Malignancy of hepatobiliary system or pancreas with major complications in New York
What 26 hospitals in New York charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$158,446
Hospital list price billed
Average payment
$26,170
Medicare + patient + other payers
Medicare paid
$18,903
Average per stay
State rank
#31 of 32
1 = lowest average payment
Hospitals in New York billed an average of $158,446 for malignancy of hepatobiliary system or pancreas with major complications, about 6.1 times the average total payment of $26,170. That payment is 35% above the U.S. average of $19,425.
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 $26,170Billed $158,446
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: malignancy of hepatobiliary system or pancreas 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 | 88 | $210,319 | $26,984 | $20,508 |
| New York-Presbyterian HospitalNew York | 75 | $202,939 | $31,194 | $25,822 |
| Mount Sinai HospitalNew York | 41 | $198,149 | $49,123 | $21,159 |
| North Shore University HospitalManhasset | 40 | $190,141 | $25,822 | $17,721 |
| University HospitalStony Brook | 37 | $164,729 | $28,510 | $25,081 |
| University Hospital S U N Y Health Science CenterSyracuse | 34 | $181,628 | $24,335 | $16,946 |
| Long Island Jewish Medical CenterNew Hyde Park | 30 | $160,321 | $21,380 | $16,315 |
| White Plains Hospital CtrWhite Plains | 29 | $91,964 | $17,691 | $13,714 |
| Montefiore Medical CenterBronx | 28 | $260,510 | $31,570 | $21,133 |
| Buffalo General HospitalBuffalo | 23 | $57,923 | $19,718 | $16,099 |
| Huntington HospitalHuntington | 22 | $75,609 | $18,514 | $13,999 |
| Staten Island University HospitalStaten Island | 22 | $159,812 | $26,312 | $22,917 |
| Maimonides Medical CenterBrooklyn | 22 | $127,086 | $22,757 | $18,879 |
| Southside HospitalBay Shore | 21 | $129,484 | $16,386 | $14,849 |
| St Peter's HospitalAlbany | 16 | $58,674 | $15,007 | $13,464 |
| St Francis Hospital, RoslynRoslyn | 16 | $133,519 | $18,367 | $13,874 |
| St Catherine of Siena HospitalSmithtown | 14 | $110,081 | $15,166 | $12,657 |
| Vassar Brothers Medical CenterPoughkeepsie | 13 | $75,749 | $28,920 | $13,899 |
| Lenox Hill HospitalNew York | 13 | $104,352 | $25,514 | $17,633 |
| Westchester Medical CenterValhalla | 13 | $219,496 | $22,991 | $18,803 |
| Albany Medical Center HospitalAlbany | 12 | $41,852 | $24,738 | $14,128 |
| Nyack HospitalNyack | 12 | $129,618 | $15,773 | $14,685 |
| United Health Services HospsBinghamton | 12 | $36,920 | $21,231 | $13,081 |
| Mount Sinai WestNew York | 11 | $194,048 | $29,841 | $24,718 |
| South Nassau Communities HospitalOceanside | 11 | $147,264 | $18,277 | $16,205 |
| Strong Memorial HospitalRochester | 11 | $84,817 | $40,016 | $14,317 |
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 Peter's HospitalAlbany, NY | $15,007 |
|---|---|
| St Catherine of Siena HospitalSmithtown, NY | $15,166 |
| Nyack HospitalNyack, NY | $15,773 |
| Southside HospitalBay Shore, NY | $16,386 |
| White Plains Hospital CtrWhite Plains, NY | $17,691 |
Highest
| Mount Sinai HospitalNew York, NY | $49,123 |
|---|---|
| Strong Memorial HospitalRochester, NY | $40,016 |
| Montefiore Medical CenterBronx, NY | $31,570 |
| New York-Presbyterian HospitalNew York, NY | $31,194 |
| Mount Sinai WestNew York, NY | $29,841 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in New York?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 26 hospitals in New York was billed at $158,446 on average, while the average total payment was $26,170, of which Medicare paid $18,903. 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 6.1 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.