Simple pneumonia and pleurisy with major complications in New York
What 116 hospitals in New York charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$77,497
Hospital list price billed
Average payment
$15,898
Medicare + patient + other payers
Medicare paid
$12,580
Average per stay
State rank
#48 of 50
1 = lowest average payment
Hospitals in New York billed an average of $77,497 for simple pneumonia and pleurisy with major complications, about 4.9 times the average total payment of $15,898. That payment is 32% above the U.S. average of $12,020.
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 $15,898Billed $77,497
About 21¢ 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 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 465 | $127,394 | $19,876 | $14,784 |
| New York-Presbyterian HospitalNew York | 371 | $143,424 | $20,672 | $15,186 |
| University HospitalStony Brook | 351 | $100,053 | $18,074 | $13,806 |
| Garnet Health Medical CenterGoshen | 223 | $73,009 | $14,951 | $11,441 |
| St Francis Hospital, RoslynRoslyn | 157 | $79,110 | $12,050 | $10,089 |
| Mount Sinai HospitalNew York | 156 | $105,644 | $22,745 | $15,528 |
| Montefiore Medical CenterBronx | 142 | $130,765 | $21,718 | $15,103 |
| North Shore University HospitalManhasset | 137 | $112,788 | $16,655 | $12,389 |
| South Nassau Communities HospitalOceanside | 136 | $111,030 | $14,927 | $11,380 |
| Maimonides Medical CenterBrooklyn | 135 | $86,438 | $19,635 | $15,003 |
| White Plains Hospital CtrWhite Plains | 135 | $72,492 | $11,848 | $10,307 |
| Good Samaritan Hospital of SuffernSuffern | 134 | $111,918 | $12,294 | $10,750 |
| Long Island Jewish Medical CenterNew Hyde Park | 127 | $110,334 | $16,822 | $13,614 |
| Good Samaritan Hospital Medical CenterWest Islip | 115 | $73,598 | $12,699 | $10,739 |
| New York Hospital Medical Center of QueensNew York | 114 | $113,189 | $16,187 | $13,095 |
| South Brooklyn HealthBrooklyn | 106 | $65,114 | $21,448 | $18,638 |
| Huntington HospitalHuntington | 105 | $54,178 | $11,229 | $9,782 |
| Hudson Valley Hospital CenterCortlandt Manor | 100 | $61,088 | $12,364 | $10,393 |
| Buffalo General HospitalBuffalo | 95 | $30,886 | $14,666 | $11,961 |
| Staten Island University HospitalStaten Island | 95 | $66,412 | $14,638 | $12,416 |
| Vassar Brothers Medical CenterPoughkeepsie | 89 | $35,978 | $15,371 | $11,716 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 88 | $76,523 | $14,073 | $10,075 |
| Peconic Bay Medical CenterRiverhead | 85 | $92,276 | $12,890 | $10,752 |
| Mount Sinai WestNew York | 83 | $107,587 | $18,931 | $15,081 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 82 | $51,196 | $13,128 | $10,861 |
| Southside HospitalBay Shore | 81 | $88,759 | $13,867 | $11,332 |
| Beth Israel Medical CenterNew York | 81 | $123,873 | $17,544 | $13,160 |
| St Peter's HospitalAlbany | 77 | $44,331 | $13,173 | $9,113 |
| Plainview HospitalPlainview | 77 | $79,476 | $13,599 | $11,054 |
| Richmond University Medical CenterStaten Island | 76 | $85,662 | $17,554 | $14,226 |
| Wynn HospitalUtica | 76 | $52,306 | $12,890 | $10,575 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 71 | $58,189 | $14,179 | $12,520 |
| St Joseph's Hospital Health CenterSyracuse | 68 | $31,060 | $12,668 | $9,665 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 67 | $33,710 | $12,452 | $10,793 |
| Olean General HospitalOlean | 67 | $19,514 | $10,993 | $9,348 |
| Nyack HospitalNyack | 65 | $90,982 | $12,004 | $10,385 |
