Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc in New York
MS-DRG 462: Bilateral or multiple major joint procedures of lower extremity without mcc
$126,548typical hospital bill
$35,915typical amount paid
$31,226–$45,773range paid across 4 hospitals
New York hospitals billed Medicare a typical $126,548 for this stay in 2024, about 3.5 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 | |
|---|---|---|---|---|---|
| Peconic Bay Medical Center | Riverhead | 11 | $111,184 | $31,226 | |
| St Francis Hospital - the Heart Center | Roslyn | 17 | $122,310 | $32,650 | |
| Montefiore New Rochelle Hospital | New Rochelle | 31 | $130,787 | $39,180 | |
| Hospital for Special Surgery | New York | 46 | $189,583 | $45,773 |
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.