facebook tracking Other disorders of the eye with major complications or thrombolytic agent cost in New York: 1 hospitals compared (DRG 124)

Other disorders of the eye with major complications or thrombolytic agent in New York

What 1 hospital in New York charged and were paid for a Medicare hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124), from 2024 Medicare claims.

DRG 124 Inpatient 2024 Medicare data
Average charge $121,819 Hospital list price billed
Average payment $23,137 Medicare + patient + other payers
Medicare paid $11,946 Average per stay
Volume 11 Medicare hospital stays

Hospitals in New York billed an average of $121,819 for other disorders of the eye with major complications or thrombolytic agent, about 5.3 times the average total payment of $23,137. That payment is 48% above the U.S. average of $15,678.

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 $23,137Billed $121,819

About 19¢ was paid for every $1 hospitals in New York billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:

New York hospitals: other disorders of the eye with major complications or thrombolytic agent

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
Mount Sinai HospitalNew York 11 $121,819 $23,137 $11,946
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Other disorders of the eye with major complications or thrombolytic agent in other states

Questions

How much does other disorders of the eye with major complications or thrombolytic agent cost in New York?

In 2024 Medicare data, a hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124) at 1 hospital in New York was billed at $121,819 on average, while the average total payment was $23,137, of which Medicare paid $11,946. 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 5.3 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.