Simple pneumonia and pleurisy with complications in New York
What 93 hospitals in New York charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$49,171
Hospital list price billed
Average payment
$10,004
Medicare + patient + other payers
Medicare paid
$7,289
Average per stay
State rank
#44 of 47
1 = lowest average payment
Hospitals in New York billed an average of $49,171 for simple pneumonia and pleurisy with complications, about 4.9 times the average total payment of $10,004. That payment is 26% above the U.S. average of $7,941.
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 $10,004Billed $49,171
About 20¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: simple pneumonia and pleurisy 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 | 172 | $74,386 | $12,038 | $8,319 |
| NYU Hospitals CenterNew York | 143 | $86,943 | $12,450 | $8,976 |
| St Francis Hospital, RoslynRoslyn | 117 | $49,887 | $7,932 | $5,367 |
| University HospitalStony Brook | 111 | $72,715 | $11,710 | $8,681 |
| Garnet Health Medical CenterGoshen | 87 | $46,374 | $8,862 | $6,960 |
| Wynn HospitalUtica | 82 | $33,869 | $8,155 | $6,069 |
| Montefiore Medical CenterBronx | 75 | $87,266 | $14,669 | $8,639 |
| North Shore University HospitalManhasset | 74 | $80,488 | $10,101 | $7,342 |
| Good Samaritan Hospital Medical CenterWest Islip | 56 | $47,101 | $8,592 | $6,186 |
| Crouse HospitalSyracuse | 52 | $20,584 | $8,013 | $5,823 |
| Long Island Jewish Medical CenterNew Hyde Park | 49 | $79,605 | $10,750 | $7,698 |
| Mount Sinai HospitalNew York | 48 | $49,025 | $13,019 | $8,340 |
| Staten Island University HospitalStaten Island | 47 | $52,120 | $9,958 | $7,992 |
| White Plains Hospital CtrWhite Plains | 47 | $49,728 | $10,287 | $5,419 |
| Glens Falls HospitalGlens Falls | 44 | $22,470 | $7,498 | $5,624 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 41 | $40,256 | $7,811 | $6,338 |
| Cortland Regional Medical Center, INCCortland | 36 | $17,923 | $7,799 | $6,323 |
| St Peter's HospitalAlbany | 35 | $25,703 | $7,102 | $5,573 |
| University Hospital S U N Y Health Science CenterSyracuse | 34 | $63,151 | $10,112 | $7,208 |
| Hudson Valley Hospital CenterCortlandt Manor | 34 | $38,753 | $7,263 | $5,919 |
| Peconic Bay Medical CenterRiverhead | 33 | $57,750 | $8,375 | $6,668 |
| St John's Riverside HospitalYonkers | 33 | $45,056 | $9,431 | $7,270 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 32 | $27,009 | $8,400 | $6,545 |
| Beth Israel Medical CenterNew York | 31 | $68,843 | $11,782 | $7,811 |
| Maimonides Medical CenterBrooklyn | 31 | $51,834 | $11,877 | $8,835 |
| Healthalliance Hospital Marys Avenue CampusKingston | 29 | $73,430 | $7,954 | $6,138 |
| Buffalo General HospitalBuffalo | 28 | $21,644 | $9,470 | $6,748 |
| St Joseph's Hospital Health CenterSyracuse | 28 | $25,209 | $7,963 | $5,887 |
| Good Samaritan Hospital of SuffernSuffern | 28 | $77,595 | $7,400 | $6,059 |
| St Catherine of Siena HospitalSmithtown | 28 | $42,625 | $6,880 | $5,657 |
| St Joseph HospitalBethpage | 27 | $42,435 | $7,854 | $5,301 |
| South Nassau Communities HospitalOceanside | 26 | $73,748 | $8,722 | $6,733 |
| Nyack HospitalNyack | 25 | $60,674 | $8,009 | $5,818 |
| Garnet Health Medical Center CatskillsHarris | 25 | $55,141 | $8,492 | $7,496 |
| United Health Services HospsBinghamton | 25 | $20,530 | $9,371 | $5,994 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 24 | $48,235 | $11,613 | $5,318 |
| Mount St Mary's Hospital and Health CenterLewiston | 24 | $14,024 | $9,420 | $5,396 |
| Westchester Medical CenterValhalla | 24 | $120,001 | $9,646 | $7,705 |
| St Charles HospitalPort Jefferson | 24 | $38,239 | $8,081 | $6,156 |
| Huntington HospitalHuntington | 23 | $47,424 | $8,843 | $5,310 |
| Northern Dutchess HospitalRhinebeck | 23 | $26,441 | $8,670 | $6,824 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 23 | $36,863 | $8,681 | $7,192 |
| Cornwall HospitalCornwall | 23 | $57,037 | $7,934 | $6,432 |
| New York Hospital Medical Center of QueensNew York | 22 | $67,011 | $10,170 | $7,886 |
| F F Thompson HospitalCanandaigua | 22 | $13,213 | $7,061 | $5,726 |
| Auburn Memorial HospitalAuburn | 22 | $13,662 | $7,165 | $5,830 |
| Plainview HospitalPlainview | 22 | $55,105 | $8,778 | $5,923 |
