facebook tracking Medical back problems without major complications cost in New York: 72 hospitals compared (DRG 552)

Medical back problems without major complications in New York

What 72 hospitals in New York charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.

DRG 552 Inpatient 2024 Medicare data
Average charge $64,086 Hospital list price billed
Average payment $12,009 Medicare + patient + other payers
Medicare paid $9,068 Average per stay
State rank #45 of 47 1 = lowest average payment

Hospitals in New York billed an average of $64,086 for medical back problems without major complications, about 5.3 times the average total payment of $12,009. That payment is 28% above the U.S. average of $9,373.

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 $12,009Billed $64,086

About 19¢ 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 without 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
New York-Presbyterian HospitalNew York 211 $91,924 $14,519 $10,301
NYU Hospitals CenterNew York 197 $101,333 $14,255 $10,548
North Shore University HospitalManhasset 149 $84,974 $12,222 $8,478
University HospitalStony Brook 149 $83,629 $12,972 $9,805
St Francis Hospital, RoslynRoslyn 115 $54,964 $8,687 $6,824
Long Island Jewish Medical CenterNew Hyde Park 105 $80,393 $11,876 $9,141
Huntington HospitalHuntington 94 $50,165 $9,020 $6,903
Staten Island University HospitalStaten Island 78 $48,389 $11,605 $9,524
Montefiore Medical CenterBronx 70 $92,784 $15,601 $10,265
Good Samaritan Hospital Medical CenterWest Islip 69 $48,998 $10,291 $7,108
Vassar Brothers Medical CenterPoughkeepsie 67 $35,659 $11,252 $8,517
Albany Medical Center HospitalAlbany 64 $38,813 $11,196 $8,969
St Catherine of Siena HospitalSmithtown 64 $46,494 $8,194 $6,608
University Hospital S U N Y Health Science CenterSyracuse 63 $81,378 $11,730 $8,953
Mount Sinai WestNew York 61 $87,314 $14,256 $10,121
Wynn HospitalUtica 60 $34,519 $9,088 $7,344
White Plains Hospital CtrWhite Plains 56 $48,986 $8,579 $7,121
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 52 $56,855 $9,734 $7,257
Plainview HospitalPlainview 50 $45,354 $10,422 $7,449
New York Hospital Medical Center of QueensNew York 49 $65,183 $12,648 $9,160
Peconic Bay Medical CenterRiverhead 49 $56,381 $9,467 $7,621
Westchester Medical CenterValhalla 49 $145,433 $11,982 $9,818
Long Island Community HospitalPatchogue 42 $100,024 $9,708 $7,439
United Health Services HospsBinghamton 41 $21,760 $9,508 $7,674
St Joseph HospitalBethpage 40 $43,549 $8,411 $6,604
Lenox Hill HospitalNew York 39 $64,596 $13,423 $9,681
Maimonides Medical CenterBrooklyn 39 $51,161 $13,188 $10,156
South Nassau Communities HospitalOceanside 38 $87,137 $10,571 $7,631
Southside HospitalBay Shore 37 $72,829 $9,587 $7,996
Garnet Health Medical CenterGoshen 37 $50,806 $10,536 $7,750
Beth Israel Medical CenterNew York 35 $99,410 $13,963 $9,920
Nyack HospitalNyack 32 $64,340 $8,422 $7,046
Good Samaritan Hospital of SuffernSuffern 32 $85,950 $8,709 $7,434
Erie County Medical CenterBuffalo 32 $35,894 $12,048 $8,894
St Charles HospitalPort Jefferson 30 $45,824 $9,141 $7,692
Buffalo General HospitalBuffalo 29 $29,696 $10,950 $7,773
Mount Sinai HospitalNew York 29 $76,651 $16,295 $10,449
Rochester General HospitalRochester 29 $28,036 $12,160 $8,609
St John's Riverside HospitalYonkers 29 $34,106 $9,826 $8,230
Healthalliance Hospital Marys Avenue CampusKingston 29 $95,532 $9,146 $7,166
Strong Memorial HospitalRochester 29 $24,698 $13,301 $10,052
Mercy Medical CenterRockville Centre 28 $44,137 $9,001 $7,709
Jacobi Medical CenterBronx 26 $51,860 $26,560 $17,359
New York Community Hospital of Brooklyn, INC.Brooklyn 25 $45,337 $9,121 $7,685
Nassau University Medical CenterEast Meadow 24 $65,982 $15,784 $11,444
Hudson Valley Hospital CenterCortlandt Manor 24 $42,860 $8,640 $7,212
Highland HospitalRochester 22 $21,997 $9,785 $7,874
Crouse HospitalSyracuse 22 $19,084 $9,497 $6,990
Elmhurst Hospital CenterNew York 21 $40,472 $29,097 $26,296
Northern Westchester HospitalMt Kisco 21 $42,585 $8,371 $6,702
Phelps Memorial Hospital AssnSleepy Hollow 21 $66,155 $9,575 $7,636
Richmond University Medical CenterStaten Island 19 $71,693 $12,963 $10,330
Glen Cove HospitalGlen Cove 19 $37,433 $9,896 $8,244
Cornwall HospitalCornwall 19 $80,724 $9,414 $7,872
Glens Falls HospitalGlens Falls 18 $21,789 $8,232 $6,782
St Joseph's Hospital Health CenterSyracuse 17 $25,864 $8,818 $7,017
Bellevue Hospital CenterNew York 17 $35,267 $33,652 $26,925
St Peter's HospitalAlbany 16 $33,220 $8,304 $6,836
South Brooklyn HealthBrooklyn 16 $69,602 $20,123 $16,455
Brookdale Hospital Medical CenterBrooklyn 16 $34,010 $15,165 $11,576
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 16 $39,428 $10,178 $8,631
Montefiore New Rochelle HospitalNew Rochelle 15 $52,701 $12,341 $8,999
Kings County Hospital CenterBrooklyn 15 $48,092 $42,393 $27,534
Mercy HospitalBuffalo 15 $14,590 $8,026 $6,372
Our Lady of Lourdes Memorial Hospital, INCBinghamton 14 $23,012 $9,509 $7,697
Unity Hospital of RochesterRochester 14 $15,617 $9,992 $6,725
Bronxcare Hospital CenterBronx 12 $30,633 $19,201 $16,679
Kenmore Mercy HospitalBuffalo 12 $17,278 $7,820 $6,596
St John's Episcopal Hospital at South ShoreFar Rockaway 12 $44,556 $16,678 $10,486
United Memorial Medical CenterBatavia 11 $15,399 $8,992 $7,447
Mary Imogene Bassett HospitalCooperstown 11 $24,562 $11,369 $9,418
Samaritan Medical CenterWatertown 11 $29,365 $11,116 $9,985
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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

Kenmore Mercy HospitalBuffalo, NY$7,820
Mercy HospitalBuffalo, NY$8,026
St Catherine of Siena HospitalSmithtown, NY$8,194
Glens Falls HospitalGlens Falls, NY$8,232
St Peter's HospitalAlbany, NY$8,304

Highest

Kings County Hospital CenterBrooklyn, NY$42,393
Bellevue Hospital CenterNew York, NY$33,652
Elmhurst Hospital CenterNew York, NY$29,097
Jacobi Medical CenterBronx, NY$26,560
South Brooklyn HealthBrooklyn, NY$20,123

Medical back problems without major complications in other states

Questions

How much does medical back problems without major complications cost in New York?

In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 72 hospitals in New York was billed at $64,086 on average, while the average total payment was $12,009, of which Medicare paid $9,068. 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 5.3 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.