Viral Illness Without Mcc in New York
MS-DRG 866: Viral illness without mcc
$75,079typical hospital bill
$13,436typical amount paid
$7,612–$16,410range paid across 7 hospitals
New York hospitals billed Medicare a typical $75,079 for this stay in 2024, about 5.6 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 Catherine of Siena Hospital | Smithtown | 15 | $42,958 | $7,612 | |
| St Francis Hospital - the Heart Center | Roslyn | 19 | $44,970 | $9,031 | |
| New York-Presbyterian Hospital | New York | 29 | $75,079 | $12,422 | |
| Suny/Stony Brook University Hospital | Stony Brook | 16 | $50,784 | $13,436 | |
| North Shore University Hospital | Manhasset | 21 | $97,672 | $13,568 | |
| Montefiore Medical Center | Bronx | 12 | $114,824 | $15,715 | |
| Nyu Langone Hospitals | New York | 30 | $153,577 | $16,410 |
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.