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
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
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.