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Inpatient stay · MS-DRG 551

Medical back problems with MCC

In 2024, Medicare and patients paid an average of $16,215 per stay at 465 hospitals. Half of hospitals averaged between $12,790 and $17,674.

National figures, 2024

Average payment per case
$16,215
Typical range (middle half of hospitals)
$12,790–$17,674
Medicare’s share
$13,31082% of the payment
Average billed charge
$86,481
Hospitals reporting
4658,932 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 30 hospitals
$20,711National $16,215 · New York $20,711
Median hospital
$19,203
Lowest to highest
$13,217–$34,439
Medicare stays
776

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

Medicare payments per case for Medical back problems with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Catherine Of Siena HospitalSmithtown, NY · CCN 33040120$13,21718% below the national average$12,197$82,848
Peconic Bay Medical CenterRiverhead, NY · CCN 33010714$14,19912% below the national average$12,377$100,349
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018211$14,47811% below the national average$13,221$88,421
Crouse HospitalSyracuse, NY · CCN 33020312$14,726About average$11,699$24,517
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028613$14,935About average$13,553$86,021
White Plains Hospital CenterWhite Plains, NY · CCN 33030423$15,047About average$13,770$89,394
Long Island Community HospitalPatchogue, NY · CCN 33014120$15,250About average$13,802$113,601
Huntington HospitalHuntington, NY · CCN 33004535$15,332About average$13,868$80,601
Southside HospitalBay Shore, NY · CCN 33004323$15,674About average$13,803$107,040
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 33018513$17,084About average$14,211$87,422
Plainview HospitalPlainview, NY · CCN 33033112$17,509About average$14,392$93,442
Staten Island University HospitalStaten Island, NY · CCN 33016022$18,34513% above the national average$16,185$66,978
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 33002319$18,58415% above the national average$16,151$41,763
Mount Sinai South NassauOceanside, NY · CCN 33019821$18,69315% above the national average$16,049$196,713
Albany Medical Center HospitalAlbany, NY · CCN 33001333$19,11118% above the national average$16,330$58,211
Lenox Hill HospitalNew York, NY · CCN 33011920$19,29519% above the national average$15,992$97,887
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 33024115$19,31419% above the national average$15,668$129,055
New York-Presbyterian/QueensFlushing, NY · CCN 33005524$19,35219% above the national average$16,719$99,599
North Shore University HospitalManhasset, NY · CCN 33010654$20,86829% above the national average$17,102$133,212
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019538$21,07730% above the national average$17,187$110,373
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039343$21,90335% above the national average$18,786$117,265
Strong Memorial HospitalRochester, NY · CCN 33028519$22,55839% above the national average$15,708$41,507
Mount Sinai Beth IsraelNew York, NY · CCN 33016912$22,70840% above the national average$18,385$165,749
Maimonides Medical CenterBrooklyn, NY · CCN 33019416$23,25743% above the national average$19,278$72,956
Nyu Langone HospitalsNew York, NY · CCN 33021480$23,93048% above the national average$19,231$151,109
Mount Sinai WestNew York, NY · CCN 33004642$24,26850% above the national average$19,033$138,751
Mount Sinai HospitalNew York, NY · CCN 33002419$24,39250% above the national average$18,919$98,668
New York-Presbyterian HospitalNew York, NY · CCN 33010172$25,79759% above the national average$18,344$136,823
Westchester Medical CenterValhalla, NY · CCN 33023420$30,10286% above the national average$18,450$271,661
Montefiore Medical CenterBronx, NY · CCN 33005911$34,439112% above the national average$19,252$265,885

National trend

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

  • Average payment
  • Average billed charge
2020: 6,052 stays at 336 hospitals · 2021: 6,369 stays at 360 hospitals · 2022: 7,559 stays at 410 hospitals · 2023: 8,452 stays at 450 hospitals · 2024: 8,932 stays at 465 hospitals
View data as a table
National average payment and billed charge for Medical back problems with MCC
Year of careAverage paymentAverage billed charge
2020$14K$66K
2021$15K$73K
2022$16K$77K
2023$16K$81K
2024$16K$86K

By state, 2024

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

Show all 49 states
Average payment by state for Medical back problems with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont112$6,304$6,304–$6,304
Arkansas235$11,548$11,539–$11,586
Mississippi351$11,748$11,409–$11,965
Louisiana225$12,015$11,632–$12,639
Colorado358$12,369$12,295–$12,436
South Dakota112$13,041$13,041–$13,041
Florida45929$13,098$11,914–$13,853
Oklahoma5111$13,345$11,732–$13,360
Iowa5100$13,404$10,770–$12,881
Kansas6144$13,437$11,902–$13,469
Utah235$13,468$12,772–$14,452
Montana113$13,490$13,490–$13,490
Texas34615$13,646$12,066–$15,023
Ohio16298$13,903$12,122–$15,349
Missouri12227$14,234$11,587–$15,860
Idaho120$14,244$14,244–$14,244
Kentucky584$14,367$11,509–$17,394
Michigan15241$14,472$13,724–$15,146
Virginia14260$14,531$11,832–$14,313
Indiana9182$14,538$12,343–$15,080
Arizona8130$14,614$12,180–$15,299
South Carolina7124$14,733$12,128–$16,499
North Dakota240$14,816$14,455–$15,487
Illinois21408$14,955$11,896–$16,347
Pennsylvania23454$14,965$12,898–$16,135
Minnesota12210$15,100$12,774–$15,284
Nevada8146$15,154$13,852–$15,899
West Virginia124$15,415$15,415–$15,415
Delaware147$15,914$15,914–$15,914
Tennessee13272$15,936$12,583–$16,350
Alabama586$16,185$12,075–$22,003
New Hampshire569$16,342$12,484–$15,536
Nebraska365$16,493$14,956–$18,351
New Jersey17313$16,689$15,114–$17,967
North Carolina13232$16,801$12,486–$17,308
New Mexico113$17,054$17,054–$17,054
Washington9139$17,107$13,928–$18,397
Wisconsin593$17,108$12,613–$17,503
Maine123$17,294$17,294–$17,294
Massachusetts19438$17,340$13,660–$19,994
Rhode Island114$17,894$17,894–$17,894
Connecticut6104$18,607$17,236–$19,900
Hawaii126$18,920$18,920–$18,920
District of Columbia117$19,114$19,114–$19,114
Georgia9176$19,572$13,634–$17,501
New York30776$20,711$15,418–$22,670
Oregon224$20,780$18,009–$23,551
California50867$20,804$16,698–$22,060
Maryland9150$25,553$15,998–$34,725

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.