US Health Care Costs

Pneumonia, with major complications in New York

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$51,154typical hospital bill
$13,546typical amount paid
$10,304–$48,754range paid across 116 hospitals

New York hospitals billed Medicare a typical $51,154 for this stay in 2024, about 3.8 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
Northern Westchester HospitalMount Kisco50$46,668$10,304
Upmc Chautauqua at WcaJamestown20$14,782$10,502
St Catherine of Siena HospitalSmithtown34$67,949$10,797
Corning HospitalCorning42$31,173$10,849
F F Thompson HospitalCanandaigua30$20,253$10,912
Olean General HospitalOlean67$19,514$10,993
Putnam Hospital CenterCarmel26$32,672$11,077
Glens Falls HospitalGlens Falls38$29,372$11,114
Ns/Lij Hs Huntington HospitalHuntington105$54,178$11,229
Newark-Wayne Community HospitalNewark12$28,065$11,365
Canton-Potsdam HospitalPotsdam30$24,646$11,427
Nathan Littauer HospitalGloversville15$26,978$11,492
United Memorial Medical CenterBatavia30$23,277$11,597
Auburn Community HospitalAuburn49$21,479$11,602
Mercy Hospital of BuffaloBuffalo34$37,258$11,645
Chsli St Joseph HospitalBethpage63$57,285$11,674
Saratoga HospitalSaratoga Springs59$52,043$11,839
Geneva General HospitalGeneva18$22,544$11,846
White Plains Hospital CenterWhite Plains135$72,492$11,848
Oswego HospitalOswego23$24,313$11,864
Cayuga Medical Center at IthacaIthaca33$29,267$11,944
Rome Memorial Hospital, IncRome19$24,985$11,973
Nyack HospitalNyack65$90,982$12,004
Columbia Memorial HospitalHudson23$24,107$12,019
Bon Secours Community HospitalPort Jervis40$105,013$12,038
St Francis Hospital - the Heart CenterRoslyn157$79,110$12,050
Jones Memorial HospitalWellsville17$16,755$12,125
Kenmore Mercy HospitalKenmore33$22,197$12,134
St Anthony Community HospitalWarwick36$91,743$12,184
St Marys HealthcareAmsterdam26$37,225$12,272
Guthrie Cortland Regional Medical CenterCortland38$30,831$12,280
Good Samaritan Hospital of SuffernSuffern134$111,918$12,294
Oneida Health HospitalOneida11$17,403$12,311
Bertrand Chaffee HospitalSpringville16$13,644$12,341
Montefiore St Luke's CornwallNewburgh57$87,724$12,357
Hudson Valley Hospital CenterCortlandt Manor100$61,088$12,364
Our Lady of Lourdes Memorial Hospital, IncBinghamton67$33,710$12,452
Mercy Medical CenterRockville Centre36$82,870$12,483
Healthalliance Hospital Marys Avenue CampusKingston53$105,236$12,531
Crouse HospitalSyracuse60$30,891$12,643
St Joseph's Hospital Health CenterSyracuse68$31,060$12,668
United Health Services Hospitals, IncBinghamton58$32,241$12,670
Good Samaritan Hospital Medical CenterWest Islip115$73,598$12,699
Nicholas H Noyes Memorial HospitalDansville28$13,642$12,729
Ellis HospitalSchenectady35$24,882$12,741
Claxton-Hepburn Medical CenterOgdensburg29$23,581$12,803
Long Island Community HospitalPatchogue59$104,867$12,845
Peconic Bay Medical CenterRiverhead85$92,276$12,890
Wynn HospitalUtica76$52,306$12,890
Samaritan Hospital of Troy, New YorkTroy60$28,314$12,988
Phelps HospitalSleepy Hollow43$81,816$12,995
Garnet Health Medical Center CatskillsHarris21$70,091$13,039
New York Community Hospital of Brooklyn, Inc.Brooklyn82$51,196$13,128
St Peter's HospitalAlbany77$44,331$13,173
St Charles HospitalPort Jefferson38$67,628$13,271
Mount St. Mary's Hospital & Health CenterLewiston22$27,827$13,289
