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.
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.
About 18¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
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 |
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.
| 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 |
| 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 |
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.
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.