Pathological fractures and musculoskeletal and connective tissue malignancy with complications in New York
What 23 hospitals in New York charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$71,273
Hospital list price billed
Average payment
$13,086
Medicare + patient + other payers
Medicare paid
$10,132
Average per stay
State rank
#31 of 34
1 = lowest average payment
Hospitals in New York billed an average of $71,273 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 5.4 times the average total payment of $13,086. That payment is 26% above the U.S. average of $10,379.
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 $13,086Billed $71,273
About 18¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy with 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 | 77 | $96,205 | $15,391 | $11,125 |
| NYU Hospitals CenterNew York | 50 | $117,431 | $15,544 | $11,775 |
| Staten Island University HospitalStaten Island | 45 | $51,012 | $12,560 | $10,684 |
| Vassar Brothers Medical CenterPoughkeepsie | 28 | $33,148 | $12,135 | $9,952 |
| St Francis Hospital, RoslynRoslyn | 28 | $60,334 | $10,964 | $7,343 |
| North Shore University HospitalManhasset | 27 | $82,574 | $13,231 | $10,443 |
| University HospitalStony Brook | 26 | $78,534 | $15,145 | $11,112 |
| Good Samaritan Hospital Medical CenterWest Islip | 22 | $55,809 | $10,321 | $8,671 |
| White Plains Hospital CtrWhite Plains | 21 | $52,944 | $9,650 | $8,096 |
| Glens Falls HospitalGlens Falls | 18 | $24,146 | $9,144 | $7,874 |
| Montefiore Medical CenterBronx | 16 | $83,380 | $16,870 | $12,746 |
| University Hospital S U N Y Health Science CenterSyracuse | 16 | $105,363 | $13,150 | $9,317 |
| Highland HospitalRochester | 15 | $17,240 | $10,687 | $8,992 |
| Long Island Jewish Medical CenterNew Hyde Park | 15 | $125,736 | $13,414 | $10,415 |
| Strong Memorial HospitalRochester | 15 | $54,179 | $16,850 | $12,019 |
| United Health Services HospsBinghamton | 15 | $20,859 | $10,597 | $9,016 |
| Lenox Hill HospitalNew York | 14 | $74,976 | $14,108 | $11,204 |
| Maimonides Medical CenterBrooklyn | 14 | $67,846 | $16,322 | $12,489 |
| Huntington HospitalHuntington | 13 | $50,007 | $9,715 | $8,019 |
| Phelps Memorial Hospital AssnSleepy Hollow | 13 | $84,039 | $10,749 | $8,854 |
| Albany Medical Center HospitalAlbany | 12 | $47,353 | $11,873 | $9,476 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 11 | $73,420 | $11,347 | $8,367 |
| Hudson Valley Hospital CenterCortlandt Manor | 11 | $50,780 | $8,938 | $8,047 |
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
| Hudson Valley Hospital CenterCortlandt Manor, NY | $8,938 |
|---|---|
| Glens Falls HospitalGlens Falls, NY | $9,144 |
| White Plains Hospital CtrWhite Plains, NY | $9,650 |
| Huntington HospitalHuntington, NY | $9,715 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | $10,321 |
Highest
| Montefiore Medical CenterBronx, NY | $16,870 |
|---|---|
| Strong Memorial HospitalRochester, NY | $16,850 |
| Maimonides Medical CenterBrooklyn, NY | $16,322 |
| NYU Hospitals CenterNew York, NY | $15,544 |
| New York-Presbyterian HospitalNew York, NY | $15,391 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in New York?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 23 hospitals in New York was billed at $71,273 on average, while the average total payment was $13,086, of which Medicare paid $10,132. 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.