Pleural Effusion with Mcc in New York

MS-DRG 186: Pleural effusion with mcc

$121,771typical hospital bill

$20,387typical amount paid

$14,379–$29,296range paid across 9 hospitals

New York hospitals billed Medicare a typical $121,771 for this stay in 2024, about 6.0 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
Ns/Lij Hs Huntington Hospital	Huntington	15	$90,190	$14,379
John T Mather Memorial Hospital of Port Jefferson	Port Jefferson	12	$63,733	$16,550
Garnet Health Medical Center	Middletown	14	$85,735	$18,498
North Shore University Hospital	Manhasset	18	$121,771	$18,515
Long Island Jewish Medical Center	New Hyde Park	23	$140,515	$20,387
New York-Presbyterian Hospital	New York	33	$190,702	$21,532
Suny/Stony Brook University Hospital	Stony Brook	13	$99,763	$23,012
Nyu Langone Hospitals	New York	28	$178,072	$25,545
Mount Sinai Hospital	New York	15	$165,936	$29,296

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.