Medical back problems with major complications in New York
What 30 hospitals in New York charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.
Average charge
$116,358
Hospital list price billed
Average payment
$20,711
Medicare + patient + other payers
Medicare paid
$16,673
Average per stay
State rank
#31 of 33
1 = lowest average payment
Hospitals in New York billed an average of $116,358 for medical back problems with major complications, about 5.6 times the average total payment of $20,711. That payment is 28% above the U.S. average of $16,215.
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 $20,711Billed $116,358
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: medical back problems 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 | 80 | $151,109 | $23,930 | $19,231 |
| New York-Presbyterian HospitalNew York | 72 | $136,823 | $25,797 | $18,344 |
| North Shore University HospitalManhasset | 54 | $133,212 | $20,868 | $17,102 |
| University HospitalStony Brook | 43 | $117,265 | $21,903 | $18,786 |
| Mount Sinai WestNew York | 42 | $138,751 | $24,268 | $19,033 |
| Long Island Jewish Medical CenterNew Hyde Park | 38 | $110,373 | $21,077 | $17,187 |
| Huntington HospitalHuntington | 35 | $80,601 | $15,332 | $13,868 |
| Albany Medical Center HospitalAlbany | 33 | $58,211 | $19,111 | $16,330 |
| New York Hospital Medical Center of QueensNew York | 24 | $99,599 | $19,352 | $16,719 |
| Southside HospitalBay Shore | 23 | $107,040 | $15,674 | $13,803 |
| White Plains Hospital CtrWhite Plains | 23 | $89,394 | $15,047 | $13,770 |
| Staten Island University HospitalStaten Island | 22 | $66,978 | $18,345 | $16,185 |
| South Nassau Communities HospitalOceanside | 21 | $196,713 | $18,693 | $16,049 |
| Lenox Hill HospitalNew York | 20 | $97,887 | $19,295 | $15,992 |
| Long Island Community HospitalPatchogue | 20 | $113,601 | $15,250 | $13,802 |
| Westchester Medical CenterValhalla | 20 | $271,661 | $30,102 | $18,450 |
| St Catherine of Siena HospitalSmithtown | 20 | $82,848 | $13,217 | $12,197 |
| Vassar Brothers Medical CenterPoughkeepsie | 19 | $41,763 | $18,584 | $16,151 |
| Mount Sinai HospitalNew York | 19 | $98,668 | $24,392 | $18,919 |
| Strong Memorial HospitalRochester | 19 | $41,507 | $22,558 | $15,708 |
| Maimonides Medical CenterBrooklyn | 16 | $72,956 | $23,257 | $19,278 |
| University Hospital S U N Y Health Science CenterSyracuse | 15 | $129,055 | $19,314 | $15,668 |
| Peconic Bay Medical CenterRiverhead | 14 | $100,349 | $14,199 | $12,377 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 13 | $87,422 | $17,084 | $14,211 |
| Good Samaritan Hospital Medical CenterWest Islip | 13 | $86,021 | $14,935 | $13,553 |
| Beth Israel Medical CenterNew York | 12 | $165,749 | $22,708 | $18,385 |
| Crouse HospitalSyracuse | 12 | $24,517 | $14,726 | $11,699 |
| Plainview HospitalPlainview | 12 | $93,442 | $17,509 | $14,392 |
| Montefiore Medical CenterBronx | 11 | $265,885 | $34,439 | $19,252 |
| St Francis Hospital, RoslynRoslyn | 11 | $88,421 | $14,478 | $13,221 |
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 Catherine of Siena HospitalSmithtown, NY | $13,217 |
|---|---|
| Peconic Bay Medical CenterRiverhead, NY | $14,199 |
| St Francis Hospital, RoslynRoslyn, NY | $14,478 |
| Crouse HospitalSyracuse, NY | $14,726 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | $14,935 |
Highest
| Montefiore Medical CenterBronx, NY | $34,439 |
|---|---|
| Westchester Medical CenterValhalla, NY | $30,102 |
| New York-Presbyterian HospitalNew York, NY | $25,797 |
| Mount Sinai HospitalNew York, NY | $24,392 |
| Mount Sinai WestNew York, NY | $24,268 |
Medical back problems with major complications in other states
Questions
How much does medical back problems with major complications cost in New York?
In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 30 hospitals in New York was billed at $116,358 on average, while the average total payment was $20,711, of which Medicare paid $16,673. 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.