US Health Care Costs

Pneumonia, with complications in New York

MS-DRG 194: Simple pneumonia and pleurisy with cc

$36,863typical hospital bill
$8,592typical amount paid
$6,880–$40,893range paid across 93 hospitals

New York hospitals billed Medicare a typical $36,863 for this stay in 2024, about 4.3 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)

HospitalCityMedicare staysBilledPaid
St Catherine of Siena HospitalSmithtown28$42,625$6,880
Olean General HospitalOlean14$12,003$6,921
St Anthony Community HospitalWarwick12$76,077$6,934
Kenmore Mercy HospitalKenmore12$21,473$7,046
F F Thompson HospitalCanandaigua22$13,213$7,061
Upmc Chautauqua at WcaJamestown13$11,798$7,070
St Peter's HospitalAlbany35$25,703$7,102
Saratoga HospitalSaratoga Springs17$25,125$7,119
Auburn Community HospitalAuburn22$13,662$7,165
Hudson Valley Hospital CenterCortlandt Manor34$38,753$7,263
Corning HospitalCorning19$23,926$7,298
Good Samaritan Hospital of SuffernSuffern28$77,595$7,400
Glens Falls HospitalGlens Falls44$22,470$7,498
Sisters of Charity HospitalBuffalo14$16,600$7,500
Samaritan Hospital of Troy, New YorkTroy19$22,193$7,545
Bon Secours Community HospitalPort Jervis11$62,906$7,581
Nathan Littauer HospitalGloversville12$23,080$7,605
United Memorial Medical CenterBatavia14$23,092$7,639
St Marys HealthcareAmsterdam17$27,496$7,680
Columbia Memorial HospitalHudson16$25,695$7,687
Mercy Hospital of BuffaloBuffalo20$18,418$7,700
Ellis HospitalSchenectady11$25,631$7,728
Guthrie Cortland Regional Medical CenterCortland36$17,923$7,799
New York Community Hospital of Brooklyn, Inc.Brooklyn41$40,256$7,811
Aurelia Osborn Fox Memorial HospitalOneonta16$19,885$7,851
Chsli St Joseph HospitalBethpage27$42,435$7,854
Oneida Health HospitalOneida12$19,078$7,874
Mercy Medical CenterRockville Centre20$53,336$7,929
St Francis Hospital - the Heart CenterRoslyn117$49,887$7,932
Montefiore St Luke's CornwallNewburgh23$57,037$7,934
Healthalliance Hospital Marys Avenue CampusKingston29$73,430$7,954
St Joseph's Hospital Health CenterSyracuse28$25,209$7,963
Nyack HospitalNyack25$60,674$8,009
Crouse HospitalSyracuse52$20,584$8,013
St Charles HospitalPort Jefferson24$38,239$8,081
Claxton-Hepburn Medical CenterOgdensburg14$18,630$8,090
Bertrand Chaffee HospitalSpringville16$9,008$8,120
Wynn HospitalUtica82$33,869$8,155
Ns/Lij Hs Southside HospitalBay Shore15$55,288$8,164
Long Island Community HospitalPatchogue17$86,369$8,244
Northern Westchester HospitalMount Kisco17$35,136$8,253
Peconic Bay Medical CenterRiverhead33$57,750$8,375
Our Lady of Lourdes Memorial Hospital, IncBinghamton32$27,009$8,400
Phelps HospitalSleepy Hollow15$60,569$8,485
Garnet Health Medical Center CatskillsHarris25$55,141$8,492
Brooks-Tlc Hospital System, IncDunkirk16$14,622$8,510
Good Samaritan Hospital Medical CenterWest Islip56$47,101$8,592
Northern Dutchess HospitalRhinebeck23$26,441$8,670
The University of Vermont Health Network - ChamplPlattsburgh23$36,863$8,681
Unity HospitalRochester20$14,236$8,707
Mount Sinai South NassauOceanside26$73,748$8,722
Plainview HospitalPlainview22$55,105$8,778
Ns/Lij Hs Huntington HospitalHuntington23$47,424$8,843
Garnet Health Medical CenterMiddletown87$46,374$8,862
Highland HospitalRochester19$16,662$8,898
Vassar Brothers Medical CenterPoughkeepsie16$24,476$9,337
United Health Services Hospitals, IncBinghamton25$20,530$9,371
Mount St. Mary's Hospital & Health CenterLewiston24$14,024$9,420
St John's Riverside HospitalYonkers33$45,056$9,431
Kaleida HealthBuffalo28$21,644$9,470
Samaritan Medical CenterWatertown16$31,641$9,597
Bassett HealthcareCooperstown19$19,106$9,637
Westchester Medical CenterValhalla24$120,001$9,646
Erie County Medical CenterBuffalo11$18,787$9,777
Rochester General HospitalRochester21$19,473$9,946
Staten Island University HospitalStaten Island47$52,120$9,958
Arnot Ogden Medical CenterElmira17$20,412$10,043
North Shore University HospitalManhasset74$80,488$10,101
University Hospital S U N Y Health Science CenterSyracuse34$63,151$10,112
New York-Presbyterian/QueensFlushing22$67,011$10,170
White Plains Hospital CenterWhite Plains47$49,728$10,287
Albany Medical Center HospitalAlbany14$30,466$10,598
Long Island Jewish Medical CenterNew Hyde Park49$79,605$10,750
Montefiore New Rochelle HospitalNew Rochelle18$49,057$10,796
Mount Sinai WestNew York19$61,629$11,100
John T Mather Memorial Hospital of Port JeffersonPort Jefferson24$48,235$11,613
Flushing Hospital Medical CenterFlushing13$17,430$11,649
Suny/Stony Brook University HospitalStony Brook111$72,715$11,710
Mount Sinai Beth IsraelNew York31$68,843$11,782
Maimonides Medical CenterBrooklyn31$51,834$11,877
New York-Presbyterian HospitalNew York172$74,386$12,038
Nyu Langone HospitalsNew York143$86,943$12,450
Strong Memorial HospitalRochester20$23,374$12,604
Mount Sinai HospitalNew York48$49,025$13,019
Brookdale Hospital Medical CenterBrooklyn12$29,097$14,061
Nassau University Medical CenterEast Meadow13$45,900$14,127
Brooklyn Hospital Center - Downtown CampusBrooklyn19$88,237$14,389
Montefiore Medical CenterBronx75$87,266$14,669
St John's Episcopal Hospital at South ShoreFar Rockaway21$40,829$15,051
South Brooklyn HealthBrooklyn20$42,409$15,452
Jacobi Medical CenterBronx12$34,455$19,608
Elmhurst Hospital CenterElmhurst15$32,287$28,070
Bellevue Hospital CenterNew York18$57,283$40,893

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.