Implantation of Drug Infusion Device in New York
What 19 hospitals in New York charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$141,819
Hospital list price billed
Average allowed
$19,496
Medicare's payment + patient's share
Medicare paid
$17,864
Average per service
State rank
#31 of 32
1 = lowest average payment
Hospitals in New York billed an average of $141,819 for implantation of drug infusion device, about 7.3 times the average medicare-allowed amount of $19,496. That payment is 18% above the U.S. average of $16,462.
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 $19,496Billed $141,819
About 14¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: implantation of drug infusion device
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 15 | $188,810 | $18,807 | $17,175 |
| Westchester Medical CenterValhalla | 15 | $94,829 | $20,185 | $18,553 |
| Buffalo General HospitalBuffalo | – | – | – | – |
| Albany Medical Center HospitalAlbany | – | – | – | – |
| Mount Sinai HospitalNew York | – | – | – | – |
| Montefiore Medical CenterBronx | – | – | – | – |
| New York-Presbyterian HospitalNew York | – | – | – | – |
| Kenmore Mercy HospitalBuffalo | – | – | – | – |
| North Shore University HospitalManhasset | – | – | – | – |
| Lenox Hill HospitalNew York | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Long Island Jewish Medical CenterNew Hyde Park | – | – | – | – |
| South Nassau Communities HospitalOceanside | – | – | – | – |
| Crouse HospitalSyracuse | – | – | – | – |
| Unity Hospital of RochesterRochester | – | – | – | – |
| University Hospital S U N Y Health Science CenterSyracuse | – | – | – | – |
| St Charles HospitalPort Jefferson | – | – | – | – |
| Strong Memorial HospitalRochester | – | – | – | – |
| University HospitalStony Brook | – | – | – | – |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in New York?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 19 hospitals in New York was billed at $141,819 on average, while the average medicare-allowed amount was $19,496, of which Medicare paid $17,864. 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 service in New York, average charges were 7.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.