| University Hospital S U N Y Health Science CenterSyracuse | 63 | $83,680 | $14,895 | $11,388 |
| St Joseph HospitalBethpage | 63 | $57,285 | $11,674 | $9,712 |
| Westchester Medical CenterValhalla | 62 | $159,475 | $15,990 | $13,746 |
| Samaritan HospitalTroy | 60 | $28,314 | $12,988 | $9,893 |
| Crouse HospitalSyracuse | 60 | $30,891 | $12,643 | $10,127 |
| Long Island Community HospitalPatchogue | 59 | $104,867 | $12,845 | $10,686 |
| Highland HospitalRochester | 59 | $29,725 | $15,164 | $10,707 |
| Saratoga HospitalSaratoga Springs | 59 | $52,043 | $11,839 | $10,429 |
| Albany Medical Center HospitalAlbany | 58 | $45,897 | $14,936 | $12,530 |
| United Health Services HospsBinghamton | 58 | $32,241 | $12,670 | $10,951 |
| Unity Hospital of RochesterRochester | 57 | $26,315 | $13,678 | $10,640 |
| Cornwall HospitalCornwall | 57 | $87,724 | $12,357 | $10,787 |
| Mary Imogene Bassett HospitalCooperstown | 54 | $28,338 | $15,491 | $13,335 |
| St John's Riverside HospitalYonkers | 54 | $63,780 | $14,913 | $12,573 |
| Healthalliance Hospital Marys Avenue CampusKingston | 53 | $105,236 | $12,531 | $10,670 |
| Strong Memorial HospitalRochester | 53 | $35,180 | $18,789 | $13,433 |
| Northern Dutchess HospitalRhinebeck | 51 | $32,769 | $13,430 | $11,410 |
| Northern Westchester HospitalMt Kisco | 50 | $46,668 | $10,304 | $8,821 |
| Auburn Memorial HospitalAuburn | 49 | $21,479 | $11,602 | $10,150 |
| Rochester General HospitalRochester | 45 | $29,959 | $14,219 | $10,553 |
| Phelps Memorial Hospital AssnSleepy Hollow | 43 | $81,816 | $12,995 | $11,014 |
| Corning HospitalCorning | 42 | $31,173 | $10,849 | $9,546 |
| Jacobi Medical CenterBronx | 40 | $55,280 | $29,024 | $21,267 |
| Bon Secours Community HospitalPort Jervis | 40 | $105,013 | $12,038 | $10,896 |
| Montefiore New Rochelle HospitalNew Rochelle | 40 | $106,927 | $19,047 | $15,090 |
| Brookdale Hospital Medical CenterBrooklyn | 39 | $38,440 | $20,093 | $16,267 |
| Arnot Ogden Medical CenterElmira | 38 | $31,837 | $16,598 | $13,422 |
| Cortland Regional Medical Center, INCCortland | 38 | $30,831 | $12,280 | $9,904 |
| Glen Cove HospitalGlen Cove | 38 | $83,014 | $15,904 | $13,728 |
| Glens Falls HospitalGlens Falls | 38 | $29,372 | $11,114 | $9,848 |
| St Charles HospitalPort Jefferson | 38 | $67,628 | $13,271 | $11,120 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 36 | $152,299 | $23,942 | $15,943 |
| St Anthony Community HospitalWarwick | 36 | $91,743 | $12,184 | $9,559 |
| Mercy Medical CenterRockville Centre | 36 | $82,870 | $12,483 | $10,664 |
| Ellis HospitalSchenectady | 35 | $24,882 | $12,741 | $10,385 |
| Mercy HospitalBuffalo | 34 | $37,258 | $11,645 | $10,157 |
| St Catherine of Siena HospitalSmithtown | 34 | $67,949 | $10,797 | $10,029 |
| Kenmore Mercy HospitalBuffalo | 33 | $22,197 | $12,134 | $8,770 |
| Cayuga Medical Center at IthacaIthaca | 33 | $29,267 | $11,944 | $10,245 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 32 | $28,464 | $13,525 | $10,668 |
| United Memorial Medical CenterBatavia | 30 | $23,277 | $11,597 | $9,949 |
| F F Thompson HospitalCanandaigua | 30 | $20,253 | $10,912 | $8,977 |
| Canton-Potsdam HospitalPotsdam | 30 | $24,646 | $11,427 | $9,329 |
| Claxton-Hepburn Medical CenterOgdensburg | 29 | $23,581 | $12,803 | $11,623 |
| Wyckoff Heights Medical CenterBrooklyn | 29 | $53,892 | $18,375 | $14,408 |
| Nicholas H Noyes Memorial HospitalDansville | 28 | $13,642 | $12,729 | $11,650 |
