Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc in New York

MS-DRG 542: Pathological fractures and musculoskeletal and connective tissue malignancy with mcc

$161,521typical hospital bill

$22,400typical amount paid

$15,539–$33,211range paid across 13 hospitals

New York hospitals billed Medicare a typical $161,521 for this stay in 2024, about 7.2 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
White Plains Hospital Center	White Plains	15	$84,352	$15,539
Phelps Hospital	Sleepy Hollow	11	$92,599	$15,896
Staten Island University Hospital	Staten Island	16	$81,822	$19,176
Long Island Jewish Medical Center	New Hyde Park	20	$161,521	$20,040
New York-Presbyterian/Queens	Flushing	12	$99,725	$20,352
North Shore University Hospital	Manhasset	23	$165,168	$22,070
Vassar Brothers Medical Center	Poughkeepsie	20	$88,509	$22,400
Nyu Langone Hospitals	New York	50	$184,788	$24,344
Strong Memorial Hospital	Rochester	14	$54,165	$26,666
New York-Presbyterian Hospital	New York	59	$220,427	$28,109
Montefiore Medical Center	Bronx	11	$253,257	$31,943
Suny/Stony Brook University Hospital	Stony Brook	12	$247,740	$32,455
Lenox Hill Hospital	New York	13	$196,799	$33,211

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.