Northern Dutchess HospitalRhinebeck51$32,769$13,430
Aurelia Osborn Fox Memorial HospitalOneonta32$28,464$13,525
St James HospitalHornell15$18,966$13,567
Plainview HospitalPlainview77$79,476$13,599
Brooks-Tlc Hospital System, IncDunkirk15$28,672$13,651
Unity HospitalRochester57$26,315$13,678
Ns/Lij Hs Southside HospitalBay Shore81$88,759$13,867
John T Mather Memorial Hospital of Port JeffersonPort Jefferson88$76,523$14,073
The University of Vermont Health Network - ChamplPlattsburgh71$58,189$14,179
Rochester General HospitalRochester45$29,959$14,219
Chenango Memorial HospitalNorwich11$30,160$14,221
Sisters of Charity HospitalBuffalo20$30,170$14,510
Montefiore Mount Vernon HospitalMount Vernon11$55,461$14,597
Staten Island University HospitalStaten Island95$66,412$14,638
Kaleida HealthBuffalo95$30,886$14,666
Samaritan Medical CenterWatertown26$35,317$14,740
University Hospital S U N Y Health Science CenterSyracuse63$83,680$14,895
St John's Riverside HospitalYonkers54$63,780$14,913
Mount Sinai South NassauOceanside136$111,030$14,927
Albany Medical Center HospitalAlbany58$45,897$14,936
Garnet Health Medical CenterMiddletown223$73,009$14,951
Highland HospitalRochester59$29,725$15,164
Vassar Brothers Medical CenterPoughkeepsie89$35,978$15,371
Bassett HealthcareCooperstown54$28,338$15,491
Northwell Hospital Glen CoveGlen Cove38$83,014$15,904
Westchester Medical CenterValhalla62$159,475$15,990
New York-Presbyterian/QueensFlushing114$113,189$16,187
St Joseph's Medical CenterYonkers25$101,270$16,386
Arnot Ogden Medical CenterElmira38$31,837$16,598
North Shore University HospitalManhasset137$112,788$16,655
Long Island Jewish Medical CenterNew Hyde Park127$110,334$16,822
Mount Sinai Beth IsraelNew York81$123,873$17,544
Richmond University Medical CenterStaten Island76$85,662$17,554
Flushing Hospital Medical CenterFlushing20$25,735$17,980
Suny/Stony Brook University HospitalStony Brook351$100,053$18,074
Wyckoff Heights Medical CenterBrooklyn29$53,892$18,375
Strong Memorial HospitalRochester53$35,180$18,789
Mount Sinai WestNew York83$107,587$18,931
Montefiore New Rochelle HospitalNew Rochelle40$106,927$19,047
Jamaica Hospital Medical CenterJamaica23$28,840$19,157
Maimonides Medical CenterBrooklyn135$86,439$19,635
Nyu Langone HospitalsNew York465$127,394$19,876
Brookdale Hospital Medical CenterBrooklyn39$38,440$20,093
New York-Presbyterian HospitalNew York371$143,424$20,672
Nassau University Medical CenterEast Meadow23$91,876$20,759
South Brooklyn HealthBrooklyn106$65,114$21,448
Lenox Hill HospitalNew York26$126,331$21,457
Montefiore Medical CenterBronx142$130,765$21,718
St John's Episcopal Hospital at South ShoreFar Rockaway14$78,306$22,730
Mount Sinai HospitalNew York156$105,644$22,745
Erie County Medical CenterBuffalo14$70,411$22,947
Suny/Downstate University Hospital of BrooklynBrooklyn11$77,101$23,300
Brooklyn Hospital Center - Downtown CampusBrooklyn36$152,299$23,942
Bronxcare Hospital CenterBronx21$33,821$24,536
Jacobi Medical CenterBronx40$55,280$29,024
Harlem Hospital CenterNew York12$76,022$31,034
Lincoln Medical & Mental Health CenterBronx11$41,423$31,098
Elmhurst Hospital CenterElmhurst27$51,112$34,795
Queens Hospital CenterJamaica25$41,787$41,422
Kings County Hospital CenterBrooklyn19$49,837$48,754

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.