Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in New York
What 13 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 809), from 2024 Medicare claims.
Average charge
$106,540
Hospital list price billed
Average payment
$19,103
Medicare + patient + other payers
Medicare paid
$11,942
Average per stay
State rank
#22 of 25
1 = lowest average payment
Hospitals in New York billed an average of $106,540 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 5.6 times the average total payment of $19,103. That payment is 25% above the U.S. average of $15,246.
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 $19,103Billed $106,540
About 18¢ 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 34 | $103,306 | $28,123 | $11,856 |
| NYU Hospitals CenterNew York | 31 | $125,629 | $18,545 | $14,098 |
| Montefiore Medical CenterBronx | 18 | $170,745 | $20,655 | $13,220 |
| University HospitalStony Brook | 18 | $111,136 | $17,632 | $12,831 |
| North Shore University HospitalManhasset | 16 | $203,521 | $23,933 | $10,181 |
| Mount Sinai HospitalNew York | 15 | $153,437 | $24,377 | $16,551 |
| Garnet Health Medical CenterGoshen | 15 | $51,214 | $12,607 | $10,682 |
| Strong Memorial HospitalRochester | 14 | $48,499 | $17,010 | $14,116 |
| St Francis Hospital, RoslynRoslyn | 13 | $77,731 | $16,785 | $7,535 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 13 | $91,650 | $17,195 | $10,011 |
| White Plains Hospital CtrWhite Plains | 12 | $46,730 | $10,294 | $9,070 |
| Vassar Brothers Medical CenterPoughkeepsie | 11 | $51,751 | $13,617 | $11,865 |
| Peconic Bay Medical CenterRiverhead | 11 | $66,134 | $10,052 | $8,507 |
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
| Peconic Bay Medical CenterRiverhead, NY | $10,052 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $10,294 |
| Garnet Health Medical CenterGoshen, NY | $12,607 |
| Vassar Brothers Medical CenterPoughkeepsie, NY | $13,617 |
| St Francis Hospital, RoslynRoslyn, NY | $16,785 |
Highest
| New York-Presbyterian HospitalNew York, NY | $28,123 |
|---|---|
| Mount Sinai HospitalNew York, NY | $24,377 |
| North Shore University HospitalManhasset, NY | $23,933 |
| Montefiore Medical CenterBronx, NY | $20,655 |
| NYU Hospitals CenterNew York, NY | $18,545 |
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 809) at 13 hospitals in New York was billed at $106,540 on average, while the average total payment was $19,103, of which Medicare paid $11,942. 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 5.6 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.