facebook tracking Other multiple significant trauma with major complications cost in New York: 4 hospitals compared (DRG 963)

Other multiple significant trauma with major complications in New York

What 4 hospitals in New York charged and were paid for a Medicare hospital stay for other multiple significant trauma with major complications (DRG 963), from 2024 Medicare claims.

DRG 963 Inpatient 2024 Medicare data
Average charge $190,462 Hospital list price billed
Average payment $33,727 Medicare + patient + other payers
Medicare paid $29,987 Average per stay
State rank #3 of 8 1 = lowest average payment

Hospitals in New York billed an average of $190,462 for other multiple significant trauma with major complications, about 5.6 times the average total payment of $33,727. That payment is 5% below the U.S. average of $35,483.

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 $33,727Billed $190,462

About 18¢ 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 multiple significant trauma 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 17 $299,489 $46,373 $39,466
Huntington HospitalHuntington 13 $119,554 $24,793 $23,246
Southside HospitalBay Shore 12 $155,992 $24,552 $22,925
New York-Presbyterian HospitalNew York 11 $143,369 $34,752 $31,006
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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

Southside HospitalBay Shore, NY$24,552
Huntington HospitalHuntington, NY$24,793
New York-Presbyterian HospitalNew York, NY$34,752
NYU Hospitals CenterNew York, NY$46,373

Highest

NYU Hospitals CenterNew York, NY$46,373
New York-Presbyterian HospitalNew York, NY$34,752
Huntington HospitalHuntington, NY$24,793
Southside HospitalBay Shore, NY$24,552

Other multiple significant trauma with major complications in other states

Questions

How much does other multiple significant trauma with major complications cost in New York?

In 2024 Medicare data, a hospital stay for other multiple significant trauma with major complications (DRG 963) at 4 hospitals in New York was billed at $190,462 on average, while the average total payment was $33,727, of which Medicare paid $29,987. 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 5.6 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.