Inpatient stay · MS-DRG 637
Diabetes with MCC
In 2024, Medicare and patients paid an average of $14,037 per stay at 1,057 hospitals. Half of hospitals averaged between $11,078 and $15,136.
National figures, 2024
- Average payment per case
- $14,037
- Typical range (middle half of hospitals)
- $11,078–$15,136
- Medicare’s share
- $11,464
- Average billed charge
- $69,906
- Hospitals reporting
- 1,057
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.
- Average payment across these 61 hospitals
- $19,844
- Median hospital
- $17,005
- Lowest to highest
- $11,101–$60,187
- Medicare stays
- 1,452
61 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Francis Hospital - The Heart Center | 14 | $11,101 | 21% below the national average | $10,043 | $79,369 |
| Samaritan Hospital Of Troy, New York | 12 | $11,931 | 15% below the national average | $10,742 | $26,989 |
| Hudson Valley Hospital Center | 15 | $12,130 | 14% below the national average | $11,151 | $73,748 |
| St Joseph's Hospital Health Center | 11 | $12,313 | 12% below the national average | $11,005 | $26,457 |
| Peconic Bay Medical Center | 13 | $12,367 | 12% below the national average | $10,464 | $75,698 |
| White Plains Hospital Center | 22 | $12,459 | 11% below the national average | $11,012 | $69,522 |
| Huntington Hospital | 18 | $12,603 | 10% below the national average | $10,453 | $55,394 |
| Crouse Hospital | 12 | $12,851 | About average | $9,978 | $30,762 |
| Montefiore St Luke's Cornwall | 14 | $12,933 | About average | $11,296 | $90,005 |
| Good Samaritan Hospital Of Suffern | 19 | $13,095 | About average | $11,635 | $116,546 |
| Nyack Hospital | 16 | $13,211 | About average | $11,460 | $102,234 |
| Good Samaritan Hospital Medical Center | 17 | $13,495 | About average | $11,866 | $92,604 |
| New York Community Hospital Of Brooklyn, Inc. | 15 | $13,518 | About average | $12,541 | $53,550 |
| Wynn Hospital | 22 | $13,662 | About average | $11,719 | $45,784 |
| United Health Services Hospitals, Inc | 13 | $13,710 | About average | $11,851 | $36,612 |
| Long Island Community Hospital | 29 | $13,878 | About average | $12,442 | $146,259 |
| Unity Hospital | 12 | $14,018 | About average | $11,757 | $32,715 |
| St Joseph Hospital | 22 | $14,166 | About average | $11,700 | $80,850 |
| Mercy Hospital Of Buffalo | 15 | $14,518 | About average | $9,537 | $28,292 |
| Garnet Health Medical Center | 40 | $14,593 | About average | $12,725 | $65,499 |
| Mount Sinai South Nassau | 22 | $14,627 | About average | $12,975 | $90,896 |
| Plainview Hospital | 16 | $14,712 | About average | $9,810 | $61,266 |
| St Peter's Hospital | 17 | $15,215 | About average | $10,009 | $38,895 |
| The University Of Vermont Health Network - Champl | 14 | $15,267 | About average | $14,211 | $55,772 |
| Highland Hospital | 22 | $15,655 | 12% above the national average | $12,428 | $42,054 |
| Rochester General Hospital | 26 | $15,798 | 13% above the national average | $13,304 | $41,409 |
| Vassar Brothers Medical Center | 26 | $16,037 | 14% above the national average | $13,806 | $44,631 |
| Mercy Medical Center | 11 | $16,220 | 16% above the national average | $14,476 | $161,892 |
| Albany Medical Center Hospital | 20 | $16,258 | 16% above the national average | $13,855 | $50,083 |
| Kaleida Health | 13 | $16,325 | 16% above the national average | $12,792 | $58,991 |
| Bassett Healthcare | 11 | $17,005 | 21% above the national average | $14,586 | $41,983 |
| Staten Island University Hospital | 30 | $17,010 | 21% above the national average | $14,287 | $106,037 |
| John T Mather Memorial Hospital Of Port Jefferson | 21 | $17,269 | 23% above the national average | $13,114 | $86,442 |
| North Shore University Hospital | 37 | $17,476 | 24% above the national average | $13,883 | $136,725 |
| Flushing Hospital Medical Center | 16 | $18,064 | 29% above the national average | $14,989 | $31,715 |
| University Hospital S U N Y Health Science Center | 14 | $18,158 | 29% above the national average | $12,628 | $88,357 |
| Wyckoff Heights Medical Center | 19 | $18,224 | 30% above the national average | $15,384 | $41,058 |
| Saratoga Hospital | 12 | $18,504 | 32% above the national average | $8,103 | $74,079 |
