facebook tracking Postoperative and post-traumatic infections without major complications cost in New York: 9 hospitals compared (DRG 863)

Postoperative and post-traumatic infections without major complications in New York

What 9 hospitals in New York charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.

DRG 863 Inpatient 2024 Medicare data
Average charge $86,671 Hospital list price billed
Average payment $13,166 Medicare + patient + other payers
Medicare paid $9,335 Average per stay
State rank #17 of 19 1 = lowest average payment

Hospitals in New York billed an average of $86,671 for postoperative and post-traumatic infections without major complications, about 6.6 times the average total payment of $13,166. That payment is 16% above the U.S. average of $11,307.

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 $13,166Billed $86,671

About 15¢ 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: postoperative and post-traumatic infections without 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 33 $170,909 $14,367 $11,357
New York-Presbyterian HospitalNew York 25 $84,996 $16,974 $10,377
St Francis Hospital, RoslynRoslyn 23 $56,689 $9,613 $7,412
North Shore University HospitalManhasset 22 $88,637 $12,363 $9,361
University HospitalStony Brook 18 $77,114 $16,214 $8,440
Long Island Jewish Medical CenterNew Hyde Park 12 $49,226 $11,134 $9,426
University Hospital S U N Y Health Science CenterSyracuse 12 $39,471 $12,591 $8,180
Albany Medical Center HospitalAlbany 11 $28,020 $11,661 $8,562
Good Samaritan Hospital Medical CenterWest Islip 11 $63,155 $9,311 $8,277
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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

Highest

New York-Presbyterian HospitalNew York, NY$16,974
University HospitalStony Brook, NY$16,214
NYU Hospitals CenterNew York, NY$14,367
University Hospital S U N Y Health Science CenterSyracuse, NY$12,591
North Shore University HospitalManhasset, NY$12,363

Postoperative and post-traumatic infections without major complications in other states

Questions

How much does postoperative and post-traumatic infections without major complications cost in New York?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 9 hospitals in New York was billed at $86,671 on average, while the average total payment was $13,166, of which Medicare paid $9,335. 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 6.6 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.