facebook tracking Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in New York: 28 hospitals compared (DRG 004)

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in New York

What 28 hospitals in New York charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.

DRG 004 Inpatient 2024 Medicare data
Average charge $879,115 Hospital list price billed
Average payment $191,793 Medicare + patient + other payers
Medicare paid $168,351 Average per stay
State rank #23 of 24 1 = lowest average payment

Hospitals in New York billed an average of $879,115 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 4.6 times the average total payment of $191,793. That payment is 38% above the U.S. average of $139,119.

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 $191,793Billed $879,115

About 22¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou

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
Maimonides Medical CenterBrooklyn 70 $771,408 $186,537 $168,989
New York-Presbyterian HospitalNew York 56 $1,667,320 $291,018 $245,728
Mount Sinai HospitalNew York 42 $1,122,394 $259,972 $202,400
NYU Hospitals CenterNew York 35 $1,156,313 $210,831 $188,575
South Nassau Communities HospitalOceanside 30 $953,241 $138,618 $128,236
Montefiore Medical CenterBronx 27 $1,114,431 $223,091 $159,871
New York Community Hospital of Brooklyn, INC.Brooklyn 23 $202,936 $115,619 $113,743
Flushing Hospital Medical CenterNew York 23 $228,962 $154,624 $143,280
Strong Memorial HospitalRochester 23 $678,768 $197,965 $175,306
South Brooklyn HealthBrooklyn 22 $571,112 $196,804 $181,170
Bronxcare Hospital CenterBronx 21 $160,579 $137,154 $128,157
Richmond University Medical CenterStaten Island 20 $596,630 $170,303 $158,743
Mount Sinai WestNew York 20 $1,590,286 $280,867 $248,298
Westchester Medical CenterValhalla 20 $1,909,248 $209,641 $197,180
Good Samaritan Hospital Medical CenterWest Islip 19 $452,002 $105,457 $103,300
New York Hospital Medical Center of QueensNew York 18 $923,602 $131,930 $124,207
Albany Medical Center HospitalAlbany 15 $383,790 $151,963 $143,542
Jamaica Hospital Med CenterJamaica 15 $294,476 $139,360 $129,115
North Shore University HospitalManhasset 15 $1,700,384 $195,307 $172,468
Staten Island University HospitalStaten Island 15 $719,765 $145,566 $134,253
Beth Israel Medical CenterNew York 15 $756,862 $139,300 $126,919
Vassar Brothers Medical CenterPoughkeepsie 14 $317,524 $155,675 $145,445
Jacobi Medical CenterBronx 14 $462,925 $219,041 $175,338
University HospitalStony Brook 13 $1,059,857 $208,494 $176,203
Southside HospitalBay Shore 12 $806,019 $166,479 $155,319
Bellevue Hospital CenterNew York 12 $629,944 $229,901 $175,810
Rochester General HospitalRochester 11 $433,215 $177,634 $161,391
St Francis Hospital, RoslynRoslyn 11 $718,721 $124,905 $122,404
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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.

Highest

New York-Presbyterian HospitalNew York, NY$291,018
Mount Sinai WestNew York, NY$280,867
Mount Sinai HospitalNew York, NY$259,972
Bellevue Hospital CenterNew York, NY$229,901
Montefiore Medical CenterBronx, NY$223,091

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states

Questions

How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in New York?

In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 28 hospitals in New York was billed at $879,115 on average, while the average total payment was $191,793, of which Medicare paid $168,351. 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 4.6 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.