Infection needing surgery, with major complications in New York

MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc

$197,408typical hospital bill

$53,555typical amount paid

$36,965–$140,168range paid across 87 hospitals

New York hospitals billed Medicare a typical $197,408 for this stay in 2024, about 3.7 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
Olean General Hospital	Olean	15	$67,647	$36,965
Northern Westchester Hospital	Mount Kisco	34	$130,553	$37,592
New York Community Hospital of Brooklyn, Inc.	Brooklyn	43	$105,297	$39,998
St Catherine of Siena Hospital	Smithtown	48	$177,924	$40,356
Hudson Valley Hospital Center	Cortlandt Manor	18	$182,321	$40,382
Saratoga Hospital	Saratoga Springs	21	$178,317	$40,614
Nyack Hospital	Nyack	49	$219,210	$41,185
Glens Falls Hospital	Glens Falls	24	$107,627	$41,504
Ns/Lij Hs Huntington Hospital	Huntington	67	$197,408	$42,116
Ellis Hospital	Schenectady	58	$122,991	$42,670
Crouse Hospital	Syracuse	16	$69,010	$43,173
Oneida Health Hospital	Oneida	15	$59,330	$43,828
Montefiore New Rochelle Hospital	New Rochelle	12	$146,635	$44,122
Montefiore St Luke's Cornwall	Newburgh	29	$216,495	$44,131
Samaritan Hospital of Troy, New York	Troy	48	$85,852	$44,227
St Peter's Hospital	Albany	118	$112,210	$44,272
Cayuga Medical Center at Ithaca	Ithaca	17	$81,110	$44,407
Wynn Hospital	Utica	53	$149,676	$44,521
Peconic Bay Medical Center	Riverhead	30	$179,323	$45,367
Chsli St Joseph Hospital	Bethpage	43	$207,935	$45,460
Good Samaritan Hospital of Suffern	Suffern	43	$366,484	$45,524
Plainview Hospital	Plainview	45	$164,412	$45,739
St Francis Hospital - the Heart Center	Roslyn	93	$249,004	$46,382
Healthalliance Hospital Marys Avenue Campus	Kingston	16	$282,285	$46,402
Mercy Hospital of Buffalo	Buffalo	46	$98,277	$46,611
St Joseph's Hospital Health Center	Syracuse	52	$130,386	$46,937
Northern Dutchess Hospital	Rhinebeck	15	$143,225	$47,076
White Plains Hospital Center	White Plains	89	$228,450	$47,131
Northwell Hospital Glen Cove	Glen Cove	31	$174,015	$47,131
Long Island Community Hospital	Patchogue	90	$416,803	$47,272
Sisters of Charity Hospital	Buffalo	19	$99,049	$47,452
Our Lady of Lourdes Memorial Hospital, Inc	Binghamton	19	$139,813	$47,624
United Health Services Hospitals, Inc	Binghamton	55	$125,173	$47,932
St John's Riverside Hospital	Yonkers	21	$136,553	$48,034
Mercy Medical Center	Rockville Centre	35	$239,390	$48,526
Highland Hospital	Rochester	33	$94,183	$48,750
Good Samaritan Hospital Medical Center	West Islip	82	$281,612	$49,565
Phelps Hospital	Sleepy Hollow	34	$252,501	$50,229
St Joseph's Medical Center	Yonkers	14	$186,256	$51,376
Mount Sinai South Nassau	Oceanside	141	$335,959	$51,934
Rochester General Hospital	Rochester	51	$133,524	$52,699
Albany Medical Center Hospital	Albany	109	$134,446	$53,297
Ns/Lij Hs Southside Hospital	Bay Shore	72	$287,613	$53,495
Vassar Brothers Medical Center	Poughkeepsie	113	$137,550	$53,555
Garnet Health Medical Center	Middletown	81	$191,571	$53,767
The University of Vermont Health Network - Champl	Plattsburgh	21	$220,176	$55,829
St Charles Hospital	Port Jefferson	24	$299,679	$56,109
Samaritan Medical Center	Watertown	16	$100,317	$57,432
Staten Island University Hospital	Staten Island	116	$246,897	$57,670
Unity Hospital	Rochester	25	$150,934	$57,735
Kaleida Health	Buffalo	76	$156,694	$57,887
Bassett Healthcare	Cooperstown	49	$102,696	$58,096
John T Mather Memorial Hospital of Port Jefferson	Port Jefferson	69	$297,933	$60,423
Long Island Jewish Medical Center	New Hyde Park	138	$359,356	$60,770
New York-Presbyterian/Queens	Flushing	100	$323,469	$62,892
Lenox Hill Hospital	New York	63	$337,051	$64,419
Richmond University Medical Center	Staten Island	32	$263,284	$64,496
Jamaica Hospital Medical Center	Jamaica	26	$178,308	$65,681
Bronxcare Hospital Center	Bronx	14	$102,982	$67,189
North Shore University Hospital	Manhasset	153	$404,800	$67,872
Erie County Medical Center	Buffalo	20	$171,586	$68,048
South Brooklyn Health	Brooklyn	71	$220,372	$68,277
Suny/Stony Brook University Hospital	Stony Brook	123	$314,060	$69,420
University Hospital S U N Y Health Science Center	Syracuse	58	$402,588	$70,491
Strong Memorial Hospital	Rochester	101	$190,260	$71,193
Brookdale Hospital Medical Center	Brooklyn	52	$161,952	$71,243
Mount Sinai West	New York	84	$410,752	$74,133
Elmhurst Hospital Center	Elmhurst	13	$176,257	$75,944
Nyu Langone Hospitals	New York	320	$470,762	$76,490
Mount Sinai Beth Israel	New York	39	$433,400	$76,542
St John's Episcopal Hospital at South Shore	Far Rockaway	25	$178,114	$77,692
Maimonides Medical Center	Brooklyn	107	$380,901	$78,997
Flushing Hospital Medical Center	Flushing	49	$116,738	$79,551
Montefiore Medical Center	Bronx	190	$519,773	$79,572
Westchester Medical Center	Valhalla	43	$681,804	$82,725
Jacobi Medical Center	Bronx	36	$229,841	$85,444
New York-Presbyterian Hospital	New York	418	$543,207	$85,645
Brooklyn Hospital Center - Downtown Campus	Brooklyn	35	$470,353	$86,716
Nassau University Medical Center	East Meadow	12	$358,435	$89,184
Mount Sinai Hospital	New York	118	$378,080	$90,764
Wyckoff Heights Medical Center	Brooklyn	15	$229,892	$91,585
Bellevue Hospital Center	New York	16	$287,762	$99,523
Harlem Hospital Center	New York	20	$300,235	$110,491
Suny/Downstate University Hospital of Brooklyn	Brooklyn	20	$269,946	$113,661
Kings County Hospital Center	Brooklyn	27	$301,123	$121,671
Queens Hospital Center	Jamaica	14	$221,934	$130,353
St Barnabas Hospital	Bronx	15	$340,113	$140,168

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.