facebook tracking Precerebral occlusion without infarction without major complications cost in New York: 7 hospitals compared (DRG 068)

Precerebral occlusion without infarction without major complications in New York

What 7 hospitals in New York charged and were paid for a Medicare hospital stay for precerebral occlusion without infarction without major complications (DRG 068), from 2024 Medicare claims.

DRG 068 Inpatient 2024 Medicare data
Average charge $59,531 Hospital list price billed
Average payment $11,625 Medicare + patient + other payers
Medicare paid $8,693 Average per stay
State rank #4 of 4 1 = lowest average payment

Hospitals in New York billed an average of $59,531 for precerebral occlusion without infarction without major complications, about 5.1 times the average total payment of $11,625. That payment is 32% above the U.S. average of $8,821.

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 $11,625Billed $59,531

About 20¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: precerebral occlusion without infarction 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
Good Samaritan Hospital Medical CenterWest Islip 27 $67,887 $10,874 $6,347
South Brooklyn HealthBrooklyn 20 $42,521 $15,956 $13,120
Vassar Brothers Medical CenterPoughkeepsie 13 $28,606 $9,674 $7,530
University HospitalStony Brook 12 $89,798 $11,076 $8,353
Buffalo General HospitalBuffalo 11 $36,061 $9,939 $8,231
New York-Presbyterian HospitalNew York 11 $82,856 $12,106 $9,622
Garnet Health Medical CenterGoshen 11 $73,622 $9,698 $7,681
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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

Vassar Brothers Medical CenterPoughkeepsie, NY$9,674
Garnet Health Medical CenterGoshen, NY$9,698
Buffalo General HospitalBuffalo, NY$9,939
Good Samaritan Hospital Medical CenterWest Islip, NY$10,874
University HospitalStony Brook, NY$11,076

Highest

South Brooklyn HealthBrooklyn, NY$15,956
New York-Presbyterian HospitalNew York, NY$12,106
University HospitalStony Brook, NY$11,076
Good Samaritan Hospital Medical CenterWest Islip, NY$10,874
Buffalo General HospitalBuffalo, NY$9,939

Precerebral occlusion without infarction without major complications in other states

Questions

How much does precerebral occlusion without infarction without major complications cost in New York?

In 2024 Medicare data, a hospital stay for precerebral occlusion without infarction without major complications (DRG 068) at 7 hospitals in New York was billed at $59,531 on average, while the average total payment was $11,625, of which Medicare paid $8,693. 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 5.1 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.