facebook tracking Peripheral, cranial nerve and other nervous system procedures with major complications cost in New York: 13 hospitals compared (DRG 040)

Peripheral, cranial nerve and other nervous system procedures with major complications in New York

What 13 hospitals in New York charged and were paid for a Medicare hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040), from 2024 Medicare claims.

DRG 040 Inpatient 2024 Medicare data
Average charge $249,764 Hospital list price billed
Average payment $47,010 Medicare + patient + other payers
Medicare paid $38,874 Average per stay
State rank #6 of 6 1 = lowest average payment

Hospitals in New York billed an average of $249,764 for peripheral, cranial nerve and other nervous system procedures with major complications, about 5.3 times the average total payment of $47,010. That payment is 13% above the U.S. average of $41,616.

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 $47,010Billed $249,764

About 19¢ 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: peripheral, cranial nerve and other nervous system procedures 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 37 $359,222 $54,801 $45,263
New York-Presbyterian HospitalNew York 26 $350,878 $58,057 $51,278
White Plains Hospital CtrWhite Plains 21 $165,174 $33,365 $32,104
North Shore University HospitalManhasset 19 $273,872 $41,589 $35,890
Long Island Jewish Medical CenterNew Hyde Park 17 $243,779 $56,226 $35,255
Good Samaritan Hospital Medical CenterWest Islip 17 $211,782 $34,071 $32,188
Staten Island University HospitalStaten Island 16 $187,315 $47,810 $36,393
Southside HospitalBay Shore 15 $210,062 $37,998 $35,805
Huntington HospitalHuntington 14 $169,375 $32,462 $30,476
Maimonides Medical CenterBrooklyn 14 $173,200 $52,476 $40,395
Lenox Hill HospitalNew York 13 $200,267 $60,479 $34,515
University HospitalStony Brook 13 $278,491 $49,065 $44,247
New York Hospital Medical Center of QueensNew York 12 $203,834 $40,771 $37,546
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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$32,462
White Plains Hospital CtrWhite Plains, NY$33,365
Good Samaritan Hospital Medical CenterWest Islip, NY$34,071
Southside HospitalBay Shore, NY$37,998
New York Hospital Medical Center of QueensNew York, NY$40,771

Highest

Lenox Hill HospitalNew York, NY$60,479
New York-Presbyterian HospitalNew York, NY$58,057
Long Island Jewish Medical CenterNew Hyde Park, NY$56,226
NYU Hospitals CenterNew York, NY$54,801
Maimonides Medical CenterBrooklyn, NY$52,476

Peripheral, cranial nerve and other nervous system procedures with major complications in other states

Questions

How much does peripheral, cranial nerve and other nervous system procedures with major complications cost in New York?

In 2024 Medicare data, a hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040) at 13 hospitals in New York was billed at $249,764 on average, while the average total payment was $47,010, of which Medicare paid $38,874. 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.