facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in New York: 28 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in New York

What 28 hospitals in New York charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $75,126 Hospital list price billed
Average payment $13,277 Medicare + patient + other payers
Medicare paid $9,664 Average per stay
State rank #34 of 34 1 = lowest average payment

Hospitals in New York billed an average of $75,126 for major gastrointestinal disorders and peritoneal infections with complications, about 5.7 times the average total payment of $13,277. That payment is 31% above the U.S. average of $10,109.

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 $13,277Billed $75,126

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: major gastrointestinal disorders and peritoneal infections 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
NYU Hospitals CenterNew York 89 $94,084 $15,793 $11,482
New York-Presbyterian HospitalNew York 63 $77,066 $17,167 $10,249
University HospitalStony Brook 61 $100,011 $14,544 $11,494
Montefiore Medical CenterBronx 33 $118,022 $20,040 $11,237
North Shore University HospitalManhasset 32 $96,231 $13,347 $9,450
St Francis Hospital, RoslynRoslyn 30 $74,064 $9,079 $7,700
Staten Island University HospitalStaten Island 25 $62,936 $12,796 $10,641
South Nassau Communities HospitalOceanside 22 $83,455 $11,763 $8,717
White Plains Hospital CtrWhite Plains 21 $55,593 $9,217 $7,818
St Catherine of Siena HospitalSmithtown 21 $61,643 $9,387 $7,586
University Hospital S U N Y Health Science CenterSyracuse 19 $67,945 $15,023 $9,398
Vassar Brothers Medical CenterPoughkeepsie 18 $24,554 $11,387 $9,631
Mount Sinai HospitalNew York 17 $60,105 $16,864 $11,099
Garnet Health Medical CenterGoshen 17 $94,296 $11,640 $9,426
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 16 $85,340 $11,964 $8,775
Buffalo General HospitalBuffalo 15 $31,172 $12,419 $8,928
Crouse HospitalSyracuse 15 $35,861 $10,315 $8,498
Hudson Valley Hospital CenterCortlandt Manor 14 $57,687 $9,268 $7,898
Good Samaritan Hospital Medical CenterWest Islip 14 $77,630 $10,047 $9,203
St Joseph HospitalBethpage 14 $53,566 $8,752 $7,683
St Peter's HospitalAlbany 13 $23,674 $8,787 $7,808
Huntington HospitalHuntington 12 $55,330 $13,524 $6,244
Long Island Community HospitalPatchogue 12 $86,224 $10,014 $8,924
Long Island Jewish Medical CenterNew Hyde Park 12 $66,401 $12,467 $10,165
Albany Medical Center HospitalAlbany 11 $30,279 $13,522 $9,273
Northern Westchester HospitalMt Kisco 11 $33,996 $7,941 $6,598
Cornwall HospitalCornwall 11 $73,404 $9,967 $8,668
Plainview HospitalPlainview 11 $60,816 $10,923 $8,423
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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

Northern Westchester HospitalMt Kisco, NY$7,941
St Joseph HospitalBethpage, NY$8,752
St Peter's HospitalAlbany, NY$8,787
St Francis Hospital, RoslynRoslyn, NY$9,079
White Plains Hospital CtrWhite Plains, NY$9,217

Highest

Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in New York?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 28 hospitals in New York was billed at $75,126 on average, while the average total payment was $13,277, of which Medicare paid $9,664. 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 5.7 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.