Other digestive system diagnoses with major complications in New York
What 50 hospitals in New York charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$115,242
Hospital list price billed
Average payment
$21,421
Medicare + patient + other payers
Medicare paid
$17,443
Average per stay
State rank
#43 of 44
1 = lowest average payment
Hospitals in New York billed an average of $115,242 for other digestive system diagnoses with major complications, about 5.4 times the average total payment of $21,421. That payment is 25% above the U.S. average of $17,117.
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 $21,421Billed $115,242
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 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 | 187 | $174,198 | $25,522 | $20,208 |
| New York-Presbyterian HospitalNew York | 112 | $184,861 | $30,025 | $24,032 |
| Montefiore Medical CenterBronx | 74 | $134,555 | $23,499 | $18,728 |
| Mount Sinai HospitalNew York | 73 | $140,913 | $28,840 | $19,967 |
| Long Island Jewish Medical CenterNew Hyde Park | 72 | $144,719 | $22,938 | $18,671 |
| North Shore University HospitalManhasset | 59 | $143,644 | $20,449 | $16,262 |
| University HospitalStony Brook | 52 | $112,084 | $21,796 | $18,837 |
| New York Hospital Medical Center of QueensNew York | 49 | $125,663 | $20,088 | $17,579 |
| Maimonides Medical CenterBrooklyn | 46 | $90,837 | $23,285 | $19,084 |
| Staten Island University HospitalStaten Island | 40 | $94,594 | $19,670 | $16,960 |
| South Nassau Communities HospitalOceanside | 40 | $135,850 | $18,036 | $14,414 |
| White Plains Hospital CtrWhite Plains | 37 | $79,113 | $15,469 | $13,084 |
| St Peter's HospitalAlbany | 32 | $48,192 | $17,187 | $11,465 |
| Vassar Brothers Medical CenterPoughkeepsie | 30 | $67,639 | $18,989 | $16,033 |
| Huntington HospitalHuntington | 29 | $84,215 | $15,006 | $13,579 |
| Mount Sinai WestNew York | 28 | $140,119 | $22,835 | $18,954 |
| St Francis Hospital, RoslynRoslyn | 26 | $94,538 | $15,307 | $13,600 |
| Beth Israel Medical CenterNew York | 24 | $143,992 | $22,654 | $17,434 |
| St Catherine of Siena HospitalSmithtown | 24 | $71,038 | $13,664 | $12,542 |
| Good Samaritan Hospital Medical CenterWest Islip | 23 | $103,968 | $17,512 | $15,970 |
| Garnet Health Medical CenterGoshen | 22 | $62,022 | $16,636 | $15,225 |
| Strong Memorial HospitalRochester | 22 | $46,821 | $21,771 | $17,137 |
| Southside HospitalBay Shore | 21 | $107,575 | $15,802 | $14,761 |
| Wynn HospitalUtica | 20 | $48,351 | $14,559 | $12,498 |
| Long Island Community HospitalPatchogue | 19 | $141,172 | $15,830 | $14,665 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 19 | $89,893 | $18,985 | $11,846 |
| Buffalo General HospitalBuffalo | 18 | $33,675 | $17,683 | $15,480 |
| Nyack HospitalNyack | 18 | $69,260 | $14,534 | $13,537 |
| Peconic Bay Medical CenterRiverhead | 18 | $77,930 | $16,964 | $15,144 |
| Brookdale Hospital Medical CenterBrooklyn | 18 | $60,207 | $26,981 | $20,908 |
| University Hospital S U N Y Health Science CenterSyracuse | 18 | $122,521 | $22,623 | $18,990 |
| Mercy Medical CenterRockville Centre | 18 | $65,268 | $15,124 | $13,752 |
| Albany Medical Center HospitalAlbany | 17 | $70,006 | $22,689 | $16,211 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 16 | $61,492 | $17,204 | $14,275 |
| Northern Westchester HospitalMt Kisco | 16 | $58,320 | $13,630 | $12,685 |
| Good Samaritan Hospital of SuffernSuffern | 15 | $132,922 | $14,680 | $13,701 |
| Phelps Memorial Hospital AssnSleepy Hollow | 15 | $102,952 | $16,662 | $14,155 |
| Richmond University Medical CenterStaten Island | 14 | $137,741 | $23,125 | $16,928 |
| Lenox Hill HospitalNew York | 14 | $193,973 | $28,292 | $23,530 |
| Plainview HospitalPlainview | 14 | $76,831 | $16,746 | $14,274 |
| United Health Services HospsBinghamton | 14 | $41,706 | $15,738 | $13,661 |
| Flushing Hospital Medical CenterNew York | 13 | $23,564 | $19,203 | $16,181 |
| Putnam Hospital CenterCarmel | 13 | $48,730 | $14,432 | $13,164 |
| Mercy HospitalBuffalo | 13 | $36,665 | $14,173 | $12,767 |
| Jacobi Medical CenterBronx | 12 | $55,778 | $35,852 | $25,930 |
| South Brooklyn HealthBrooklyn | 12 | $76,596 | $26,137 | $23,070 |
| Rochester General HospitalRochester | 11 | $30,736 | $17,087 | $15,588 |
| Glen Cove HospitalGlen Cove | 11 | $63,769 | $16,471 | $15,194 |
| St John's Riverside HospitalYonkers | 11 | $46,424 | $17,752 | $16,045 |
| Hudson Valley Hospital CenterCortlandt Manor | 11 | $37,411 | $15,178 | $11,797 |
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
| Northern Westchester HospitalMt Kisco, NY | $13,630 |
|---|---|
| St Catherine of Siena HospitalSmithtown, NY | $13,664 |
| Mercy HospitalBuffalo, NY | $14,173 |
| Putnam Hospital CenterCarmel, NY | $14,432 |
| Nyack HospitalNyack, NY | $14,534 |
Highest
| Jacobi Medical CenterBronx, NY | $35,852 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $30,025 |
| Mount Sinai HospitalNew York, NY | $28,840 |
| Lenox Hill HospitalNew York, NY | $28,292 |
| Brookdale Hospital Medical CenterBrooklyn, NY | $26,981 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in New York?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 50 hospitals in New York was billed at $115,242 on average, while the average total payment was $21,421, of which Medicare paid $17,443. 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.