Neumonía, con complicaciones mayores en Nueva York
MS-DRG 193: Simple pneumonia and pleurisy with mcc
Los hospitales de Nueva York facturaron a Medicare una cantidad típica de $51,154 por esta hospitalización en 2024, unas 3.8 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Relacionados:Neumonía, con complicaciones
Hospitales de Nueva York comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| Northern Westchester Hospital | Mount Kisco | 50 | $46,668 | $10,304 | – | – | |
| Upmc Chautauqua at Wca | Jamestown | 20 | $14,782 | $10,502 | – | – | |
| St Catherine of Siena Hospital | Smithtown | 34 | $67,949 | $10,797 | – | – | |
| Corning Hospital | Corning | 42 | $31,173 | $10,849 | – | – | |
| F F Thompson Hospital | Canandaigua | 30 | $20,253 | $10,912 | – | – | |
| Olean General Hospital | Olean | 67 | $19,514 | $10,993 | – | – | |
| Putnam Hospital Center | Carmel | 26 | $32,672 | $11,077 | – | – | |
| Glens Falls Hospital | Glens Falls | 38 | $29,372 | $11,114 | – | – | |
| Ns/Lij Hs Huntington Hospital | Huntington | 105 | $54,178 | $11,229 | – | – | |
| Newark-Wayne Community Hospital | Newark | 12 | $28,065 | $11,365 | – | – | |
| Canton-Potsdam Hospital | Potsdam | 30 | $24,646 | $11,427 | – | – | |
| Nathan Littauer Hospital | Gloversville | 15 | $26,978 | $11,492 | – | – | |
| United Memorial Medical Center | Batavia | 30 | $23,277 | $11,597 | – | – | |
| Auburn Community Hospital | Auburn | 49 | $21,479 | $11,602 | – | – | |
| Mercy Hospital of Buffalo | Buffalo | 34 | $37,258 | $11,645 | – | – | |
| Chsli St Joseph Hospital | Bethpage | 63 | $57,285 | $11,674 | – | – | |
| Saratoga Hospital | Saratoga Springs | 59 | $52,043 | $11,839 | – | – | |
| Geneva General Hospital | Geneva | 18 | $22,544 | $11,846 | – | – | |
| White Plains Hospital Center | White Plains | 135 | $72,492 | $11,848 | – | – | |
| Oswego Hospital | Oswego | 23 | $24,313 | $11,864 | – | – | |
| Cayuga Medical Center at Ithaca | Ithaca | 33 | $29,267 | $11,944 | – | – | |
| Rome Memorial Hospital, Inc | Rome | 19 | $24,985 | $11,973 | – | – | |
| Nyack Hospital | Nyack | 65 | $90,982 | $12,004 | – | – | |
| Columbia Memorial Hospital | Hudson | 23 | $24,107 | $12,019 | – | – | |
| Bon Secours Community Hospital | Port Jervis | 40 | $105,013 | $12,038 | – | – | |
| St Francis Hospital - the Heart Center | Roslyn | 157 | $79,110 | $12,050 | – | $25,952$11,438–$49,120 · 55 planes | |
| Jones Memorial Hospital | Wellsville | 17 | $16,755 | $12,125 | – | – | |
| Kenmore Mercy Hospital | Kenmore | 33 | $22,197 | $12,134 | – | – | |
| St Anthony Community Hospital | Warwick | 36 | $91,743 | $12,184 | – | – | |
| St Marys Healthcare | Amsterdam | 26 | $37,225 | $12,272 | – | – | |
| Guthrie Cortland Regional Medical Center | Cortland | 38 | $30,831 | $12,280 | – | – | |
| Good Samaritan Hospital of Suffern | Suffern | 134 | $111,918 | $12,294 | – | – | |
| Oneida Health Hospital | Oneida | 11 | $17,403 | $12,311 | – | – | |
| Bertrand Chaffee Hospital | Springville | 16 | $13,644 | $12,341 | – | – | |
| Montefiore St Luke's Cornwall | Newburgh | 57 | $87,724 | $12,357 | – | – | |
| Hudson Valley Hospital Center | Cortlandt Manor | 100 | $61,088 | $12,364 | – | – | |
| Our Lady of Lourdes Memorial Hospital, Inc | Binghamton | 67 | $33,710 | $12,452 | – | – | |
| Mercy Medical Center | Rockville Centre | 36 | $82,870 | $12,483 | – | – | |
| Healthalliance Hospital Marys Avenue Campus | Kingston | 53 | $105,236 | $12,531 | – | – | |
| Crouse Hospital | Syracuse | 60 | $30,891 | $12,643 | – | – | |
| St Joseph's Hospital Health Center | Syracuse | 68 | $31,060 | $12,668 | – | – | |
| United Health Services Hospitals, Inc | Binghamton | 58 | $32,241 | $12,670 | – | – | |
