Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc in New York
MS-DRG 856: Postoperative or post-traumatic infections with o.r. procedures with mcc
$292,191typical hospital bill
$53,503typical amount paid
$35,841–$88,548range paid across 7 hospitals
New York hospitals billed Medicare a typical $292,191 for this stay in 2024, about 5.5 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 | |
|---|---|---|---|---|---|
| St Francis Hospital - the Heart Center | Roslyn | 12 | $162,737 | $35,841 | |
| Mount Sinai South Nassau | Oceanside | 11 | $283,930 | $38,946 | |
| North Shore University Hospital | Manhasset | 17 | $292,191 | $48,737 | |
| Lenox Hill Hospital | New York | 12 | $275,948 | $53,503 | |
| Nyu Langone Hospitals | New York | 32 | $321,847 | $64,017 | |
| Mount Sinai Hospital | New York | 14 | $326,790 | $75,519 | |
| New York-Presbyterian Hospital | New York | 25 | $483,726 | $88,548 |
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.