facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in New York: 42 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in New York

What 42 hospitals in New York charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $110,786 Hospital list price billed
Average payment $18,060 Medicare + patient + other payers
Medicare paid $13,662 Average per stay
State rank #47 of 48 1 = lowest average payment

Hospitals in New York billed an average of $110,786 for pulmonary embolism with major complications or acute cor pulmonale, about 6.1 times the average total payment of $18,060. That payment is 34% above the U.S. average of $13,466.

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 $18,060Billed $110,786

About 16¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 109 $146,963 $21,935 $16,039
New York-Presbyterian HospitalNew York 94 $147,115 $23,071 $14,796
North Shore University HospitalManhasset 85 $171,935 $19,752 $14,160
University HospitalStony Brook 69 $134,339 $22,758 $15,731
Long Island Jewish Medical CenterNew Hyde Park 51 $128,193 $17,227 $13,660
Vassar Brothers Medical CenterPoughkeepsie 44 $50,194 $15,609 $13,268
Mount Sinai HospitalNew York 44 $145,188 $25,168 $17,956
Huntington HospitalHuntington 42 $79,446 $12,629 $11,215
Mount Sinai WestNew York 38 $146,827 $22,228 $16,296
Montefiore Medical CenterBronx 35 $210,506 $22,989 $17,112
White Plains Hospital CtrWhite Plains 35 $73,242 $11,961 $11,028
St Peter's HospitalAlbany 34 $53,475 $13,383 $9,872
Southside HospitalBay Shore 33 $101,286 $15,586 $11,365
Staten Island University HospitalStaten Island 32 $84,342 $16,505 $14,387
Westchester Medical CenterValhalla 32 $181,359 $16,823 $14,442
Good Samaritan Hospital Medical CenterWest Islip 32 $96,830 $13,284 $11,883
Albany Medical Center HospitalAlbany 31 $46,249 $15,803 $13,724
Maimonides Medical CenterBrooklyn 31 $114,917 $21,567 $16,608
Garnet Health Medical CenterGoshen 29 $81,590 $14,333 $12,131
University Hospital S U N Y Health Science CenterSyracuse 28 $131,999 $22,230 $17,706
St Joseph's Hospital Health CenterSyracuse 23 $32,781 $13,233 $10,223
Beth Israel Medical CenterNew York 20 $117,530 $18,646 $14,510
Buffalo General HospitalBuffalo 19 $50,854 $13,515 $11,379
Long Island Community HospitalPatchogue 18 $140,101 $13,225 $11,746
St Francis Hospital, RoslynRoslyn 18 $75,971 $13,925 $10,204
New York Hospital Medical Center of QueensNew York 17 $144,990 $17,976 $14,801
Peconic Bay Medical CenterRiverhead 17 $82,672 $12,218 $10,010
Mary Imogene Bassett HospitalCooperstown 17 $28,242 $16,201 $14,235
Strong Memorial HospitalRochester 17 $38,963 $18,622 $13,032
Plainview HospitalPlainview 17 $99,413 $17,926 $11,665
South Nassau Communities HospitalOceanside 16 $92,774 $15,535 $11,581
United Health Services HospsBinghamton 15 $39,396 $16,335 $11,077
Wynn HospitalUtica 13 $69,986 $13,591 $11,268
Crouse HospitalSyracuse 13 $31,051 $13,239 $11,310
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 13 $48,621 $14,698 $12,919
Cornwall HospitalCornwall 13 $100,468 $13,215 $11,451
Good Samaritan Hospital of SuffernSuffern 12 $123,048 $12,175 $10,815
Samaritan HospitalTroy 12 $27,267 $13,372 $9,909
Mercy HospitalBuffalo 12 $34,798 $16,829 $8,922
New York Community Hospital of Brooklyn, INC.Brooklyn 11 $54,824 $13,163 $12,124
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 11 $68,029 $23,267 $9,479
Hudson Valley Hospital CenterCortlandt Manor 11 $75,198 $11,406 $9,543
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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

Hudson Valley Hospital CenterCortlandt Manor, NY$11,406
White Plains Hospital CtrWhite Plains, NY$11,961
Good Samaritan Hospital of SuffernSuffern, NY$12,175
Peconic Bay Medical CenterRiverhead, NY$12,218
Huntington HospitalHuntington, NY$12,629

Highest

Mount Sinai HospitalNew York, NY$25,168
John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY$23,267
New York-Presbyterian HospitalNew York, NY$23,071
Montefiore Medical CenterBronx, NY$22,989
University HospitalStony Brook, NY$22,758

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in New York?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 42 hospitals in New York was billed at $110,786 on average, while the average total payment was $18,060, of which Medicare paid $13,662. 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 6.1 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.