Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc in New York
MS-DRG 515: Other musculoskeletal system and connective tissue o.r. procedures with mcc
$256,782typical hospital bill
$43,792typical amount paid
$42,141–$45,444range paid across 2 hospitals
New York hospitals billed Medicare a typical $256,782 for this stay in 2024, about 5.9 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 | |
|---|---|---|---|---|---|
| New York-Presbyterian Hospital | New York | 13 | $221,666 | $42,141 | |
| Nyu Langone Hospitals | New York | 24 | $291,898 | $45,444 |
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.