Trauma to the skin, subcutaneous tissue and breast without major complications in New York
What 28 hospitals in New York charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$61,928
Hospital list price billed
Average payment
$12,738
Medicare + patient + other payers
Medicare paid
$10,045
Average per stay
State rank
#24 of 25
1 = lowest average payment
Hospitals in New York billed an average of $61,928 for trauma to the skin, subcutaneous tissue and breast without major complications, about 4.9 times the average total payment of $12,738. That payment is 35% above the U.S. average of $9,406.
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 $12,738Billed $61,928
About 21¢ 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: trauma to the skin, subcutaneous tissue and breast without 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 |
|---|---|---|---|---|
| University HospitalStony Brook | 66 | $79,115 | $12,373 | $9,438 |
| New York-Presbyterian HospitalNew York | 63 | $74,647 | $12,689 | $9,919 |
| North Shore University HospitalManhasset | 40 | $75,406 | $11,439 | $8,527 |
| NYU Hospitals CenterNew York | 36 | $84,001 | $12,466 | $9,707 |
| Nassau University Medical CenterEast Meadow | 30 | $49,896 | $13,545 | $10,992 |
| St Catherine of Siena HospitalSmithtown | 29 | $42,082 | $8,133 | $6,073 |
| Westchester Medical CenterValhalla | 26 | $126,353 | $11,647 | $9,548 |
| Jacobi Medical CenterBronx | 22 | $32,095 | $22,739 | $16,870 |
| Bellevue Hospital CenterNew York | 21 | $33,279 | $32,959 | $27,640 |
| Richmond University Medical CenterStaten Island | 19 | $49,633 | $11,811 | $9,481 |
| Albany Medical Center HospitalAlbany | 18 | $33,577 | $10,280 | $7,627 |
| Montefiore Medical CenterBronx | 18 | $78,815 | $14,063 | $10,480 |
| Peconic Bay Medical CenterRiverhead | 18 | $48,078 | $8,704 | $7,081 |
| Elmhurst Hospital CenterNew York | 18 | $36,292 | $28,034 | $25,607 |
| St Francis Hospital, RoslynRoslyn | 18 | $53,185 | $9,014 | $6,255 |
| Staten Island University HospitalStaten Island | 17 | $52,156 | $11,099 | $9,373 |
| Good Samaritan Hospital Medical CenterWest Islip | 16 | $47,195 | $8,711 | $7,406 |
| Plainview HospitalPlainview | 15 | $47,255 | $9,124 | $6,921 |
| Huntington HospitalHuntington | 14 | $54,562 | $8,468 | $6,795 |
| Long Island Jewish Medical CenterNew Hyde Park | 14 | $68,914 | $11,586 | $8,990 |
| University Hospital S U N Y Health Science CenterSyracuse | 14 | $60,146 | $10,623 | $8,245 |
| Strong Memorial HospitalRochester | 14 | $26,991 | $12,692 | $7,034 |
| St Charles HospitalPort Jefferson | 12 | $39,391 | $8,670 | $7,140 |
| Southside HospitalBay Shore | 11 | $76,893 | $9,495 | $8,334 |
| Garnet Health Medical CenterGoshen | 11 | $46,848 | $9,567 | $7,567 |
| Long Island Community HospitalPatchogue | 11 | $74,229 | $8,965 | $7,451 |
| Good Samaritan Hospital of SuffernSuffern | 11 | $69,854 | $8,346 | $7,011 |
| St Joseph HospitalBethpage | 11 | $39,055 | $7,862 | $6,366 |
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 | $7,862 |
|---|---|
| St Catherine of Siena HospitalSmithtown, NY | $8,133 |
| Good Samaritan Hospital of SuffernSuffern, NY | $8,346 |
| Huntington HospitalHuntington, NY | $8,468 |
| St Charles HospitalPort Jefferson, NY | $8,670 |
Highest
| Bellevue Hospital CenterNew York, NY | $32,959 |
|---|---|
| Elmhurst Hospital CenterNew York, NY | $28,034 |
| Jacobi Medical CenterBronx, NY | $22,739 |
| Montefiore Medical CenterBronx, NY | $14,063 |
| Nassau University Medical CenterEast Meadow, NY | $13,545 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in New York?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 28 hospitals in New York was billed at $61,928 on average, while the average total payment was $12,738, of which Medicare paid $10,045. 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.