| Good Samaritan Hospital Medical Center | West Islip | 115 | $73,598 | $12,699 | – | $22,570$10,843–$32,241 · 55 planes | |
| Nicholas H Noyes Memorial Hospital | Dansville | 28 | $13,642 | $12,729 | – | – | |
| Ellis Hospital | Schenectady | 35 | $24,882 | $12,741 | – | – | |
| Claxton-Hepburn Medical Center | Ogdensburg | 29 | $23,581 | $12,803 | – | – | |
| Long Island Community Hospital | Patchogue | 59 | $104,867 | $12,845 | – | – | |
| Peconic Bay Medical Center | Riverhead | 85 | $92,276 | $12,890 | – | – | |
| Wynn Hospital | Utica | 76 | $52,306 | $12,890 | – | – | |
| Samaritan Hospital of Troy, New York | Troy | 60 | $28,314 | $12,988 | – | – | |
| Phelps Hospital | Sleepy Hollow | 43 | $81,816 | $12,995 | – | – | |
| Garnet Health Medical Center Catskills | Harris | 21 | $70,091 | $13,039 | – | – | |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn | 82 | $51,196 | $13,128 | – | – | |
| St Peter's Hospital | Albany | 77 | $44,331 | $13,173 | – | – | |
| St Charles Hospital | Port Jefferson | 38 | $67,628 | $13,271 | – | – | |
| Mount St. Mary's Hospital & Health Center | Lewiston | 22 | $27,827 | $13,289 | – | – | |
| Northern Dutchess Hospital | Rhinebeck | 51 | $32,769 | $13,430 | – | – | |
| Aurelia Osborn Fox Memorial Hospital | Oneonta | 32 | $28,464 | $13,525 | – | – | |
| St James Hospital | Hornell | 15 | $18,966 | $13,567 | – | – | |
| Plainview Hospital | Plainview | 77 | $79,476 | $13,599 | – | – | |
| Brooks-Tlc Hospital System, Inc | Dunkirk | 15 | $28,672 | $13,651 | – | – | |
| Unity Hospital | Rochester | 57 | $26,315 | $13,678 | – | – | |
| Ns/Lij Hs Southside Hospital | Bay Shore | 81 | $88,759 | $13,867 | – | – | |
| John T Mather Memorial Hospital of Port Jefferson | Port Jefferson | 88 | $76,523 | $14,073 | – | – | |
| The University of Vermont Health Network - Champl | Plattsburgh | 71 | $58,189 | $14,179 | – | – | |
| Rochester General Hospital | Rochester | 45 | $29,959 | $14,219 | – | – | |
| Chenango Memorial Hospital | Norwich | 11 | $30,160 | $14,221 | – | – | |
| Sisters of Charity Hospital | Buffalo | 20 | $30,170 | $14,510 | – | – | |
| Montefiore Mount Vernon Hospital | Mount Vernon | 11 | $55,461 | $14,597 | – | – | |
| Staten Island University Hospital | Staten Island | 95 | $66,412 | $14,638 | – | – | |
| Kaleida Health | Buffalo | 95 | $30,886 | $14,666 | – | – | |
| Samaritan Medical Center | Watertown | 26 | $35,317 | $14,740 | – | – | |
| University Hospital S U N Y Health Science Center | Syracuse | 63 | $83,680 | $14,895 | – | – | |
| St John's Riverside Hospital | Yonkers | 54 | $63,780 | $14,913 | – | – | |
| Mount Sinai South Nassau | Oceanside | 136 | $111,030 | $14,927 | – | – | |
| Albany Medical Center Hospital | Albany | 58 | $45,897 | $14,936 | – | – | |
| Garnet Health Medical Center | Middletown | 223 | $73,009 | $14,951 | – | $39,707$28,917–$48,521 · 11 planes | |
| Highland Hospital | Rochester | 59 | $29,725 | $15,164 | – | – | |
| Vassar Brothers Medical Center | Poughkeepsie | 89 | $35,978 | $15,371 | – | – | |
| Bassett Healthcare | Cooperstown | 54 | $28,338 | $15,491 | – | – | |
| Northwell Hospital Glen Cove | Glen Cove | 38 | $83,014 | $15,904 | – | – | |
| Westchester Medical Center | Valhalla | 62 | $159,475 | $15,990 | – | – | |
| New York-Presbyterian/Queens | Flushing | 114 | $113,189 | $16,187 | – | – | |
| St Joseph's Medical Center | Yonkers | 25 | $101,270 | $16,386 | – | – | |
| Arnot Ogden Medical Center | Elmira | 38 | $31,837 | $16,598 | – | – | |
| North Shore University Hospital | Manhasset | 137 | $112,788 | $16,655 | – | – | |
| Long Island Jewish Medical Center | New Hyde Park | 127 | $110,334 | $16,822 | – | – | |
| Mount Sinai Beth Israel | New York | 81 | $123,873 | $17,544 | – | – | |
