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Inpatient stay · MS-DRG 153

Otitis media and URI without MCC

In 2024, Medicare and patients paid an average of $8,735 per stay at 24 hospitals. Half of hospitals averaged between $7,323 and $10,176.

National figures, 2024

Average payment per case
$8,735
Typical range (middle half of hospitals)
$7,323–$10,176
Medicare’s share
$5,96468% of the payment
Average billed charge
$49,635
Hospitals reporting
24390 stays

Hospitals in New York

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
New York
Specific hospitals up to 10
Average payment across these 7 hospitals
$10,589National $8,735 · New York $10,589
Median hospital
$10,343
Lowest to highest
$7,823–$15,729
Medicare stays
115

7 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Otitis media and URI without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018211$7,82310% below the national average$4,640$45,004
Staten Island University HospitalStaten Island, NY · CCN 33016015$8,945About average$6,972$40,355
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019512$9,68911% above the national average$6,423$68,620
New York-Presbyterian HospitalNew York, NY · CCN 33010128$10,34318% above the national average$7,655$69,989
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039320$10,52520% above the national average$7,037$55,423
Nyu Langone HospitalsNew York, NY · CCN 33021417$11,31930% above the national average$8,354$85,260
Montefiore Medical CenterBronx, NY · CCN 33005912$15,72980% above the national average$11,463$128,841

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 482 stays at 31 hospitals · 2021: 113 stays at 8 hospitals · 2022: 184 stays at 13 hospitals · 2023: 350 stays at 24 hospitals · 2024: 390 stays at 24 hospitals
View data as a table
National average payment and billed charge for Otitis media and URI without MCC
Year of careAverage paymentAverage billed charge
2020$7,260$35K
2021$8,051$43K
2022$7,823$37K
2023$7,677$37K
2024$8,735$50K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 14 states
Average payment by state for Otitis media and URI without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Texas112$6,374$6,374–$6,374
Pennsylvania134$6,709$6,709–$6,709
Illinois119$6,862$6,862–$6,862
Florida477$7,473$5,794–$7,509
Delaware119$7,728$7,728–$7,728
Ohio111$7,830$7,830–$7,830
New Jersey224$7,833$7,671–$8,060
Hawaii111$7,915$7,915–$7,915
Arizona114$8,005$8,005–$8,005
Maryland119$8,683$8,683–$8,683
Massachusetts111$10,120$10,120–$10,120
Tennessee111$10,570$10,570–$10,570
New York7115$10,589$9,317–$10,922
California113$12,769$12,769–$12,769

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.