facebook tracking Major male pelvic procedures with complications cost in New York: 3 hospitals compared (DRG 707)

Major male pelvic procedures with complications in New York

What 3 hospitals in New York charged and were paid for a Medicare hospital stay for major male pelvic procedures with complications (DRG 707), from 2024 Medicare claims.

DRG 707 Inpatient 2024 Medicare data
Average charge $144,883 Hospital list price billed
Average payment $34,399 Medicare + patient + other payers
Medicare paid $24,618 Average per stay
State rank #1 of 1 1 = lowest average payment

Hospitals in New York billed an average of $144,883 for major male pelvic procedures with complications, about 4.2 times the average total payment of $34,399. That payment is 37% above the U.S. average of $25,162.

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 $34,399Billed $144,883

About 24¢ 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 male pelvic procedures 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
Mount Sinai HospitalNew York 27 $80,006 $30,459 $21,043
NYU Hospitals CenterNew York 19 $163,108 $30,458 $20,492
New York-Presbyterian HospitalNew York 17 $227,552 $45,062 $34,909
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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

NYU Hospitals CenterNew York, NY$30,458
Mount Sinai HospitalNew York, NY$30,459
New York-Presbyterian HospitalNew York, NY$45,062

Highest

New York-Presbyterian HospitalNew York, NY$45,062
Mount Sinai HospitalNew York, NY$30,459
NYU Hospitals CenterNew York, NY$30,458

Major male pelvic procedures with complications in other states

Questions

How much does major male pelvic procedures with complications cost in New York?

In 2024 Medicare data, a hospital stay for major male pelvic procedures with complications (DRG 707) at 3 hospitals in New York was billed at $144,883 on average, while the average total payment was $34,399, of which Medicare paid $24,618. 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.