Pulmonary embolism without major complications in New York
What 32 hospitals in New York charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$61,023
Hospital list price billed
Average payment
$10,116
Medicare + patient + other payers
Medicare paid
$7,194
Average per stay
State rank
#36 of 39
1 = lowest average payment
Hospitals in New York billed an average of $61,023 for pulmonary embolism without major complications, about 6.0 times the average total payment of $10,116. That payment is 22% above the U.S. average of $8,294.
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 $10,116Billed $61,023
About 17¢ 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 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 |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 62 | $84,492 | $12,090 | $8,414 |
| NYU Hospitals CenterNew York | 48 | $80,781 | $11,907 | $9,190 |
| University HospitalStony Brook | 37 | $66,752 | $11,136 | $8,263 |
| St Francis Hospital, RoslynRoslyn | 35 | $49,020 | $8,122 | $5,322 |
| Long Island Jewish Medical CenterNew Hyde Park | 32 | $77,358 | $11,080 | $7,495 |
| North Shore University HospitalManhasset | 30 | $87,911 | $10,830 | $7,056 |
| Montefiore Medical CenterBronx | 29 | $91,996 | $16,308 | $8,499 |
| Staten Island University HospitalStaten Island | 25 | $59,748 | $11,018 | $7,448 |
| Good Samaritan Hospital Medical CenterWest Islip | 25 | $56,165 | $9,251 | $5,931 |
| Peconic Bay Medical CenterRiverhead | 21 | $47,806 | $7,398 | $5,524 |
| Garnet Health Medical CenterGoshen | 21 | $47,932 | $8,654 | $6,992 |
| Plainview HospitalPlainview | 21 | $47,259 | $9,129 | $5,964 |
| Albany Medical Center HospitalAlbany | 20 | $28,234 | $8,730 | $7,239 |
| Mount Sinai HospitalNew York | 18 | $47,030 | $13,132 | $8,909 |
| Westchester Medical CenterValhalla | 18 | $151,056 | $11,042 | $8,074 |
| Buffalo General HospitalBuffalo | 17 | $24,415 | $9,243 | $7,565 |
| St Peter's HospitalAlbany | 17 | $31,628 | $7,402 | $4,940 |
| Glens Falls HospitalGlens Falls | 17 | $27,133 | $7,105 | $5,857 |
| University Hospital S U N Y Health Science CenterSyracuse | 17 | $60,596 | $9,496 | $7,575 |
| Vassar Brothers Medical CenterPoughkeepsie | 16 | $38,853 | $9,438 | $7,243 |
| Wynn HospitalUtica | 16 | $39,992 | $7,988 | $5,696 |
| Hudson Valley Hospital CenterCortlandt Manor | 16 | $42,348 | $7,251 | $6,129 |
| Mary Imogene Bassett HospitalCooperstown | 14 | $24,101 | $9,356 | $7,600 |
| St Joseph HospitalBethpage | 14 | $52,936 | $7,834 | $5,426 |
| Mount Sinai WestNew York | 13 | $64,922 | $11,591 | $8,665 |
| White Plains Hospital CtrWhite Plains | 13 | $62,555 | $10,879 | $4,920 |
| Southside HospitalBay Shore | 12 | $86,273 | $8,672 | $6,391 |
| Huntington HospitalHuntington | 12 | $48,642 | $7,307 | $6,349 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 11 | $31,018 | $7,619 | $6,729 |
| Crouse HospitalSyracuse | 11 | $17,258 | $7,784 | $6,012 |
| Cornwall HospitalCornwall | 11 | $73,127 | $8,012 | $6,820 |
| Strong Memorial HospitalRochester | 11 | $28,115 | $11,044 | $8,489 |
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
| Glens Falls HospitalGlens Falls, NY | $7,105 |
|---|---|
| Hudson Valley Hospital CenterCortlandt Manor, NY | $7,251 |
| Huntington HospitalHuntington, NY | $7,307 |
| Peconic Bay Medical CenterRiverhead, NY | $7,398 |
| St Peter's HospitalAlbany, NY | $7,402 |
Highest
| Montefiore Medical CenterBronx, NY | $16,308 |
|---|---|
| Mount Sinai HospitalNew York, NY | $13,132 |
| New York-Presbyterian HospitalNew York, NY | $12,090 |
| NYU Hospitals CenterNew York, NY | $11,907 |
| Mount Sinai WestNew York, NY | $11,591 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in New York?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 32 hospitals in New York was billed at $61,023 on average, while the average total payment was $10,116, of which Medicare paid $7,194. 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 6.0 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.