| Westchester Medical Center | 12 | $18,906 | 35% above the national average | $16,084 | $222,156 |
| Richmond University Medical Center | 21 | $19,414 | 38% above the national average | $16,464 | $83,801 |
| Mount Sinai Beth Israel | 42 | $19,873 | 42% above the national average | $15,361 | $124,913 |
| Long Island Jewish Medical Center | 63 | $20,211 | 44% above the national average | $15,614 | $117,781 |
| New York-Presbyterian Hospital | 85 | $20,310 | 45% above the national average | $16,027 | $137,200 |
| Southside Hospital | 33 | $20,865 | 49% above the national average | $18,812 | $130,467 |
| Strong Memorial Hospital | 13 | $20,870 | 49% above the national average | $13,845 | $47,202 |
| Maimonides Medical Center | 34 | $22,642 | 61% above the national average | $18,071 | $104,284 |
| Montefiore Medical Center | 71 | $22,674 | 62% above the national average | $16,334 | $158,480 |
| Nyu Langone Hospitals | 96 | $22,704 | 62% above the national average | $15,482 | $131,252 |
| Bronxcare Hospital Center | 11 | $22,725 | 62% above the national average | $20,413 | $33,062 |
| Mount Sinai West | 31 | $22,873 | 63% above the national average | $18,886 | $148,010 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $12K | $52K |
| 2021 | $13K | $57K |
| 2022 | $13K | $61K |
| 2023 | $13K | $65K |
| 2024 | $14K | $70K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 51 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Arkansas | 13 | 258 | $10,387 | $9,458–$10,836 |
| Louisiana | 10 | 178 | $10,710 | $9,580–$11,663 |
| Mississippi | 13 | 278 | $10,806 | $10,109–$10,823 |
| Kentucky | 10 | 199 | $10,945 | $10,003–$11,861 |
| Montana | 3 | 34 | $11,321 | $11,022–$11,535 |
| Indiana | 21 | 361 | $11,409 | $10,606–$11,610 |
| Oklahoma | 14 | 312 | $11,469 | $10,073–$11,627 |
| Iowa | 6 | 103 | $11,476 | $10,164–$12,000 |
| Kansas | 11 | 179 | $11,490 | $10,779–$11,932 |
| Tennessee | 25 | 498 | $11,516 | $10,157–$11,554 |
| Alabama | 15 | 247 | $11,575 | $9,751–$11,695 |
| Vermont | 2 | 30 | $11,641 | $11,407–$11,741 |
| West Virginia | 10 | 144 | $11,699 | $9,978–$11,983 |
| Idaho | 2 | 40 | $12,030 | $11,633–$12,515 |
| Florida | 92 | 1,974 | $12,129 | $10,485–$12,418 |
| South Carolina | 18 | 355 | $12,173 | $9,739–$13,088 |
| Colorado | 9 | 155 | $12,389 | $11,201–$12,409 |
| Texas | 85 | 1,703 | $12,396 | $10,830–$13,072 |
| Arizona | 15 | 238 | $12,493 | $10,998–$12,645 |
| South Dakota | 3 | 56 | $12,583 | $12,031–$12,919 |
| Nebraska | 5 | 71 | $12,603 | $10,651–$14,378 |
| Missouri | 23 | 443 | $12,672 | $10,724–$12,417 |
| Ohio | 39 | 689 | $12,772 | $10,438–$13,416 |
| North Dakota | 1 | 12 | $12,795 | $12,795–$12,795 |
| North Carolina | 28 | 613 | $12,903 | $11,227–$12,924 |
| Michigan | 35 | 657 | $12,973 | $11,582–$13,401 |
| Illinois | 49 | 936 | $13,016 | $11,444–$13,527 |
| Virginia | 32 | 646 | $13,061 | $10,708–$13,141 |
| Nevada | 13 | 300 | $13,117 | $11,934–$13,620 |
| Pennsylvania | 40 | 768 | $13,208 | $11,398–$14,335 |
| New Hampshire | 6 | 103 | $13,372 | $11,251–$13,227 |
| Delaware | 4 | 123 | $13,436 | $12,316–$13,765 |
| Wisconsin | 11 | 202 | $13,564 | $11,790–$14,027 |
| Utah | 5 | 74 | $13,675 | $12,378–$14,230 |
| New Mexico | 6 | 106 | $13,779 | $11,815–$14,955 |
| Georgia | 40 | 718 | $14,000 | $11,384–$14,904 |
| Washington | 20 | 322 | $14,352 | $12,686–$14,117 |
| New Jersey | 40 | 830 | $14,432 | $12,244–$15,691 |
| Minnesota | 15 | 287 | $14,746 | $11,154–$16,360 |
| Massachusetts | 31 | 814 | $14,848 | $11,650–$16,037 |
| Oregon | 8 | 126 | $15,238 | $14,388–$15,788 |
| Wyoming | 1 | 25 | $15,261 | $15,261–$15,261 |
| Hawaii | 1 | 18 | $15,417 | $15,417–$15,417 |
| Alaska | 2 | 34 | $15,993 | $15,093–$17,132 |
| Rhode Island | 3 | 54 | $16,217 | $15,770–$16,510 |
| California | 119 | 2,205 | $16,938 | $14,697–$17,107 |
| Connecticut | 9 | 222 | $17,178 | $15,103–$16,700 |
| Maine | 2 | 43 | $18,505 | $14,716–$19,439 |
| New York | 61 | 1,452 | $19,844 | $13,878–$22,642 |
| District of Columbia | 4 | 85 | $20,553 | $16,907–$23,798 |
| Maryland | 27 | 539 | $20,965 | $17,443–$24,000 |
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.