facebook tracking Hip replacement with principal diagnosis of hip fracture with major complications cost in New York: 24 hospitals compared (DRG 521)

Hip replacement with principal diagnosis of hip fracture with major complications in New York

What 24 hospitals in New York charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.

DRG 521 Inpatient 2024 Medicare data
Average charge $208,618 Hospital list price billed
Average payment $35,599 Medicare + patient + other payers
Medicare paid $30,955 Average per stay
State rank #40 of 40 1 = lowest average payment

Hospitals in New York billed an average of $208,618 for hip replacement with principal diagnosis of hip fracture with major complications, about 5.9 times the average total payment of $35,599. That payment is 38% above the U.S. average of $25,727.

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 $35,599Billed $208,618

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:

Major complications $35,599 DRG 521 · this page No major complications $18,301 DRG 522 · U.S. average

New York hospitals: hip replacement with principal diagnosis of hip fracture 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 78 $330,842 $45,577 $37,639
New York-Presbyterian HospitalNew York 55 $227,511 $36,458 $32,145
North Shore University HospitalManhasset 30 $185,462 $31,994 $28,048
Huntington HospitalHuntington 25 $121,534 $24,837 $23,200
Long Island Jewish Medical CenterNew Hyde Park 23 $255,758 $39,088 $35,056
Mount Sinai WestNew York 20 $180,758 $37,220 $33,401
South Nassau Communities HospitalOceanside 20 $183,375 $27,977 $25,528
University HospitalStony Brook 20 $293,699 $50,232 $44,742
Vassar Brothers Medical CenterPoughkeepsie 19 $94,212 $32,379 $29,275
St Peter's HospitalAlbany 19 $82,708 $25,974 $21,979
Long Island Community HospitalPatchogue 17 $308,123 $25,653 $23,752
White Plains Hospital CtrWhite Plains 17 $135,435 $24,012 $22,956
Staten Island University HospitalStaten Island 16 $161,224 $31,116 $28,439
Lenox Hill HospitalNew York 14 $178,294 $35,713 $31,427
Strong Memorial HospitalRochester 14 $85,218 $42,309 $31,015
New York Hospital Medical Center of QueensNew York 13 $153,927 $32,902 $29,934
Highland HospitalRochester 13 $62,194 $26,022 $24,101
University Hospital S U N Y Health Science CenterSyracuse 13 $239,020 $37,678 $33,521
Good Samaritan Hospital Medical CenterWest Islip 13 $253,779 $34,662 $32,800
Albany Medical Center HospitalAlbany 12 $92,256 $38,200 $25,018
Mount Sinai HospitalNew York 11 $140,951 $39,220 $32,823
Peconic Bay Medical CenterRiverhead 11 $169,851 $27,936 $25,128
Maimonides Medical CenterBrooklyn 11 $218,224 $39,393 $34,276
Westchester Medical CenterValhalla 11 $362,966 $35,702 $31,025
Hip replacement with principal diagnosis of hip fracture with major complications: all states All New York hospitals New York hospital finances
Advertisement

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

White Plains Hospital CtrWhite Plains, NY$24,012
Huntington HospitalHuntington, NY$24,837
Long Island Community HospitalPatchogue, NY$25,653
St Peter's HospitalAlbany, NY$25,974
Highland HospitalRochester, NY$26,022

Highest

University HospitalStony Brook, NY$50,232
NYU Hospitals CenterNew York, NY$45,577
Strong Memorial HospitalRochester, NY$42,309
Maimonides Medical CenterBrooklyn, NY$39,393
Mount Sinai HospitalNew York, NY$39,220

Hip replacement with principal diagnosis of hip fracture with major complications in other states

Alaska · $31,834 California · $33,000 Connecticut · $31,079 Hawaii · $33,768 Maryland · $33,588 Massachusetts · $29,893 New Hampshire · $35,447 Oregon · $30,537

Questions

How much does hip replacement with principal diagnosis of hip fracture with major complications cost in New York?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 24 hospitals in New York was billed at $208,618 on average, while the average total payment was $35,599, of which Medicare paid $30,955. 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 5.9 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.