| Rochester General HospitalRochester | 21 | $19,473 | $9,946 | $6,491 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 21 | $40,829 | $15,051 | $9,780 |
| South Brooklyn HealthBrooklyn | 20 | $42,409 | $15,452 | $12,979 |
| Unity Hospital of RochesterRochester | 20 | $14,236 | $8,707 | $6,048 |
| Mercy Medical CenterRockville Centre | 20 | $53,336 | $7,929 | $6,461 |
| Mercy HospitalBuffalo | 20 | $18,418 | $7,700 | $5,501 |
| Strong Memorial HospitalRochester | 20 | $23,374 | $12,604 | $8,098 |
| Mount Sinai WestNew York | 19 | $61,629 | $11,100 | $8,647 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 19 | $88,237 | $14,389 | $9,475 |
| Mary Imogene Bassett HospitalCooperstown | 19 | $19,106 | $9,637 | $7,513 |
| Highland HospitalRochester | 19 | $16,662 | $8,898 | $5,663 |
| Samaritan HospitalTroy | 19 | $22,193 | $7,545 | $6,282 |
| Corning HospitalCorning | 19 | $23,926 | $7,298 | $5,049 |
| Montefiore New Rochelle HospitalNew Rochelle | 18 | $49,057 | $10,796 | $7,723 |
| Bellevue Hospital CenterNew York | 18 | $57,283 | $40,893 | $27,311 |
| St Mary's Hospital at AmsterdamAmsterdam | 17 | $27,496 | $7,680 | $6,434 |
| Arnot Ogden Medical CenterElmira | 17 | $20,412 | $10,043 | $7,644 |
| Long Island Community HospitalPatchogue | 17 | $86,369 | $8,244 | $5,871 |
| Northern Westchester HospitalMt Kisco | 17 | $35,136 | $8,253 | $5,355 |
| Saratoga HospitalSaratoga Springs | 17 | $25,125 | $7,119 | $5,934 |
| Vassar Brothers Medical CenterPoughkeepsie | 16 | $24,476 | $9,337 | $7,343 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 16 | $19,885 | $7,851 | $6,729 |
| Columbia Memorial HospitalHudson | 16 | $25,695 | $7,687 | $6,234 |
| Bertrand Chaffee HospitalSpringville | 16 | $9,008 | $8,120 | $6,692 |
| Samaritan Medical CenterWatertown | 16 | $31,641 | $9,597 | $8,294 |
| Brooks Memorial HospitalDunkirk | 16 | $14,622 | $8,510 | $7,286 |
| Southside HospitalBay Shore | 15 | $55,288 | $8,164 | $6,553 |
| Elmhurst Hospital CenterNew York | 15 | $32,287 | $28,070 | $25,922 |
| Phelps Memorial Hospital AssnSleepy Hollow | 15 | $60,569 | $8,485 | $6,497 |
| Albany Medical Center HospitalAlbany | 14 | $30,466 | $10,598 | $6,918 |
| United Memorial Medical CenterBatavia | 14 | $23,092 | $7,639 | $6,285 |
| Sisters of Charity HospitalBuffalo | 14 | $16,600 | $7,500 | $6,175 |
| Olean General HospitalOlean | 14 | $12,003 | $6,921 | $5,240 |
| Claxton-Hepburn Medical CenterOgdensburg | 14 | $18,630 | $8,090 | $6,691 |
| Nassau University Medical CenterEast Meadow | 13 | $45,900 | $14,127 | $10,811 |
| Flushing Hospital Medical CenterNew York | 13 | $17,430 | $11,649 | $8,520 |
| UPMC Chautauqua at WcaJamestown | 13 | $11,798 | $7,070 | $5,780 |
| Kenmore Mercy HospitalBuffalo | 12 | $21,473 | $7,046 | $6,094 |
| Oneida Healthcare CenterOneida | 12 | $19,078 | $7,874 | $6,650 |
| Jacobi Medical CenterBronx | 12 | $34,455 | $19,608 | $14,624 |
| St Anthony Community HospitalWarwick | 12 | $76,077 | $6,934 | $5,438 |
| Brookdale Hospital Medical CenterBrooklyn | 12 | $29,097 | $14,061 | $10,436 |
| Nathan Littauer HospitalGloversville | 12 | $23,080 | $7,605 | $6,381 |
| Bon Secours Community HospitalPort Jervis | 11 | $62,906 | $7,581 | $6,097 |
| Ellis HospitalSchenectady | 11 | $25,631 | $7,728 | $6,207 |
| Erie County Medical CenterBuffalo | 11 | $18,787 | $9,777 | $7,749 |
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 Catherine of Siena HospitalSmithtown, NY | $6,880 |
|---|---|
| Olean General HospitalOlean, NY | $6,921 |
| St Anthony Community HospitalWarwick, NY | $6,934 |
| Kenmore Mercy HospitalBuffalo, NY | $7,046 |
| F F Thompson HospitalCanandaigua, NY | $7,061 |
Highest
| Bellevue Hospital CenterNew York, NY | $40,893 |
|---|---|
| Elmhurst Hospital CenterNew York, NY | $28,070 |
| Jacobi Medical CenterBronx, NY | $19,608 |
| South Brooklyn HealthBrooklyn, NY | $15,452 |
| St John's Episcopal Hospital at South ShoreFar Rockaway, NY | $15,051 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in New York?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 93 hospitals in New York was billed at $49,171 on average, while the average total payment was $10,004, of which Medicare paid $7,289. 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 4.9 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.