| Elmhurst Hospital CenterNew York | 27 | $51,112 | $34,795 | $31,719 |
| St Mary's Hospital at AmsterdamAmsterdam | 26 | $37,225 | $12,272 | $10,141 |
| Lenox Hill HospitalNew York | 26 | $126,331 | $21,457 | $16,542 |
| Samaritan Medical CenterWatertown | 26 | $35,317 | $14,740 | $13,468 |
| Putnam Hospital CenterCarmel | 26 | $32,672 | $11,077 | $9,351 |
| St Joseph's Medical CenterYonkers | 25 | $101,270 | $16,386 | $14,881 |
| Queens Hospital CenterJamaica | 25 | $41,787 | $41,422 | $30,215 |
| Jamaica Hospital Med CenterJamaica | 23 | $28,840 | $19,157 | $14,624 |
| Nassau University Medical CenterEast Meadow | 23 | $91,876 | $20,759 | $16,458 |
| Columbia Memorial HospitalHudson | 23 | $24,107 | $12,019 | $10,529 |
| Oswego HospitalOswego | 23 | $24,313 | $11,864 | $10,941 |
| Mount St Mary's Hospital and Health CenterLewiston | 22 | $27,827 | $13,289 | $9,973 |
| Bronxcare Hospital CenterBronx | 21 | $33,821 | $24,536 | $21,481 |
| Garnet Health Medical Center CatskillsHarris | 21 | $70,091 | $13,039 | $11,766 |
| Sisters of Charity HospitalBuffalo | 20 | $30,170 | $14,510 | $10,280 |
| Flushing Hospital Medical CenterNew York | 20 | $25,734 | $17,980 | $14,766 |
| UPMC Chautauqua at WcaJamestown | 20 | $14,782 | $10,502 | $9,237 |
| Kings County Hospital CenterBrooklyn | 19 | $49,837 | $48,754 | $31,886 |
| Rome Memorial Hospital, INCRome | 19 | $24,985 | $11,973 | $9,563 |
| Geneva General HospitalGeneva | 18 | $22,544 | $11,846 | $9,515 |
| Jones Memorial HospitalWellsville | 17 | $16,755 | $12,125 | $11,069 |
| Bertrand Chaffee HospitalSpringville | 16 | $13,644 | $12,341 | $11,219 |
| St James Mercy HospitalHornell | 15 | $18,966 | $13,567 | $12,372 |
| Brooks Memorial HospitalDunkirk | 15 | $28,672 | $13,651 | $12,237 |
| Nathan Littauer HospitalGloversville | 15 | $26,978 | $11,492 | $9,968 |
| Erie County Medical CenterBuffalo | 14 | $70,411 | $22,947 | $18,706 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 14 | $78,306 | $22,730 | $15,425 |
| Newark-Wayne Community HospitalNewark | 12 | $28,065 | $11,365 | $10,549 |
| Harlem Hospital CenterNew York | 12 | $76,022 | $31,034 | $25,353 |
| Chenango Memorial Hospital, INCNorwich | 11 | $30,160 | $14,221 | $11,573 |
| Lincoln Medical & Mental Health CenterBronx | 11 | $41,423 | $31,098 | $26,438 |
| Mount Vernon HospitalMt Vernon | 11 | $55,461 | $14,597 | $12,917 |
| Oneida Healthcare CenterOneida | 11 | $17,403 | $12,311 | $10,448 |
| University Hospital of Brooklyn ( Downstate )Brooklyn | 11 | $77,101 | $23,300 | $14,726 |
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
| Northern Westchester HospitalMt Kisco, NY | $10,304 |
|---|---|
| UPMC Chautauqua at WcaJamestown, NY | $10,502 |
| St Catherine of Siena HospitalSmithtown, NY | $10,797 |
| Corning HospitalCorning, NY | $10,849 |
| F F Thompson HospitalCanandaigua, NY | $10,912 |
Highest
| Kings County Hospital CenterBrooklyn, NY | $48,754 |
|---|---|
| Queens Hospital CenterJamaica, NY | $41,422 |
| Elmhurst Hospital CenterNew York, NY | $34,795 |
| Lincoln Medical & Mental Health CenterBronx, NY | $31,098 |
| Harlem Hospital CenterNew York, NY | $31,034 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in New York?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 116 hospitals in New York was billed at $77,497 on average, while the average total payment was $15,898, of which Medicare paid $12,580. 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.