Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc in New York

MS-DRG 493: Lower extremity and humerus procedures except hip, foot and femur with cc

$136,689typical hospital bill

$28,494typical amount paid

$19,838–$39,582range paid across 19 hospitals

New York hospitals billed Medicare a typical $136,689 for this stay in 2024, about 4.8 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 Peter's Hospital	Albany	11	$68,497	$19,838
Good Samaritan Hospital Medical Center	West Islip	18	$108,365	$21,848
Ns/Lij Hs Southside Hospital	Bay Shore	12	$117,180	$22,380
Long Island Community Hospital	Patchogue	13	$239,230	$22,841
Garnet Health Medical Center	Middletown	22	$92,288	$25,396
Albany Medical Center Hospital	Albany	15	$78,495	$25,880
Staten Island University Hospital	Staten Island	17	$140,807	$26,701
Long Island Jewish Medical Center	New Hyde Park	13	$181,754	$27,117
Erie County Medical Center	Buffalo	31	$52,902	$27,313
Hospital for Special Surgery	New York	43	$131,443	$28,494
University Hospital S U N Y Health Science Center	Syracuse	21	$132,287	$29,076
North Shore University Hospital	Manhasset	25	$136,689	$29,226
Suny/Stony Brook University Hospital	Stony Brook	38	$159,236	$29,417
Strong Memorial Hospital	Rochester	19	$78,773	$32,110
Mount Sinai West	New York	22	$169,055	$32,174
Nyu Langone Hospitals	New York	48	$244,341	$33,100
Westchester Medical Center	Valhalla	20	$367,278	$33,347
New York-Presbyterian Hospital	New York	46	$158,614	$39,324
Montefiore Medical Center	Bronx	24	$199,323	$39,582

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.