facebook tracking Traumatic stupor and coma <1 hour with major complications cost in New York: 16 hospitals compared (DRG 085)

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

What 16 hospitals in New York charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $155,988 Hospital list price billed
Average payment $27,892 Medicare + patient + other payers
Medicare paid $23,524 Average per stay
State rank #25 of 27 1 = lowest average payment

Hospitals in New York billed an average of $155,988 for traumatic stupor and coma <1 hour with major complications, about 5.6 times the average total payment of $27,892. That payment is 26% above the U.S. average of $22,150.

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 $27,892Billed $155,988

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 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 36 $182,101 $29,064 $22,994
New York-Presbyterian HospitalNew York 27 $253,530 $42,223 $36,963
North Shore University HospitalManhasset 26 $199,816 $26,562 $21,757
Albany Medical Center HospitalAlbany 22 $74,154 $24,284 $21,569
University Hospital S U N Y Health Science CenterSyracuse 19 $146,106 $26,930 $23,220
University HospitalStony Brook 18 $157,318 $31,367 $23,261
Mount Sinai WestNew York 15 $182,948 $35,374 $25,413
Huntington HospitalHuntington 14 $91,096 $19,364 $17,990
New York Hospital Medical Center of QueensNew York 14 $139,822 $24,716 $22,106
Staten Island University HospitalStaten Island 14 $138,462 $27,889 $25,496
South Nassau Communities HospitalOceanside 14 $108,112 $23,371 $17,670
Southside HospitalBay Shore 13 $109,385 $22,438 $20,841
Good Samaritan Hospital Medical CenterWest Islip 13 $157,335 $22,144 $20,427
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 11 $107,302 $22,999 $20,250
Maimonides Medical CenterBrooklyn 11 $73,517 $25,330 $22,716
Westchester Medical CenterValhalla 11 $240,343 $26,373 $23,436
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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$19,364
Good Samaritan Hospital Medical CenterWest Islip, NY$22,144
Southside HospitalBay Shore, NY$22,438
John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY$22,999
South Nassau Communities HospitalOceanside, NY$23,371

Highest

New York-Presbyterian HospitalNew York, NY$42,223
Mount Sinai WestNew York, NY$35,374
University HospitalStony Brook, NY$31,367
NYU Hospitals CenterNew York, NY$29,064
Staten Island University HospitalStaten Island, NY$27,889

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

Questions

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

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 16 hospitals in New York was billed at $155,988 on average, while the average total payment was $27,892, of which Medicare paid $23,524. 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 5.6 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.