facebook tracking Respiratory infections and inflammations with complications cost in New York: 70 hospitals compared (DRG 178)

Respiratory infections and inflammations with complications in New York

What 70 hospitals in New York charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.

DRG 178 Inpatient 2024 Medicare data
Average charge $63,690 Hospital list price billed
Average payment $11,464 Medicare + patient + other payers
Medicare paid $8,741 Average per stay
State rank #44 of 46 1 = lowest average payment

Hospitals in New York billed an average of $63,690 for respiratory infections and inflammations with complications, about 5.6 times the average total payment of $11,464. That payment is 21% above the U.S. average of $9,493.

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 $11,464Billed $63,690

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: respiratory infections and inflammations with 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 149 $95,760 $14,969 $10,304
NYU Hospitals CenterNew York 117 $97,805 $13,674 $10,552
St Francis Hospital, RoslynRoslyn 101 $58,674 $8,689 $6,888
University HospitalStony Brook 92 $77,706 $13,179 $10,204
North Shore University HospitalManhasset 64 $92,820 $12,755 $8,621
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 51 $68,777 $12,087 $9,071
St Catherine of Siena HospitalSmithtown 51 $60,902 $8,344 $6,787
Plainview HospitalPlainview 48 $60,499 $10,520 $7,501
Long Island Jewish Medical CenterNew Hyde Park 47 $89,868 $13,008 $9,700
Garnet Health Medical CenterGoshen 44 $61,468 $11,031 $8,546
Montefiore Medical CenterBronx 43 $114,249 $18,322 $11,162
Staten Island University HospitalStaten Island 41 $60,459 $12,108 $9,439
New York Community Hospital of Brooklyn, INC.Brooklyn 40 $46,357 $9,097 $7,752
White Plains Hospital CtrWhite Plains 39 $59,490 $8,734 $7,689
University Hospital S U N Y Health Science CenterSyracuse 38 $71,331 $12,417 $8,632
St Joseph HospitalBethpage 38 $51,865 $8,199 $6,898
Glens Falls HospitalGlens Falls 37 $27,947 $8,495 $7,436
Huntington HospitalHuntington 34 $51,176 $8,844 $7,367
Good Samaritan Hospital Medical CenterWest Islip 34 $80,065 $9,789 $7,807
St Peter's HospitalAlbany 32 $32,168 $10,263 $6,848
Highland HospitalRochester 32 $28,488 $9,961 $7,298
Crouse HospitalSyracuse 32 $23,559 $9,362 $7,622
St John's Riverside HospitalYonkers 32 $49,206 $11,190 $9,245
Rochester General HospitalRochester 31 $27,027 $11,781 $8,596
Buffalo General HospitalBuffalo 29 $28,053 $10,340 $8,422
Wynn HospitalUtica 28 $34,577 $9,777 $7,937
Good Samaritan Hospital of SuffernSuffern 28 $99,500 $9,013 $7,907
Unity Hospital of RochesterRochester 28 $26,187 $10,123 $8,061
Peconic Bay Medical CenterRiverhead 24 $63,767 $8,944 $7,130
South Nassau Communities HospitalOceanside 24 $88,602 $10,352 $7,334
Westchester Medical CenterValhalla 24 $168,684 $13,569 $9,126
Auburn Memorial HospitalAuburn 24 $22,343 $8,599 $7,851
Mercy HospitalBuffalo 24 $16,345 $8,364 $7,075
Healthalliance Hospital Marys Avenue CampusKingston 23 $92,183 $10,073 $7,466
Cortland Regional Medical Center, INCCortland 22 $29,760 $9,237 $7,828
Albany Medical Center HospitalAlbany 21 $32,445 $11,425 $8,310
Mount Sinai WestNew York 21 $93,244 $14,799 $10,940
Maimonides Medical CenterBrooklyn 21 $46,536 $13,984 $11,156
Mercy Medical CenterRockville Centre 21 $75,744 $9,421 $8,453
New York Hospital Medical Center of QueensNew York 20 $70,247 $12,066 $9,553
Mount Sinai HospitalNew York 19 $89,333 $17,238 $11,302
Long Island Community HospitalPatchogue 19 $83,085 $9,632 $7,906
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 19 $44,342 $10,407 $8,670
Vassar Brothers Medical CenterPoughkeepsie 18 $30,077 $10,995 $8,980
Nyack HospitalNyack 18 $58,748 $8,814 $7,635
Lenox Hill HospitalNew York 18 $74,305 $12,833 $10,143
Beth Israel Medical CenterNew York 18 $86,846 $14,163 $9,704
Montefiore New Rochelle HospitalNew Rochelle 18 $67,031 $12,988 $9,234
Corning HospitalCorning 16 $32,561 $8,302 $6,954
Strong Memorial HospitalRochester 16 $32,369 $14,927 $10,139
United Health Services HospsBinghamton 16 $22,929 $9,796 $7,920
Newark-Wayne Community HospitalNewark 15 $22,457 $8,515 $7,427
Saratoga HospitalSaratoga Springs 15 $34,402 $8,567 $7,435
Cornwall HospitalCornwall 15 $71,490 $9,427 $7,850
Garnet Health Medical Center CatskillsHarris 15 $64,148 $9,947 $8,952
Southside HospitalBay Shore 14 $67,906 $9,668 $8,325
St Joseph's Hospital Health CenterSyracuse 14 $24,979 $9,223 $7,291
Hudson Valley Hospital CenterCortlandt Manor 14 $42,892 $8,823 $7,541
Samaritan Medical CenterWatertown 13 $29,728 $11,411 $10,085
Flushing Hospital Medical CenterNew York 13 $42,613 $20,222 $15,550
St Charles HospitalPort Jefferson 13 $47,211 $9,359 $7,435
St John's Episcopal Hospital at South ShoreFar Rockaway 13 $62,889 $19,360 $11,027
Nassau University Medical CenterEast Meadow 12 $57,428 $16,283 $12,830
Kenmore Mercy HospitalBuffalo 12 $18,650 $10,477 $5,708
Bronxcare Hospital CenterBronx 11 $35,421 $20,273 $16,999
Northern Dutchess HospitalRhinebeck 11 $27,775 $9,736 $7,863
Ellis HospitalSchenectady 11 $31,960 $8,775 $7,143
Canton-Potsdam HospitalPotsdam 11 $25,283 $8,351 $7,127
Brookdale Hospital Medical CenterBrooklyn 11 $31,292 $15,253 $11,504
Phelps Memorial Hospital AssnSleepy Hollow 11 $60,572 $9,441 $7,700
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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

St Joseph HospitalBethpage, NY$8,199
Corning HospitalCorning, NY$8,302
St Catherine of Siena HospitalSmithtown, NY$8,344
Canton-Potsdam HospitalPotsdam, NY$8,351
Mercy HospitalBuffalo, NY$8,364

Highest

Respiratory infections and inflammations with complications in other states

Questions

How much does respiratory infections and inflammations with complications cost in New York?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 70 hospitals in New York was billed at $63,690 on average, while the average total payment was $11,464, of which Medicare paid $8,741. 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 5.6 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.