Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in New York

MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc

$106,027typical hospital bill

$22,870typical amount paid

$20,054–$27,940range paid across 9 hospitals

New York hospitals billed Medicare a typical $106,027 for this stay in 2024, about 4.6 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
Albany Medical Center Hospital	Albany	16	$51,893	$20,054
Good Samaritan Hospital Medical Center	West Islip	19	$67,905	$20,087
North Shore University Hospital	Manhasset	23	$116,896	$20,402
University Hospital S U N Y Health Science Center	Syracuse	11	$95,626	$21,653
Erie County Medical Center	Buffalo	16	$39,310	$22,870
New York-Presbyterian Hospital	New York	17	$106,234	$23,494
Suny/Stony Brook University Hospital	Stony Brook	25	$106,027	$23,875
Hospital for Special Surgery	New York	29	$133,446	$27,739
Mount Sinai West	New York	11	$144,676	$27,940

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.