Hip replacement with principal diagnosis of hip fracture without major complications in New York
What 67 hospitals in New York charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$112,486
Hospital list price billed
Average payment
$23,438
Medicare + patient + other payers
Medicare paid
$19,807
Average per stay
State rank
#47 of 50
1 = lowest average payment
Hospitals in New York billed an average of $112,486 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.8 times the average total payment of $23,438. That payment is 28% above the U.S. average of $18,301.
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 $23,438Billed $112,486
About 21¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 143 | $146,795 | $28,345 | $22,984 |
| NYU Hospitals CenterNew York | 101 | $236,070 | $29,210 | $23,281 |
| University HospitalStony Brook | 70 | $157,169 | $26,961 | $23,142 |
| North Shore University HospitalManhasset | 69 | $138,280 | $26,809 | $19,088 |
| Maimonides Medical CenterBrooklyn | 49 | $109,947 | $27,141 | $23,754 |
| Staten Island University HospitalStaten Island | 46 | $117,224 | $24,835 | $20,805 |
| Huntington HospitalHuntington | 44 | $92,481 | $17,836 | $16,154 |
| Long Island Jewish Medical CenterNew Hyde Park | 38 | $127,659 | $25,371 | $20,928 |
| Southside HospitalBay Shore | 37 | $102,811 | $20,473 | $18,731 |
| St Peter's HospitalAlbany | 37 | $60,259 | $18,272 | $15,969 |
| Wynn HospitalUtica | 36 | $68,757 | $19,085 | $17,010 |
| South Nassau Communities HospitalOceanside | 36 | $118,073 | $21,342 | $18,999 |
| White Plains Hospital CtrWhite Plains | 36 | $122,158 | $18,119 | $16,714 |
| Mount Sinai WestNew York | 35 | $134,149 | $28,145 | $23,264 |
| Good Samaritan Hospital Medical CenterWest Islip | 35 | $129,742 | $19,311 | $17,527 |
| Buffalo General HospitalBuffalo | 34 | $66,545 | $24,393 | $18,798 |
| New York Hospital Medical Center of QueensNew York | 34 | $96,764 | $23,292 | $21,043 |
| University Hospital S U N Y Health Science CenterSyracuse | 33 | $127,386 | $25,087 | $18,729 |
| Garnet Health Medical CenterGoshen | 32 | $97,469 | $22,975 | $18,634 |
| Albany Medical Center HospitalAlbany | 31 | $66,179 | $22,479 | $20,007 |
| St Francis Hospital, RoslynRoslyn | 29 | $114,137 | $17,764 | $16,162 |
| Peconic Bay Medical CenterRiverhead | 26 | $105,301 | $17,879 | $15,619 |
| Cayuga Medical Center at IthacaIthaca | 26 | $45,732 | $19,340 | $17,423 |
| Nyack HospitalNyack | 25 | $101,742 | $18,525 | $16,959 |
| Highland HospitalRochester | 24 | $48,505 | $20,584 | $18,541 |
| South Brooklyn HealthBrooklyn | 24 | $91,458 | $31,810 | $27,060 |
| Westchester Medical CenterValhalla | 24 | $261,981 | $26,636 | $23,784 |
| St Joseph HospitalBethpage | 23 | $110,177 | $17,662 | $16,155 |
| Montefiore Medical CenterBronx | 22 | $162,176 | $29,625 | $25,387 |
| Good Samaritan Hospital of SuffernSuffern | 22 | $167,963 | $20,189 | $16,284 |
| Glens Falls HospitalGlens Falls | 22 | $53,561 | $17,418 | $16,009 |
| Mary Imogene Bassett HospitalCooperstown | 21 | $53,318 | $24,044 | $21,552 |
| Long Island Community HospitalPatchogue | 21 | $252,599 | $19,934 | $18,271 |
| St Joseph's Hospital Health CenterSyracuse | 20 | $61,518 | $18,850 | $16,878 |