| Richmond University Medical Center | Staten Island | 76 | $85,662 | $17,554 | – | – | |
| Flushing Hospital Medical Center | Flushing | 20 | $25,735 | $17,980 | – | – | |
| Suny/Stony Brook University Hospital | Stony Brook | 351 | $100,053 | $18,074 | – | – | |
| Wyckoff Heights Medical Center | Brooklyn | 29 | $53,892 | $18,375 | – | – | |
| Strong Memorial Hospital | Rochester | 53 | $35,180 | $18,789 | – | – | |
| Mount Sinai West | New York | 83 | $107,587 | $18,931 | – | – | |
| Montefiore New Rochelle Hospital | New Rochelle | 40 | $106,927 | $19,047 | – | – | |
| Jamaica Hospital Medical Center | Jamaica | 23 | $28,840 | $19,157 | – | – | |
| Maimonides Medical Center | Brooklyn | 135 | $86,439 | $19,635 | – | $38,325$21,256–$41,983 · 29 planes | |
| Nyu Langone Hospitals | New York | 465 | $127,394 | $19,876 | – | – | |
| Brookdale Hospital Medical Center | Brooklyn | 39 | $38,440 | $20,093 | – | – | |
| New York-Presbyterian Hospital | New York | 371 | $143,424 | $20,672 | – | – | |
| Nassau University Medical Center | East Meadow | 23 | $91,876 | $20,759 | – | – | |
| South Brooklyn Health | Brooklyn | 106 | $65,114 | $21,448 | – | – | |
| Lenox Hill Hospital | New York | 26 | $126,331 | $21,457 | – | – | |
| Montefiore Medical Center | Bronx | 142 | $130,765 | $21,718 | – | – | |
| St John's Episcopal Hospital at South Shore | Far Rockaway | 14 | $78,306 | $22,730 | – | – | |
| Mount Sinai Hospital | New York | 156 | $105,644 | $22,745 | – | – | |
| Erie County Medical Center | Buffalo | 14 | $70,411 | $22,947 | – | – | |
| Suny/Downstate University Hospital of Brooklyn | Brooklyn | 11 | $77,101 | $23,300 | – | – | |
| Brooklyn Hospital Center - Downtown Campus | Brooklyn | 36 | $152,299 | $23,942 | – | – | |
| Bronxcare Hospital Center | Bronx | 21 | $33,821 | $24,536 | – | – | |
| Jacobi Medical Center | Bronx | 40 | $55,280 | $29,024 | – | – | |
| Harlem Hospital Center | New York | 12 | $76,022 | $31,034 | – | – | |
| Lincoln Medical & Mental Health Center | Bronx | 11 | $41,423 | $31,098 | – | – | |
| Elmhurst Hospital Center | Elmhurst | 27 | $51,112 | $34,795 | – | – | |
| Queens Hospital Center | Jamaica | 25 | $41,787 | $41,422 | – | – | |
| Kings County Hospital Center | Brooklyn | 19 | $49,837 | $48,754 | – | – |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
La neumonía es una infección que llena de líquido los sacos de aire de los pulmones y causa tos, fiebre y dificultad para respirar. Se hospitaliza cuando cuesta respirar, el oxígeno está bajo o el paciente es mayor o frágil.
Esta página trata la versión más compleja: pacientes que además tuvieron una complicación mayor u otra afección grave, como insuficiencia renal, una infección grave o insuficiencia respiratoria. Estas hospitalizaciones duran más y cuestan más.
Qué esperar
El tratamiento es con antibióticos, oxígeno si hace falta, líquidos y radiografías de tórax. La mayoría de las hospitalizaciones duran de tres a cinco días, seguidas de recuperación en casa.
Qué hace subir o bajar la factura
La factura depende sobre todo de la duración de la hospitalización y de si se necesita oxígeno o cuidados intensivos.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por neumonía, con complicaciones mayores en Nueva York?
En 116 hospitales de Nueva York, la factura típica por neumonía, con complicaciones mayores fue de $51,154 en 2024, y Medicare y el paciente juntos pagaron típicamente $13,546. El hospital típico de EE. UU. facturó $46,587.
¿Qué hospitales de Nueva York facturan menos y más por neumonía, con complicaciones mayores?
La factura promedio más baja es la de Nicholas H Noyes Memorial Hospital, $13,642. La más alta es la de Westchester Medical Center, $159,475. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.