facebook tracking Major small and large bowel procedures without complications cost in New York: 26 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in New York

What 26 hospitals in New York charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $81,626 Hospital list price billed
Average payment $19,952 Medicare + patient + other payers
Medicare paid $15,330 Average per stay
State rank #39 of 42 1 = lowest average payment

Hospitals in New York billed an average of $81,626 for major small and large bowel procedures without complications, about 4.1 times the average total payment of $19,952. That payment is 24% above the U.S. average of $16,035.

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 $19,952Billed $81,626

About 24¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: major small and large bowel procedures without 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
New York-Presbyterian HospitalNew York 58 $95,550 $21,852 $18,174
Crouse HospitalSyracuse 35 $42,520 $16,133 $12,302
North Shore University HospitalManhasset 33 $83,528 $19,987 $15,812
Albany Medical Center HospitalAlbany 29 $28,927 $19,810 $14,271
St Francis Hospital, RoslynRoslyn 29 $81,063 $18,160 $11,565
University HospitalStony Brook 28 $113,216 $21,799 $17,492
Lenox Hill HospitalNew York 24 $95,299 $25,396 $15,384
Mount Sinai HospitalNew York 23 $88,463 $26,559 $18,392
Garnet Health Medical CenterGoshen 23 $78,979 $21,131 $12,902
Long Island Jewish Medical CenterNew Hyde Park 20 $93,877 $19,768 $17,222
NYU Hospitals CenterNew York 19 $183,309 $22,572 $19,254
Buffalo General HospitalBuffalo 18 $69,510 $18,687 $14,634
Mary Imogene Bassett HospitalCooperstown 18 $48,100 $19,100 $16,646
Northern Westchester HospitalMt Kisco 18 $76,324 $13,707 $12,085
Huntington HospitalHuntington 17 $57,676 $14,401 $12,847
Staten Island University HospitalStaten Island 16 $85,600 $19,265 $17,261
South Nassau Communities HospitalOceanside 16 $82,590 $18,575 $13,834
Peconic Bay Medical CenterRiverhead 15 $77,677 $16,043 $13,993
Good Samaritan Hospital Medical CenterWest Islip 14 $91,473 $17,543 $12,674
Strong Memorial HospitalRochester 13 $50,310 $21,231 $18,798
St Peter's HospitalAlbany 12 $51,185 $15,953 $11,493
Montefiore Medical CenterBronx 12 $143,411 $27,772 $18,221
Rochester General HospitalRochester 11 $40,903 $20,649 $12,300
St Joseph's Hospital Health CenterSyracuse 11 $47,887 $16,682 $12,119
Maimonides Medical CenterBrooklyn 11 $116,672 $21,977 $19,237
University Hospital S U N Y Health Science CenterSyracuse 11 $98,733 $18,545 $16,060
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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$13,707
Huntington HospitalHuntington, NY$14,401
St Peter's HospitalAlbany, NY$15,953
Peconic Bay Medical CenterRiverhead, NY$16,043
Crouse HospitalSyracuse, NY$16,133

Highest

Montefiore Medical CenterBronx, NY$27,772
Mount Sinai HospitalNew York, NY$26,559
Lenox Hill HospitalNew York, NY$25,396
NYU Hospitals CenterNew York, NY$22,572
Maimonides Medical CenterBrooklyn, NY$21,977

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in New York?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 26 hospitals in New York was billed at $81,626 on average, while the average total payment was $19,952, of which Medicare paid $15,330. 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 4.1 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.