Lower extremity and humerus procedures except hip, foot and femur without complications in New York
What 9 hospitals in New York charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494), from 2024 Medicare claims.
Average charge
$98,251
Hospital list price billed
Average payment
$23,257
Medicare + patient + other payers
Medicare paid
$17,460
Average per stay
State rank
#13 of 13
1 = lowest average payment
Hospitals in New York billed an average of $98,251 for lower extremity and humerus procedures except hip, foot and femur without complications, about 4.2 times the average total payment of $23,257. That payment is 28% above the U.S. average of $18,176.
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 $23,257Billed $98,251
About 24¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: lower extremity and humerus procedures except hip, foot and femur without 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 |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 29 | $133,446 | $27,739 | $16,894 |
| University HospitalStony Brook | 25 | $106,027 | $23,875 | $19,402 |
| North Shore University HospitalManhasset | 23 | $116,896 | $20,402 | $17,546 |
| Good Samaritan Hospital Medical CenterWest Islip | 19 | $67,905 | $20,087 | $13,379 |
| New York-Presbyterian HospitalNew York | 17 | $106,234 | $23,494 | $20,682 |
| Albany Medical Center HospitalAlbany | 16 | $51,893 | $20,054 | $18,032 |
| Erie County Medical CenterBuffalo | 16 | $39,310 | $22,870 | $16,280 |
| Mount Sinai WestNew York | 11 | $144,676 | $27,940 | $19,507 |
| University Hospital S U N Y Health Science CenterSyracuse | 11 | $95,626 | $21,653 | $15,264 |
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
| Albany Medical Center HospitalAlbany, NY | $20,054 |
|---|---|
| Good Samaritan Hospital Medical CenterWest Islip, NY | $20,087 |
| North Shore University HospitalManhasset, NY | $20,402 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $21,653 |
| Erie County Medical CenterBuffalo, NY | $22,870 |
Highest
| Mount Sinai WestNew York, NY | $27,940 |
|---|---|
| Hospital for Special SurgeryNew York, NY | $27,739 |
| University HospitalStony Brook, NY | $23,875 |
| New York-Presbyterian HospitalNew York, NY | $23,494 |
| Erie County Medical CenterBuffalo, NY | $22,870 |
Lower extremity and humerus procedures except hip, foot and femur without complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur without complications cost in New York?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494) at 9 hospitals in New York was billed at $98,251 on average, while the average total payment was $23,257, of which Medicare paid $17,460. 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 4.2 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.