facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in New York: 35 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in New York

What 35 hospitals in New York charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $121,510 Hospital list price billed
Average payment $24,316 Medicare + patient + other payers
Medicare paid $18,584 Average per stay
State rank #44 of 44 1 = lowest average payment

Hospitals in New York billed an average of $121,510 for infectious and parasitic diseases with operating room procedures with complications, about 5.0 times the average total payment of $24,316. That payment is 28% above the U.S. average of $19,011.

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 $24,316Billed $121,510

About 20¢ 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: infectious and parasitic diseases with operating room procedures 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
New York-Presbyterian HospitalNew York 53 $203,438 $28,942 $24,141
NYU Hospitals CenterNew York 45 $225,083 $29,330 $22,270
St Peter's HospitalAlbany 37 $54,962 $17,537 $14,133
University HospitalStony Brook 29 $156,277 $27,167 $23,316
White Plains Hospital CtrWhite Plains 28 $104,957 $17,596 $16,242
Ellis HospitalSchenectady 26 $74,504 $18,656 $16,554
Staten Island University HospitalStaten Island 26 $87,785 $24,522 $18,983
North Shore University HospitalManhasset 24 $168,498 $31,264 $18,787
St Francis Hospital, RoslynRoslyn 24 $116,026 $19,346 $15,410
South Nassau Communities HospitalOceanside 22 $144,090 $22,084 $17,471
Strong Memorial HospitalRochester 22 $65,328 $33,342 $19,586
Long Island Jewish Medical CenterNew Hyde Park 20 $205,341 $29,817 $19,798
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 19 $187,410 $30,270 $17,755
Southside HospitalBay Shore 18 $115,045 $19,297 $17,704
Montefiore Medical CenterBronx 18 $152,033 $44,849 $20,706
Good Samaritan Hospital Medical CenterWest Islip 17 $85,675 $17,713 $16,080
Vassar Brothers Medical CenterPoughkeepsie 16 $80,012 $21,091 $18,361
Lenox Hill HospitalNew York 16 $174,347 $29,994 $20,715
Garnet Health Medical CenterGoshen 16 $100,323 $20,282 $17,823
St Joseph's Hospital Health CenterSyracuse 16 $51,447 $21,431 $14,500
Buffalo General HospitalBuffalo 14 $39,683 $24,554 $16,796
Huntington HospitalHuntington 14 $84,755 $18,106 $16,504
Mercy HospitalBuffalo 14 $64,349 $23,134 $13,899
Cayuga Medical Center at IthacaIthaca 14 $45,860 $18,164 $16,465
Plainview HospitalPlainview 13 $89,069 $19,221 $16,690
Albany Medical Center HospitalAlbany 12 $96,583 $21,356 $18,444
Long Island Community HospitalPatchogue 12 $203,292 $19,354 $17,467
Highland HospitalRochester 12 $51,680 $22,202 $15,323
Maimonides Medical CenterBrooklyn 12 $149,877 $29,081 $23,637
University Hospital S U N Y Health Science CenterSyracuse 12 $134,032 $26,382 $18,480
Northern Dutchess HospitalRhinebeck 11 $43,505 $20,317 $18,128
New York Hospital Medical Center of QueensNew York 11 $122,575 $21,627 $19,263
Rochester General HospitalRochester 11 $43,024 $21,316 $17,409
Mary Imogene Bassett HospitalCooperstown 11 $42,297 $23,448 $20,332
St Catherine of Siena HospitalSmithtown 11 $73,333 $16,949 $15,614
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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

St Catherine of Siena HospitalSmithtown, NY$16,949
St Peter's HospitalAlbany, NY$17,537
White Plains Hospital CtrWhite Plains, NY$17,596
Good Samaritan Hospital Medical CenterWest Islip, NY$17,713
Huntington HospitalHuntington, NY$18,106

Highest

Montefiore Medical CenterBronx, NY$44,849
Strong Memorial HospitalRochester, NY$33,342
North Shore University HospitalManhasset, NY$31,264
John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY$30,270
Lenox Hill HospitalNew York, NY$29,994

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in New York?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 35 hospitals in New York was billed at $121,510 on average, while the average total payment was $24,316, of which Medicare paid $18,584. 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 5.0 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.