facebook tracking Transurethral prostatectomy with complications cost in New York: 6 hospitals compared (DRG 713)

Transurethral prostatectomy with complications in New York

What 6 hospitals in New York charged and were paid for a Medicare hospital stay for transurethral prostatectomy with complications (DRG 713), from 2024 Medicare claims.

DRG 713 Inpatient 2024 Medicare data
Average charge $109,489 Hospital list price billed
Average payment $20,093 Medicare + patient + other payers
Medicare paid $16,065 Average per stay
State rank #6 of 6 1 = lowest average payment

Hospitals in New York billed an average of $109,489 for transurethral prostatectomy with complications, about 5.4 times the average total payment of $20,093. That payment is 40% above the U.S. average of $14,307.

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 $20,093Billed $109,489

About 18¢ 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: transurethral prostatectomy 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 63 $70,272 $18,672 $16,054
NYU Hospitals CenterNew York 48 $195,661 $26,395 $19,384
Mount Sinai HospitalNew York 18 $68,312 $22,518 $15,446
St Francis Hospital, RoslynRoslyn 18 $65,483 $12,557 $10,858
Phelps Memorial Hospital AssnSleepy Hollow 18 $139,150 $17,730 $15,304
New York Community Hospital of Brooklyn, INC.Brooklyn 12 $53,981 $13,551 $12,735
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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

Highest

NYU Hospitals CenterNew York, NY$26,395
Mount Sinai HospitalNew York, NY$22,518
New York-Presbyterian HospitalNew York, NY$18,672
Phelps Memorial Hospital AssnSleepy Hollow, NY$17,730
New York Community Hospital of Brooklyn, INC.Brooklyn, NY$13,551

Transurethral prostatectomy with complications in other states

Questions

How much does transurethral prostatectomy with complications cost in New York?

In 2024 Medicare data, a hospital stay for transurethral prostatectomy with complications (DRG 713) at 6 hospitals in New York was billed at $109,489 on average, while the average total payment was $20,093, of which Medicare paid $16,065. 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 5.4 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.