Other circulatory system diagnoses with major complications in New York
What 57 hospitals in New York charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.
Average charge
$137,826
Hospital list price billed
Average payment
$26,852
Medicare + patient + other payers
Medicare paid
$22,189
Average per stay
State rank
#46 of 47
1 = lowest average payment
Hospitals in New York billed an average of $137,826 for other circulatory system diagnoses with major complications, about 5.1 times the average total payment of $26,852. That payment is 26% above the U.S. average of $21,323.
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 $26,852Billed $137,826
About 19¢ 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 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 | 204 | $213,424 | $33,313 | $26,583 |
| NYU Hospitals CenterNew York | 159 | $194,009 | $30,615 | $25,108 |
| North Shore University HospitalManhasset | 112 | $191,879 | $26,528 | $21,256 |
| Montefiore Medical CenterBronx | 92 | $192,585 | $31,210 | $25,137 |
| University HospitalStony Brook | 72 | $191,435 | $33,791 | $27,888 |
| Mount Sinai HospitalNew York | 69 | $185,667 | $36,397 | $28,160 |
| Long Island Jewish Medical CenterNew Hyde Park | 57 | $147,911 | $25,246 | $21,112 |
| Staten Island University HospitalStaten Island | 55 | $130,386 | $25,837 | $22,097 |
| Strong Memorial HospitalRochester | 52 | $72,811 | $28,288 | $23,657 |
| Maimonides Medical CenterBrooklyn | 46 | $149,607 | $33,164 | $26,998 |
| St Francis Hospital, RoslynRoslyn | 45 | $106,652 | $18,860 | $15,299 |
| White Plains Hospital CtrWhite Plains | 45 | $89,178 | $17,511 | $16,577 |
| Huntington HospitalHuntington | 37 | $100,156 | $20,849 | $17,784 |
| Wynn HospitalUtica | 33 | $76,081 | $21,052 | $16,531 |
| Lenox Hill HospitalNew York | 32 | $181,876 | $29,426 | $25,838 |
| Garnet Health Medical CenterGoshen | 32 | $116,300 | $24,329 | $19,954 |
| Buffalo General HospitalBuffalo | 31 | $79,037 | $25,056 | $21,804 |
| New York Hospital Medical Center of QueensNew York | 31 | $123,544 | $22,880 | $20,693 |
| Vassar Brothers Medical CenterPoughkeepsie | 30 | $52,420 | $23,055 | $19,778 |
| Rochester General HospitalRochester | 30 | $43,037 | $21,378 | $19,106 |
| South Nassau Communities HospitalOceanside | 30 | $143,349 | $20,628 | $18,617 |
| Jacobi Medical CenterBronx | 27 | $99,872 | $43,446 | $28,599 |
| Southside HospitalBay Shore | 25 | $128,121 | $20,208 | $18,846 |
| Mount Sinai WestNew York | 25 | $186,780 | $26,208 | $23,047 |
| Albany Medical Center HospitalAlbany | 24 | $57,438 | $24,058 | $19,796 |
| St Peter's HospitalAlbany | 24 | $55,093 | $18,141 | $15,351 |
| Beth Israel Medical CenterNew York | 23 | $101,862 | $24,470 | $20,837 |
| St Catherine of Siena HospitalSmithtown | 23 | $72,026 | $17,070 | $14,093 |
| Highland HospitalRochester | 22 | $52,176 | $20,916 | $18,661 |
| Good Samaritan Hospital of SuffernSuffern | 20 | $167,294 | $18,311 | $16,965 |
| Samaritan HospitalTroy | 20 | $50,045 | $17,120 | $15,774 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 20 | $103,864 | $21,369 | $17,778 |
| University Hospital S U N Y Health Science CenterSyracuse | 20 | $162,096 | $29,375 | $22,755 |
| Richmond University Medical CenterStaten Island | 19 | $183,642 | $30,622 | $25,893 |
| Good Samaritan Hospital Medical CenterWest Islip | 19 | $129,279 | $17,488 | $16,263 |
| Long Island Community HospitalPatchogue | 18 | $165,110 | $19,062 | $17,443 |
| Plainview HospitalPlainview | 18 | $111,643 | $21,796 | $18,951 |
| St Joseph's Hospital Health CenterSyracuse | 17 | $51,330 | $18,597 | $16,949 |
| Brookdale Hospital Medical CenterBrooklyn | 16 | $58,658 | $29,659 | $24,217 |
| United Health Services HospsBinghamton | 16 | $49,937 | $22,711 | $16,156 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 16 | $65,742 | $32,043 | $25,250 |
| Saratoga HospitalSaratoga Springs | 15 | $73,804 | $17,930 | $17,269 |
| Ellis HospitalSchenectady | 14 | $67,036 | $17,352 | $15,926 |
| Glens Falls HospitalGlens Falls | 14 | $61,107 | $20,521 | $18,656 |
| Unity Hospital of RochesterRochester | 14 | $38,200 | $20,023 | $17,921 |
| Westchester Medical CenterValhalla | 14 | $294,086 | $36,257 | $25,951 |
| Hudson Valley Hospital CenterCortlandt Manor | 14 | $86,840 | $18,078 | $14,843 |
| Mercy HospitalBuffalo | 14 | $38,578 | $19,886 | $14,328 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 13 | $45,058 | $18,366 | $17,738 |
| South Brooklyn HealthBrooklyn | 13 | $79,103 | $30,566 | $27,260 |
| Crouse HospitalSyracuse | 13 | $29,413 | $18,361 | $16,839 |
| Bronxcare Hospital CenterBronx | 12 | $56,784 | $32,585 | $28,437 |
| Bellevue Hospital CenterNew York | 12 | $91,367 | $51,810 | $34,836 |
| Erie County Medical CenterBuffalo | 12 | $47,337 | $25,133 | $20,502 |
| Peconic Bay Medical CenterRiverhead | 11 | $79,980 | $21,176 | $19,807 |
| St John's Riverside HospitalYonkers | 11 | $72,040 | $22,092 | $19,955 |
| Mercy Medical CenterRockville Centre | 11 | $108,459 | $19,562 | $18,361 |
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 | $17,070 |
|---|---|
| Samaritan HospitalTroy, NY | $17,120 |
| Ellis HospitalSchenectady, NY | $17,352 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | $17,488 |
| White Plains Hospital CtrWhite Plains, NY | $17,511 |
Highest
| Bellevue Hospital CenterNew York, NY | $51,810 |
|---|---|
| Jacobi Medical CenterBronx, NY | $43,446 |
| Mount Sinai HospitalNew York, NY | $36,397 |
| Westchester Medical CenterValhalla, NY | $36,257 |
| University HospitalStony Brook, NY | $33,791 |
Other circulatory system diagnoses with major complications in other states
Questions
How much does other circulatory system diagnoses with major complications cost in New York?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 57 hospitals in New York was billed at $137,826 on average, while the average total payment was $26,852, of which Medicare paid $22,189. 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 5.1 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.