Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in New York

MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc

$179,526typical hospital bill

$35,182typical amount paid

$24,012–$50,232range paid across 24 hospitals

New York hospitals billed Medicare a typical $179,526 for this stay in 2024, about 5.1 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
White Plains Hospital Center	White Plains	17	$135,435	$24,012
Ns/Lij Hs Huntington Hospital	Huntington	25	$121,534	$24,837
Long Island Community Hospital	Patchogue	17	$308,123	$25,653
St Peter's Hospital	Albany	19	$82,708	$25,974
Highland Hospital	Rochester	13	$62,194	$26,022
Peconic Bay Medical Center	Riverhead	11	$169,851	$27,936
Mount Sinai South Nassau	Oceanside	20	$183,375	$27,977
Staten Island University Hospital	Staten Island	16	$161,224	$31,116
North Shore University Hospital	Manhasset	30	$185,462	$31,994
Vassar Brothers Medical Center	Poughkeepsie	19	$94,212	$32,379
New York-Presbyterian/Queens	Flushing	13	$153,927	$32,902
Good Samaritan Hospital Medical Center	West Islip	13	$253,779	$34,662
Westchester Medical Center	Valhalla	11	$362,966	$35,702
Lenox Hill Hospital	New York	14	$178,294	$35,713
New York-Presbyterian Hospital	New York	55	$227,511	$36,458
Mount Sinai West	New York	20	$180,758	$37,221
University Hospital S U N Y Health Science Center	Syracuse	13	$239,020	$37,678
Albany Medical Center Hospital	Albany	12	$92,256	$38,200
Long Island Jewish Medical Center	New Hyde Park	23	$255,758	$39,088
Mount Sinai Hospital	New York	11	$140,951	$39,220
Maimonides Medical Center	Brooklyn	11	$218,224	$39,393
Strong Memorial Hospital	Rochester	14	$85,218	$42,309
Nyu Langone Hospitals	New York	78	$330,842	$45,577
Suny/Stony Brook University Hospital	Stony Brook	20	$293,699	$50,232

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.