facebook tracking Liver transplant with major complications or intestinal transplant cost in New York: 4 hospitals compared (DRG 005)

Liver transplant with major complications or intestinal transplant in New York

What 4 hospitals in New York charged and were paid for a Medicare hospital stay for liver transplant with major complications or intestinal transplant (DRG 005), from 2024 Medicare claims.

DRG 005 Inpatient 2024 Medicare data
Average charge $1,061,133 Hospital list price billed
Average payment $174,459 Medicare + patient + other payers
Medicare paid $131,013 Average per stay
State rank #5 of 6 1 = lowest average payment

Hospitals in New York billed an average of $1,061,133 for liver transplant with major complications or intestinal transplant, about 6.1 times the average total payment of $174,459. That payment is 12% above the U.S. average of $155,730.

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 $174,459Billed $1,061,133

About 16¢ 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: liver transplant with major complications or intestinal transplant

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 25 $951,204 $180,090 $133,426
Mount Sinai HospitalNew York 19 $970,510 $199,774 $135,097
North Shore University HospitalManhasset 12 $953,330 $114,782 $105,933
NYU Hospitals CenterNew York 11 $1,585,104 $183,039 $145,834
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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

North Shore University HospitalManhasset, NY$114,782
New York-Presbyterian HospitalNew York, NY$180,090
NYU Hospitals CenterNew York, NY$183,039
Mount Sinai HospitalNew York, NY$199,774

Highest

Mount Sinai HospitalNew York, NY$199,774
NYU Hospitals CenterNew York, NY$183,039
New York-Presbyterian HospitalNew York, NY$180,090
North Shore University HospitalManhasset, NY$114,782

Liver transplant with major complications or intestinal transplant in other states

Questions

How much does liver transplant with major complications or intestinal transplant cost in New York?

In 2024 Medicare data, a hospital stay for liver transplant with major complications or intestinal transplant (DRG 005) at 4 hospitals in New York was billed at $1,061,133 on average, while the average total payment was $174,459, of which Medicare paid $131,013. 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 6.1 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.