facebook tracking Traumatic stupor and coma <1 hour with complications cost in New York: 18 hospitals compared (DRG 086)

Traumatic stupor and coma <1 hour with complications in New York

What 18 hospitals in New York charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086), from 2024 Medicare claims.

DRG 086 Inpatient 2024 Medicare data
Average charge $87,158 Hospital list price billed
Average payment $15,302 Medicare + patient + other payers
Medicare paid $12,275 Average per stay
State rank #33 of 35 1 = lowest average payment

Hospitals in New York billed an average of $87,158 for traumatic stupor and coma <1 hour with complications, about 5.7 times the average total payment of $15,302. That payment is 20% above the U.S. average of $12,797.

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 $15,302Billed $87,158

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: traumatic stupor and coma <1 hour 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
University HospitalStony Brook 49 $110,190 $17,708 $13,794
NYU Hospitals CenterNew York 35 $126,768 $16,396 $13,610
North Shore University HospitalManhasset 32 $91,260 $15,699 $11,748
New York Hospital Medical Center of QueensNew York 20 $67,787 $14,478 $12,474
Wynn HospitalUtica 18 $48,313 $11,701 $10,022
New York-Presbyterian HospitalNew York 18 $92,325 $16,374 $13,549
St Francis Hospital, RoslynRoslyn 17 $61,210 $12,124 $9,059
Albany Medical Center HospitalAlbany 16 $39,537 $14,772 $12,516
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 16 $89,087 $14,439 $11,458
Southside HospitalBay Shore 15 $78,126 $14,767 $9,933
University Hospital S U N Y Health Science CenterSyracuse 15 $71,524 $14,934 $12,756
Mount Sinai WestNew York 14 $87,842 $17,284 $14,675
Maimonides Medical CenterBrooklyn 13 $45,317 $17,830 $15,001
Westchester Medical CenterValhalla 13 $163,912 $19,230 $12,649
Huntington HospitalHuntington 12 $64,204 $11,222 $9,725
South Nassau Communities HospitalOceanside 12 $97,670 $13,739 $11,232
Nyack HospitalNyack 11 $81,440 $11,850 $10,366
Garnet Health Medical CenterGoshen 11 $54,269 $13,207 $11,505
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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

Huntington HospitalHuntington, NY$11,222
Wynn HospitalUtica, NY$11,701
Nyack HospitalNyack, NY$11,850
St Francis Hospital, RoslynRoslyn, NY$12,124
Garnet Health Medical CenterGoshen, NY$13,207

Highest

Westchester Medical CenterValhalla, NY$19,230
Maimonides Medical CenterBrooklyn, NY$17,830
University HospitalStony Brook, NY$17,708
Mount Sinai WestNew York, NY$17,284
NYU Hospitals CenterNew York, NY$16,396

Traumatic stupor and coma <1 hour with complications in other states

Questions

How much does traumatic stupor and coma <1 hour with complications cost in New York?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086) at 18 hospitals in New York was billed at $87,158 on average, while the average total payment was $15,302, of which Medicare paid $12,275. 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 5.7 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.