Dysequilibrium in New York
MS-DRG 149: Dysequilibrium
$56,842typical hospital bill
$8,555typical amount paid
$6,242–$20,350range paid across 31 hospitals
New York hospitals billed Medicare a typical $56,842 for this stay in 2024, about 6.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| St Catherine of Siena Hospital | Smithtown | 26 | $55,991 | $6,242 | – | – | |
| Glens Falls Hospital | Glens Falls | 12 | $20,089 | $6,474 | – | – | |
| St Francis Hospital - the Heart Center | Roslyn | 24 | $47,844 | $6,853 | – | $19,399$6,489–$27,865 · 55 plans | |
| Good Samaritan Hospital of Suffern | Suffern | 19 | $75,727 | $6,864 | – | – | |
| Wynn Hospital | Utica | 11 | $26,081 | $7,152 | – | – | |
| Healthalliance Hospital Marys Avenue Campus | Kingston | 18 | $64,138 | $7,179 | – | – | |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn | 14 | $37,560 | $7,222 | – | – | |
| Peconic Bay Medical Center | Riverhead | 21 | $43,358 | $7,257 | – | – | |
| Mercy Medical Center | Rockville Centre | 17 | $64,922 | $7,316 | – | – | |
| Long Island Community Hospital | Patchogue | 26 | $93,921 | $7,445 | – | – | |
| Good Samaritan Hospital Medical Center | West Islip | 22 | $55,420 | $7,445 | – | – | |
| Phelps Hospital | Sleepy Hollow | 13 | $69,611 | $7,811 | – | – | |
| Garnet Health Medical Center | Middletown | 17 | $42,443 | $7,813 | – | – | |
| Ns/Lij Hs Huntington Hospital | Huntington | 31 | $43,939 | $7,976 | – | – | |
| Rochester General Hospital | Rochester | 13 | $19,490 | $8,077 | – | – | |
| Plainview Hospital | Plainview | 27 | $51,621 | $8,555 | – | – | |
| White Plains Hospital Center | White Plains | 16 | $56,842 | $9,022 | – | – | |
| Staten Island University Hospital | Staten Island | 34 | $55,424 | $9,055 | – | – | |
| New York-Presbyterian/Queens | Flushing | 30 | $65,101 | $9,435 | – | – | |
| North Shore University Hospital | Manhasset | 52 | $67,180 | $9,983 | – | – | |
| Mount Sinai Beth Israel | New York | 41 | $55,371 | $10,199 | – | – | |
| Suny/Stony Brook University Hospital | Stony Brook | 29 | $73,388 | $10,388 | – | – | |
| Long Island Jewish Medical Center | New Hyde Park | 53 | $73,734 | $10,420 | – | – | |
| Mount Sinai West | New York | 28 | $65,870 | $10,492 | – | – | |
| New York-Presbyterian Hospital | New York | 74 | $69,113 | $10,707 | – | – | |
| Nyu Langone Hospitals | New York | 67 | $90,757 | $11,395 | – | – | |
| Lenox Hill Hospital | New York | 20 | $78,739 | $11,463 | – | – | |
| Montefiore Medical Center | Bronx | 47 | $65,422 | $11,966 | – | – | |
| Mount Sinai Hospital | New York | 28 | $62,441 | $12,502 | – | – | |
| South Brooklyn Health | Brooklyn | 14 | $32,199 | $13,614 | – | – | |
| Jacobi Medical Center | Bronx | 14 | $27,753 | $20,350 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.