Fracture or sprain (not hip or thigh) in New York

MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc

$46,676typical hospital bill

$9,317typical amount paid

$7,424–$35,961range paid across 59 hospitals

New York hospitals billed Medicare a typical $46,676 for this stay in 2024, about 5.0 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	32	$44,460	$7,424
Saratoga Hospital	Saratoga Springs	15	$29,802	$7,428
St Joseph's Hospital Health Center	Syracuse	17	$20,946	$7,505
Chsli St Joseph Hospital	Bethpage	25	$45,417	$7,655
Ns/Lij Hs Huntington Hospital	Huntington	44	$45,949	$7,661
Mercy Hospital of Buffalo	Buffalo	11	$14,663	$7,736
St Francis Hospital - the Heart Center	Roslyn	26	$52,154	$7,814
Glens Falls Hospital	Glens Falls	17	$21,124	$7,845
St Peter's Hospital	Albany	12	$23,493	$7,883
Hudson Valley Hospital Center	Cortlandt Manor	12	$30,019	$8,033
Nyack Hospital	Nyack	18	$52,247	$8,071
Healthalliance Hospital Marys Avenue Campus	Kingston	11	$60,726	$8,148
Good Samaritan Hospital of Suffern	Suffern	23	$80,378	$8,209
Crouse Hospital	Syracuse	13	$15,993	$8,253
St Charles Hospital	Port Jefferson	11	$38,809	$8,293
Peconic Bay Medical Center	Riverhead	40	$51,894	$8,436
Ellis Hospital	Schenectady	11	$23,560	$8,472
Good Samaritan Hospital Medical Center	West Islip	22	$62,654	$8,539
Wynn Hospital	Utica	37	$25,561	$8,601
Northwell Hospital Glen Cove	Glen Cove	12	$49,206	$8,632
Ns/Lij Hs Southside Hospital	Bay Shore	32	$48,950	$8,871
Long Island Community Hospital	Patchogue	29	$82,940	$8,891
Our Lady of Lourdes Memorial Hospital, Inc	Binghamton	13	$23,434	$8,929
Highland Hospital	Rochester	16	$16,756	$8,991
Phelps Hospital	Sleepy Hollow	14	$52,916	$9,027
Mount Sinai South Nassau	Oceanside	26	$72,824	$9,040
Plainview Hospital	Plainview	31	$44,331	$9,129
United Health Services Hospitals, Inc	Binghamton	11	$26,847	$9,174
Unity Hospital	Rochester	14	$16,887	$9,206
Garnet Health Medical Center	Middletown	34	$46,676	$9,317
Northern Dutchess Hospital	Rhinebeck	13	$28,538	$9,419
John T Mather Memorial Hospital of Port Jefferson	Port Jefferson	23	$52,144	$9,492
The University of Vermont Health Network - Champl	Plattsburgh	16	$42,506	$9,502
Rochester General Hospital	Rochester	20	$22,224	$9,830
St John's Riverside Hospital	Yonkers	11	$36,402	$10,121
Vassar Brothers Medical Center	Poughkeepsie	17	$32,399	$10,416
Albany Medical Center Hospital	Albany	18	$40,933	$10,431
University Hospital S U N Y Health Science Center	Syracuse	26	$55,405	$10,562
Staten Island University Hospital	Staten Island	41	$49,428	$10,596
New York-Presbyterian/Queens	Flushing	33	$51,249	$10,633
North Shore University Hospital	Manhasset	82	$72,066	$10,808
White Plains Hospital Center	White Plains	27	$42,433	$10,972
Erie County Medical Center	Buffalo	14	$36,023	$11,298
Westchester Medical Center	Valhalla	33	$124,221	$11,341
Long Island Jewish Medical Center	New Hyde Park	52	$73,498	$11,620
Suny/Stony Brook University Hospital	Stony Brook	99	$75,055	$11,864
Mount Sinai West	New York	29	$67,536	$12,145
Mount Sinai Beth Israel	New York	26	$69,093	$12,361
Lenox Hill Hospital	New York	25	$62,676	$12,844
Nyu Langone Hospitals	New York	91	$90,412	$13,669
Mount Sinai Hospital	New York	23	$60,350	$13,936
New York-Presbyterian Hospital	New York	127	$94,680	$14,042
Maimonides Medical Center	Brooklyn	23	$54,495	$14,437
Nassau University Medical Center	East Meadow	25	$59,370	$15,182
Montefiore Medical Center	Bronx	47	$82,106	$15,950
South Brooklyn Health	Brooklyn	25	$38,518	$16,288
Jacobi Medical Center	Bronx	24	$46,193	$22,873
Elmhurst Hospital Center	Elmhurst	19	$38,313	$29,250
Bellevue Hospital Center	New York	14	$56,337	$35,961

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.