| Strong Memorial HospitalRochester | 20 | $55,571 | $28,711 | $18,093 |
| Vassar Brothers Medical CenterPoughkeepsie | 19 | $65,725 | $25,258 | $19,219 |
| Healthalliance Hospital Marys Avenue CampusKingston | 19 | $125,959 | $18,735 | $16,847 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 19 | $63,944 | $21,890 | $20,252 |
| Cornwall HospitalCornwall | 19 | $106,928 | $19,454 | $17,528 |
| Glen Cove HospitalGlen Cove | 17 | $87,917 | $20,794 | $19,088 |
| Hudson Valley Hospital CenterCortlandt Manor | 17 | $80,851 | $22,335 | $15,927 |
| Mercy HospitalBuffalo | 17 | $51,811 | $18,428 | $16,789 |
| Northern Westchester HospitalMt Kisco | 16 | $82,360 | $18,027 | $16,346 |
| Erie County Medical CenterBuffalo | 16 | $51,673 | $24,093 | $20,420 |
| Jamaica Hospital Med CenterJamaica | 15 | $39,125 | $27,088 | $22,122 |
| Northern Dutchess HospitalRhinebeck | 15 | $60,380 | $21,193 | $18,817 |
| Jacobi Medical CenterBronx | 15 | $75,837 | $36,705 | $27,957 |
| Saratoga HospitalSaratoga Springs | 15 | $67,824 | $16,836 | $15,357 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 14 | $67,438 | $19,670 | $18,387 |
| Auburn Memorial HospitalAuburn | 14 | $33,948 | $18,317 | $17,034 |
| Corning HospitalCorning | 14 | $63,377 | $17,368 | $15,824 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 13 | $66,701 | $19,648 | $17,873 |
| Arnot Ogden Medical CenterElmira | 13 | $55,480 | $24,786 | $21,105 |
| Crouse HospitalSyracuse | 13 | $37,741 | $19,243 | $15,905 |
| Nassau University Medical CenterEast Meadow | 12 | $107,943 | $28,482 | $25,224 |
| Rochester General HospitalRochester | 12 | $46,049 | $21,938 | $19,776 |
| Ellis HospitalSchenectady | 12 | $55,894 | $18,660 | $17,139 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 12 | $110,827 | $22,175 | $19,291 |
| Rome Memorial Hospital, INCRome | 12 | $64,613 | $18,904 | $15,472 |
| Phelps Memorial Hospital AssnSleepy Hollow | 12 | $135,302 | $20,978 | $18,822 |
| Putnam Hospital CenterCarmel | 12 | $77,829 | $16,923 | $15,270 |
| St Catherine of Siena HospitalSmithtown | 12 | $114,126 | $17,510 | $16,286 |
| Mount Sinai HospitalNew York | 11 | $128,903 | $34,435 | $22,824 |
| Kenmore Mercy HospitalBuffalo | 11 | $37,630 | $18,342 | $13,917 |
| Lenox Hill HospitalNew York | 11 | $130,681 | $25,798 | $22,512 |
| Elmhurst Hospital CenterNew York | 11 | $105,777 | $41,728 | $38,320 |
| Canton-Potsdam HospitalPotsdam | 11 | $37,156 | $17,727 | $16,041 |
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 | $16,836 |
|---|---|
| Putnam Hospital CenterCarmel, NY | $16,923 |
| Corning HospitalCorning, NY | $17,368 |
| Glens Falls HospitalGlens Falls, NY | $17,418 |
| St Catherine of Siena HospitalSmithtown, NY | $17,510 |
Highest
| Elmhurst Hospital CenterNew York, NY | $41,728 |
|---|---|
| Jacobi Medical CenterBronx, NY | $36,705 |
| Mount Sinai HospitalNew York, NY | $34,435 |
| South Brooklyn HealthBrooklyn, NY | $31,810 |
| Montefiore Medical CenterBronx, NY | $29,625 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in New York?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 67 hospitals in New York was billed at $112,486 on average, while the average total payment was $23,438, of which Medicare paid $19,807. 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.