Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc in New York

MS-DRG 562: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc

$112,726typical hospital bill

$19,907typical amount paid

$12,239–$24,284range paid across 11 hospitals

New York hospitals billed Medicare a typical $112,726 for this stay in 2024, about 5.7 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
Ns/Lij Hs Huntington Hospital	Huntington	16	$63,075	$12,239
Albany Medical Center Hospital	Albany	11	$46,824	$16,262
Staten Island University Hospital	Staten Island	14	$52,505	$17,072
New York-Presbyterian/Queens	Flushing	14	$84,005	$17,494
Long Island Jewish Medical Center	New Hyde Park	31	$112,726	$17,631
North Shore University Hospital	Manhasset	22	$148,062	$19,907
Mount Sinai West	New York	15	$106,145	$19,944
New York-Presbyterian Hospital	New York	36	$117,092	$20,523
Montefiore Medical Center	Bronx	13	$129,602	$20,613
Nyu Langone Hospitals	New York	31	$119,563	$20,926
Suny/Stony Brook University Hospital	Stony Brook	21	$149,991	$24,284

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.