Other circulatory system diagnoses with complications in New York
What 31 hospitals in New York charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$76,663
Hospital list price billed
Average payment
$12,616
Medicare + patient + other payers
Medicare paid
$9,669
Average per stay
State rank
#35 of 37
1 = lowest average payment
Hospitals in New York billed an average of $76,663 for other circulatory system diagnoses with complications, about 6.1 times the average total payment of $12,616. That payment is 22% above the U.S. average of $10,367.
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 $12,616Billed $76,663
About 16¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: other circulatory system diagnoses 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 91 | $88,487 | $14,076 | $10,998 |
| New York-Presbyterian HospitalNew York | 79 | $119,185 | $15,933 | $10,923 |
| University HospitalStony Brook | 58 | $81,802 | $13,140 | $9,907 |
| Montefiore Medical CenterBronx | 47 | $116,296 | $15,833 | $10,944 |
| North Shore University HospitalManhasset | 37 | $97,430 | $12,244 | $9,168 |
| Mount Sinai HospitalNew York | 34 | $109,738 | $18,017 | $11,408 |
| St Francis Hospital, RoslynRoslyn | 34 | $71,935 | $9,040 | $7,438 |
| Staten Island University HospitalStaten Island | 27 | $56,353 | $10,606 | $9,069 |
| Garnet Health Medical CenterGoshen | 26 | $48,300 | $9,819 | $8,196 |
| Mount Sinai WestNew York | 19 | $60,028 | $12,913 | $10,900 |
| Long Island Jewish Medical CenterNew Hyde Park | 19 | $62,209 | $11,591 | $9,454 |
| Strong Memorial HospitalRochester | 19 | $37,559 | $14,825 | $10,606 |
| Albany Medical Center HospitalAlbany | 18 | $36,905 | $10,867 | $9,247 |
| Huntington HospitalHuntington | 16 | $36,194 | $10,165 | $7,308 |
| Rochester General HospitalRochester | 16 | $21,469 | $10,660 | $9,201 |
| Beth Israel Medical CenterNew York | 16 | $76,775 | $12,472 | $9,343 |
| University Hospital S U N Y Health Science CenterSyracuse | 16 | $77,404 | $11,206 | $9,089 |
| St Catherine of Siena HospitalSmithtown | 16 | $48,755 | $8,087 | $7,169 |
| Peconic Bay Medical CenterRiverhead | 15 | $57,931 | $9,867 | $8,348 |
| Westchester Medical CenterValhalla | 15 | $148,638 | $12,134 | $9,462 |
| St Peter's HospitalAlbany | 14 | $37,394 | $8,430 | $7,373 |
| Lenox Hill HospitalNew York | 14 | $97,632 | $11,582 | $9,648 |
| Glens Falls HospitalGlens Falls | 14 | $23,116 | $8,574 | $6,502 |
| South Nassau Communities HospitalOceanside | 14 | $77,217 | $10,091 | $8,868 |
| White Plains Hospital CtrWhite Plains | 14 | $51,299 | $8,892 | $6,940 |
| Vassar Brothers Medical CenterPoughkeepsie | 12 | $32,543 | $10,279 | $8,640 |
| South Brooklyn HealthBrooklyn | 12 | $28,128 | $16,867 | $14,924 |
| Good Samaritan Hospital Medical CenterWest Islip | 12 | $58,958 | $9,236 | $8,336 |
| Buffalo General HospitalBuffalo | 11 | $29,105 | $11,084 | $8,334 |
| Wynn HospitalUtica | 11 | $32,193 | $8,967 | $7,847 |
| Maimonides Medical CenterBrooklyn | 11 | $64,105 | $13,827 | $11,078 |
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 | $8,087 |
|---|---|
| St Peter's HospitalAlbany, NY | $8,430 |
| Glens Falls HospitalGlens Falls, NY | $8,574 |
| White Plains Hospital CtrWhite Plains, NY | $8,892 |
| Wynn HospitalUtica, NY | $8,967 |
Highest
| Mount Sinai HospitalNew York, NY | $18,017 |
|---|---|
| South Brooklyn HealthBrooklyn, NY | $16,867 |
| New York-Presbyterian HospitalNew York, NY | $15,933 |
| Montefiore Medical CenterBronx, NY | $15,833 |
| Strong Memorial HospitalRochester, NY | $14,825 |
Other circulatory system diagnoses with complications in other states
Questions
How much does other circulatory system diagnoses with complications cost in New York?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 31 hospitals in New York was billed at $76,663 on average, while the average total payment was $12,616, of which Medicare paid $9,669. 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.