |
Highest
| Bellevue Hospital CenterNew York, NY | $65,663 |
|---|---|
| Jacobi Medical CenterBronx, NY | $52,226 |
| Mount Sinai HospitalNew York, NY | $45,308 |
| Strong Memorial HospitalRochester, NY | $44,327 |
| Maimonides Medical CenterBrooklyn, NY | $41,488 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in New York?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 42 hospitals in New York was billed at $182,691 on average, while the average total payment was $34,260, of which Medicare paid $30,007. 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 5.3 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.