facebook tracking Major gastrointestinal disorders and peritoneal infections with major complications cost in New York: 17 hospitals compared (DRG 371)

Major gastrointestinal disorders and peritoneal infections with major complications in New York

What 17 hospitals in New York charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371), from 2024 Medicare claims.

DRG 371 Inpatient 2024 Medicare data
Average charge $140,556 Hospital list price billed
Average payment $22,547 Medicare + patient + other payers
Medicare paid $18,142 Average per stay
State rank #32 of 34 1 = lowest average payment

Hospitals in New York billed an average of $140,556 for major gastrointestinal disorders and peritoneal infections with major complications, about 6.2 times the average total payment of $22,547. That payment is 30% above the U.S. average of $17,357.

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 $22,547Billed $140,556

About 16¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: major gastrointestinal disorders and peritoneal infections with major 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 83 $182,483 $25,861 $19,935
New York-Presbyterian HospitalNew York 43 $160,984 $26,885 $21,083
University HospitalStony Brook 39 $172,481 $28,060 $23,717
Huntington HospitalHuntington 30 $76,461 $17,411 $12,450
North Shore University HospitalManhasset 23 $165,617 $20,387 $16,808
Vassar Brothers Medical CenterPoughkeepsie 20 $52,954 $19,231 $16,888
Long Island Jewish Medical CenterNew Hyde Park 19 $193,315 $27,445 $20,680
South Nassau Communities HospitalOceanside 19 $106,915 $18,015 $15,864
White Plains Hospital CtrWhite Plains 18 $87,595 $14,641 $13,645
St Francis Hospital, RoslynRoslyn 17 $93,515 $14,928 $11,475
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 16 $105,063 $18,530 $15,256
Mount Sinai HospitalNew York 14 $193,595 $32,992 $22,877
New York Hospital Medical Center of QueensNew York 13 $103,325 $18,333 $16,388
Staten Island University HospitalStaten Island 13 $90,776 $18,926 $16,626
St Peter's HospitalAlbany 12 $84,181 $14,865 $14,286
Montefiore Medical CenterBronx 12 $255,623 $27,920 $22,081
St Joseph HospitalBethpage 11 $62,086 $14,016 $13,106
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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 Joseph HospitalBethpage, NY$14,016
White Plains Hospital CtrWhite Plains, NY$14,641
St Peter's HospitalAlbany, NY$14,865
St Francis Hospital, RoslynRoslyn, NY$14,928
Huntington HospitalHuntington, NY$17,411

Highest

Mount Sinai HospitalNew York, NY$32,992
University HospitalStony Brook, NY$28,060
Montefiore Medical CenterBronx, NY$27,920
Long Island Jewish Medical CenterNew Hyde Park, NY$27,445
New York-Presbyterian HospitalNew York, NY$26,885

Major gastrointestinal disorders and peritoneal infections with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371) at 17 hospitals in New York was billed at $140,556 on average, while the average total payment was $22,547, of which Medicare paid $18,142. 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 6.2 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.