Other digestive system diagnoses with complications in New York
What 55 hospitals in New York charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$63,837
Hospital list price billed
Average payment
$11,917
Medicare + patient + other payers
Medicare paid
$8,982
Average per stay
State rank
#45 of 46
1 = lowest average payment
Hospitals in New York billed an average of $63,837 for other digestive system diagnoses with complications, about 5.4 times the average total payment of $11,917. That payment is 25% above the U.S. average of $9,547.
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 $11,917Billed $63,837
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 digestive 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 144 | $100,252 | $14,660 | $11,147 |
| NYU Hospitals CenterNew York | 120 | $100,229 | $13,879 | $10,672 |
| University HospitalStony Brook | 71 | $79,807 | $13,521 | $9,385 |
| North Shore University HospitalManhasset | 69 | $83,027 | $12,307 | $8,247 |
| Montefiore Medical CenterBronx | 63 | $91,860 | $15,932 | $10,644 |
| Staten Island University HospitalStaten Island | 59 | $62,729 | $11,469 | $9,405 |
| St Francis Hospital, RoslynRoslyn | 57 | $57,875 | $9,200 | $6,596 |
| New York Hospital Medical Center of QueensNew York | 49 | $66,545 | $11,682 | $9,379 |
| Mount Sinai HospitalNew York | 44 | $84,604 | $16,670 | $10,678 |
| Good Samaritan Hospital Medical CenterWest Islip | 41 | $53,491 | $9,024 | $7,618 |
| Long Island Jewish Medical CenterNew Hyde Park | 39 | $70,929 | $12,244 | $9,090 |
| Maimonides Medical CenterBrooklyn | 36 | $57,306 | $13,839 | $10,548 |
| Huntington HospitalHuntington | 35 | $47,293 | $8,494 | $7,377 |
| St Peter's HospitalAlbany | 33 | $27,712 | $8,553 | $6,808 |
| Albany Medical Center HospitalAlbany | 32 | $25,303 | $10,810 | $8,593 |
| University Hospital S U N Y Health Science CenterSyracuse | 32 | $62,200 | $11,191 | $8,617 |
| Strong Memorial HospitalRochester | 32 | $31,732 | $13,598 | $9,682 |
| South Nassau Communities HospitalOceanside | 30 | $69,446 | $10,167 | $7,960 |
| Beth Israel Medical CenterNew York | 29 | $73,601 | $13,283 | $9,061 |
| St Catherine of Siena HospitalSmithtown | 29 | $51,017 | $8,396 | $6,384 |
| Vassar Brothers Medical CenterPoughkeepsie | 27 | $33,587 | $10,655 | $8,685 |
| White Plains Hospital CtrWhite Plains | 26 | $46,334 | $8,332 | $7,264 |
| Mount Sinai WestNew York | 25 | $80,790 | $13,108 | $10,315 |
| Crouse HospitalSyracuse | 25 | $24,589 | $9,522 | $6,846 |
| Garnet Health Medical CenterGoshen | 24 | $50,912 | $10,238 | $7,606 |
| Peconic Bay Medical CenterRiverhead | 22 | $66,862 | $10,019 | $8,266 |
| Rochester General HospitalRochester | 22 | $20,571 | $10,845 | $8,059 |
| Plainview HospitalPlainview | 22 | $48,308 | $10,685 | $7,162 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 21 | $39,527 | $9,809 | $7,511 |
| South Brooklyn HealthBrooklyn | 21 | $45,524 | $16,534 | $13,043 |
| United Health Services HospsBinghamton | 21 | $22,261 | $9,318 | $7,867 |
| Buffalo General HospitalBuffalo | 20 | $22,797 | $10,392 | $8,737 |
| Southside HospitalBay Shore | 20 | $67,123 | $7,883 | $6,472 |
| Good Samaritan Hospital of SuffernSuffern | 20 | $100,914 | $8,580 | $7,581 |
| Highland HospitalRochester | 20 | $17,670 | $9,340 | $7,922 |
| St John's Riverside HospitalYonkers | 20 | $36,010 | $10,580 | $8,721 |
| Westchester Medical CenterValhalla | 19 | $130,119 | $12,192 | $10,096 |
| St Joseph HospitalBethpage | 19 | $50,309 | $8,680 | $6,401 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 19 | $44,032 | $17,173 | $11,636 |
| Nyack HospitalNyack | 17 | $68,325 | $8,531 | $7,475 |
| Mary Imogene Bassett HospitalCooperstown | 17 | $17,285 | $10,848 | $9,215 |
| Glen Cove HospitalGlen Cove | 17 | $45,369 | $12,263 | $6,864 |
| Lenox Hill HospitalNew York | 16 | $74,768 | $12,251 | $9,891 |
| Jacobi Medical CenterBronx | 14 | $34,004 | $23,860 | $17,565 |
| St Joseph's Hospital Health CenterSyracuse | 14 | $25,437 | $10,300 | $5,498 |
| Glens Falls HospitalGlens Falls | 14 | $24,509 | $8,142 | $6,860 |
| Mercy Medical CenterRockville Centre | 14 | $72,624 | $8,629 | $7,146 |
| Hudson Valley Hospital CenterCortlandt Manor | 14 | $39,058 | $8,396 | $7,114 |
| Mercy HospitalBuffalo | 14 | $18,164 | $9,799 | $6,256 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 13 | $80,468 | $10,005 | $7,593 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 12 | $42,308 | $9,877 | $8,404 |
| Nassau University Medical CenterEast Meadow | 11 | $80,850 | $19,156 | $13,336 |
| Wynn HospitalUtica | 11 | $37,145 | $9,077 | $7,529 |
| Unity Hospital of RochesterRochester | 11 | $10,531 | $9,541 | $7,090 |
| Phelps Memorial Hospital AssnSleepy Hollow | 11 | $52,163 | $9,708 | $8,270 |
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
| Southside HospitalBay Shore, NY | $7,883 |
|---|---|
| Glens Falls HospitalGlens Falls, NY | $8,142 |
| White Plains Hospital CtrWhite Plains, NY | $8,332 |
| St Catherine of Siena HospitalSmithtown, NY | $8,396 |
| Hudson Valley Hospital CenterCortlandt Manor, NY | $8,396 |
Highest
| Jacobi Medical CenterBronx, NY | $23,860 |
|---|---|
| Nassau University Medical CenterEast Meadow, NY | $19,156 |
| St John's Episcopal Hospital at South ShoreFar Rockaway, NY | $17,173 |
| Mount Sinai HospitalNew York, NY | $16,670 |
| South Brooklyn HealthBrooklyn, NY | $16,534 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in New York?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 55 hospitals in New York was billed at $63,837 on average, while the average total payment was $11,917, of which Medicare paid $8,982. 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 5.4 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.