Other factors influencing health status in New York
What 20 hospitals in New York charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$37,278
Hospital list price billed
Average payment
$7,507
Medicare + patient + other payers
Medicare paid
$5,345
Average per stay
State rank
#16 of 17
1 = lowest average payment
Hospitals in New York billed an average of $37,278 for other factors influencing health status, about 5.0 times the average total payment of $7,507. That payment is 22% above the U.S. average of $6,140.
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 $7,507Billed $37,278
About 20¢ was paid for every $1 hospitals in New York billed for this stay.
New York hospitals: other factors influencing health status
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 |
|---|---|---|---|---|
| Strong Memorial HospitalRochester | 60 | $20,679 | $12,980 | $6,565 |
| Long Island Jewish Medical CenterNew Hyde Park | 58 | $47,164 | $7,580 | $5,918 |
| North Shore University HospitalManhasset | 52 | $91,894 | $8,066 | $5,663 |
| Buffalo General HospitalBuffalo | 44 | $14,743 | $6,673 | $5,136 |
| Lenox Hill HospitalNew York | 38 | $52,697 | $8,450 | $5,991 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 38 | $30,523 | $6,238 | $4,787 |
| Staten Island University HospitalStaten Island | 33 | $37,743 | $7,412 | $5,676 |
| University Hospital S U N Y Health Science CenterSyracuse | 32 | $43,227 | $7,339 | $5,430 |
| Huntington HospitalHuntington | 31 | $28,388 | $5,094 | $4,293 |
| Plainview HospitalPlainview | 25 | $28,894 | $6,142 | $4,674 |
| Southside HospitalBay Shore | 24 | $40,732 | $5,598 | $4,500 |
| Crouse HospitalSyracuse | 21 | $14,008 | $5,702 | $4,384 |
| New York-Presbyterian HospitalNew York | 20 | $92,357 | $9,928 | $7,062 |
| Highland HospitalRochester | 20 | $13,454 | $6,735 | $4,409 |
| Olean General HospitalOlean | 17 | $7,411 | $5,024 | $3,893 |
| Auburn Memorial HospitalAuburn | 17 | $8,168 | $5,116 | $4,156 |
| University HospitalStony Brook | 16 | $39,671 | $7,957 | $6,503 |
| Mercy HospitalBuffalo | 14 | $9,421 | $5,293 | $4,037 |
| Glen Cove HospitalGlen Cove | 11 | $29,487 | $6,345 | $5,551 |
| Glens Falls HospitalGlens Falls | 11 | $14,091 | $5,237 | $4,050 |
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
| Olean General HospitalOlean, NY | $5,024 |
|---|---|
| Huntington HospitalHuntington, NY | $5,094 |
| Auburn Memorial HospitalAuburn, NY | $5,116 |
| Glens Falls HospitalGlens Falls, NY | $5,237 |
| Mercy HospitalBuffalo, NY | $5,293 |
Highest
| Strong Memorial HospitalRochester, NY | $12,980 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $9,928 |
| Lenox Hill HospitalNew York, NY | $8,450 |
| North Shore University HospitalManhasset, NY | $8,066 |
| University HospitalStony Brook, NY | $7,957 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in New York?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 20 hospitals in New York was billed at $37,278 on average, while the average total payment was $7,507, of which Medicare paid $5,345. 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 5.0 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.