facebook tracking Other disorders of nervous system with major complications cost in New York: 30 hospitals compared (DRG 091)

Other disorders of nervous system with major complications in New York

What 30 hospitals in New York charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.

DRG 091 Inpatient 2024 Medicare data
Average charge $135,404 Hospital list price billed
Average payment $24,611 Medicare + patient + other payers
Medicare paid $20,107 Average per stay
State rank #38 of 39 1 = lowest average payment

Hospitals in New York billed an average of $135,404 for other disorders of nervous system with major complications, about 5.5 times the average total payment of $24,611. That payment is 33% above the U.S. average of $18,533.

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 $24,611Billed $135,404

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: other disorders of nervous system 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 89 $219,742 $34,145 $28,230
NYU Hospitals CenterNew York 79 $190,784 $28,071 $22,417
Mount Sinai HospitalNew York 48 $142,405 $29,009 $21,824
Mount Sinai WestNew York 38 $135,915 $23,693 $20,317
North Shore University HospitalManhasset 31 $246,602 $33,649 $27,701
Montefiore Medical CenterBronx 30 $171,262 $32,595 $20,909
Lenox Hill HospitalNew York 27 $91,069 $20,858 $18,059
Staten Island University HospitalStaten Island 26 $95,830 $20,851 $18,619
Long Island Jewish Medical CenterNew Hyde Park 25 $98,046 $22,511 $17,725
University HospitalStony Brook 25 $150,957 $29,965 $22,717
Albany Medical Center HospitalAlbany 24 $73,254 $23,680 $15,341
White Plains Hospital CtrWhite Plains 24 $92,503 $15,307 $14,491
South Nassau Communities HospitalOceanside 22 $151,646 $18,543 $14,222
Buffalo General HospitalBuffalo 21 $52,046 $19,548 $17,361
Long Island Community HospitalPatchogue 21 $144,872 $16,550 $15,170
Vassar Brothers Medical CenterPoughkeepsie 20 $43,466 $19,960 $17,423
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 20 $83,371 $17,988 $14,961
Huntington HospitalHuntington 19 $61,272 $14,366 $13,287
St Francis Hospital, RoslynRoslyn 19 $69,082 $14,453 $13,280
Strong Memorial HospitalRochester 19 $43,792 $24,153 $20,319
Maimonides Medical CenterBrooklyn 17 $122,653 $26,591 $21,341
Good Samaritan Hospital of SuffernSuffern 16 $140,462 $16,058 $15,041
Nyack HospitalNyack 15 $67,106 $15,200 $13,895
Jacobi Medical CenterBronx 15 $63,092 $32,828 $27,480
Southside HospitalBay Shore 14 $126,164 $15,681 $14,314
Beth Israel Medical CenterNew York 14 $118,390 $23,321 $19,011
Westchester Medical CenterValhalla 14 $258,305 $22,199 $18,192
Good Samaritan Hospital Medical CenterWest Islip 14 $82,228 $16,094 $14,918
Nassau University Medical CenterEast Meadow 13 $72,346 $27,331 $23,166
New York Hospital Medical Center of QueensNew York 11 $87,404 $20,796 $18,631
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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

Huntington HospitalHuntington, NY$14,366
St Francis Hospital, RoslynRoslyn, NY$14,453
Nyack HospitalNyack, NY$15,200
White Plains Hospital CtrWhite Plains, NY$15,307
Southside HospitalBay Shore, NY$15,681

Highest

New York-Presbyterian HospitalNew York, NY$34,145
North Shore University HospitalManhasset, NY$33,649
Jacobi Medical CenterBronx, NY$32,828
Montefiore Medical CenterBronx, NY$32,595
University HospitalStony Brook, NY$29,965

Other disorders of nervous system with major complications in other states

Questions

How much does other disorders of nervous system with major complications cost in New York?

In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 30 hospitals in New York was billed at $135,404 on average, while the average total payment was $24,611, of which Medicare paid $20,107. 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 5.5 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.