Hiv with Major Related Condition with Mcc in New York

MS-DRG 974: Hiv with major related condition with mcc

$214,052typical hospital bill

$48,072typical amount paid

$34,274–$60,388range paid across 9 hospitals

New York hospitals billed Medicare a typical $214,052 for this stay in 2024, about 4.5 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
Lenox Hill Hospital	New York	12	$85,656	$34,274
Nyu Langone Hospitals	New York	16	$214,052	$39,091
Mount Sinai Beth Israel	New York	11	$200,314	$41,345
New York-Presbyterian Hospital	New York	39	$316,589	$43,098
Mount Sinai West	New York	27	$238,279	$48,072
Montefiore Medical Center	Bronx	26	$379,689	$48,101
Bronxcare Hospital Center	Bronx	22	$70,801	$49,846
Mount Sinai Hospital	New York	14	$280,358	$57,305
Jacobi Medical Center	Bronx	11	$134,615	$60,388

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.