Simple Pneumonia and Pleurisy Without Cc/Mcc in New York

MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc

$48,278typical hospital bill

$6,667typical amount paid

$5,330–$10,226range paid across 12 hospitals

New York hospitals billed Medicare a typical $48,278 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
Chsli St Joseph Hospital	Bethpage	15	$35,123	$5,330
St Francis Hospital - the Heart Center	Roslyn	22	$36,714	$5,462
Good Samaritan Hospital Medical Center	West Islip	12	$36,695	$6,164
Wynn Hospital	Utica	14	$25,111	$6,237
Crouse Hospital	Syracuse	11	$12,208	$6,319
Peconic Bay Medical Center	Riverhead	14	$47,629	$6,425
New York Community Hospital of Brooklyn, Inc.	Brooklyn	13	$52,175	$6,910
Long Island Jewish Medical Center	New Hyde Park	16	$57,587	$7,759
Suny/Stony Brook University Hospital	Stony Brook	14	$48,926	$8,476
New York-Presbyterian Hospital	New York	19	$52,448	$8,565
North Shore University Hospital	Manhasset	13	$52,908	$8,861
Nyu Langone Hospitals	New York	15	$56,773	$10,226

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.