facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in New York: 9 hospitals compared (DRG 808)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in New York

What 9 hospitals in New York charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.

DRG 808 Inpatient 2024 Medicare data
Average charge $212,074 Hospital list price billed
Average payment $36,908 Medicare + patient + other payers
Medicare paid $28,440 Average per stay
State rank #15 of 18 1 = lowest average payment

Hospitals in New York billed an average of $212,074 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 5.7 times the average total payment of $36,908. That payment is 32% above the U.S. average of $27,957.

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 $36,908Billed $212,074

About 17¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 43 $257,224 $40,345 $31,829
New York-Presbyterian HospitalNew York 34 $235,744 $36,769 $28,546
Montefiore Medical CenterBronx 21 $381,997 $58,049 $35,264
Mount Sinai HospitalNew York 18 $150,268 $36,769 $27,230
White Plains Hospital CtrWhite Plains 15 $116,183 $18,589 $17,174
St Francis Hospital, RoslynRoslyn 14 $200,899 $33,493 $29,326
Vassar Brothers Medical CenterPoughkeepsie 12 $56,621 $24,630 $22,535
Long Island Jewish Medical CenterNew Hyde Park 11 $174,530 $27,938 $24,521
Strong Memorial HospitalRochester 11 $91,268 $35,469 $28,410
Advertisement

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

White Plains Hospital CtrWhite Plains, NY$18,589
Vassar Brothers Medical CenterPoughkeepsie, NY$24,630
Long Island Jewish Medical CenterNew Hyde Park, NY$27,938
St Francis Hospital, RoslynRoslyn, NY$33,493
Strong Memorial HospitalRochester, NY$35,469

Highest

Montefiore Medical CenterBronx, NY$58,049
NYU Hospitals CenterNew York, NY$40,345
New York-Presbyterian HospitalNew York, NY$36,769
Mount Sinai HospitalNew York, NY$36,769
Strong Memorial HospitalRochester, NY$35,469

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in New York?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 9 hospitals in New York was billed at $212,074 on average, while the average total payment was $36,908, of which Medicare paid $28,440. 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.