Inpatient stay · MS-DRG 638
Diabetes with CC
In 2024, Medicare and patients paid an average of $9,215 per stay at 1,193 hospitals. Half of hospitals averaged between $7,297 and $9,809.
National figures, 2024
- Average payment per case
- $9,215
- Typical range (middle half of hospitals)
- $7,297–$9,809
- Medicare’s share
- $6,926
- Average billed charge
- $43,062
- Hospitals reporting
- 1,193
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 76 hospitals
- $12,304
- Median hospital
- $10,091
- Lowest to highest
- $7,302–$42,482
- Medicare stays
- 1,906
76 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 |
|---|---|---|---|---|---|
| Kenmore Mercy Hospital | 12 | $7,302 | 21% below the national average | $6,285 | $17,769 |
| UPMC Chautauqua | 12 | $7,434 | 19% below the national average | $6,309 | $9,515 |
| Canton-Potsdam Hospital | 11 | $7,595 | 18% below the national average | $6,216 | $25,767 |
| St Catherine Of Siena Hospital | 33 | $7,610 | 17% below the national average | $6,473 | $52,325 |
| St Joseph Hospital | 23 | $7,667 | 17% below the national average | $6,515 | $51,003 |
| St Francis Hospital - The Heart Center | 25 | $7,687 | 17% below the national average | $6,326 | $47,037 |
| Mercy Hospital Of Buffalo | 14 | $7,786 | 16% below the national average | $6,136 | $14,940 |
| Mount St. Mary's Hospital & Health Center | 14 | $7,798 | 15% below the national average | $6,632 | $12,953 |
| Auburn Community Hospital | 12 | $7,846 | 15% below the national average | $6,622 | $18,394 |
| St Peter's Hospital | 29 | $7,846 | 15% below the national average | $6,609 | $23,000 |
| Glens Falls Hospital | 15 | $7,898 | 14% below the national average | $6,594 | $27,587 |
| White Plains Hospital Center | 42 | $7,935 | 14% below the national average | $6,575 | $48,757 |
| Saratoga Hospital | 13 | $8,076 | 12% below the national average | $6,654 | $32,774 |
| New York Community Hospital Of Brooklyn, Inc. | 19 | $8,109 | 12% below the national average | $6,822 | $43,491 |
| Montefiore St Luke's Cornwall | 14 | $8,157 | 11% below the national average | $6,761 | $78,120 |
| Nyack Hospital | 19 | $8,196 | 11% below the national average | $6,907 | $63,735 |
| Guthrie Cortland Regional Medical Center | 12 | $8,207 | 11% below the national average | $6,967 | $18,512 |
| Samaritan Hospital Of Troy, New York | 16 | $8,320 | About average | $7,109 | $21,389 |
| Plainview Hospital | 19 | $8,568 | About average | $6,240 | $48,338 |
| Long Island Community Hospital | 19 | $8,616 | About average | $7,504 | $75,373 |
| St Joseph's Hospital Health Center | 26 | $8,616 | About average | $6,572 | $21,088 |
| Crouse Hospital | 13 | $8,753 | About average | $6,515 | $17,324 |
| Wynn Hospital | 17 | $8,866 | About average | $7,135 | $36,933 |
| Unity Hospital | 29 | $8,887 | About average | $7,450 | $17,464 |
| Good Samaritan Hospital Of Suffern | 18 | $8,964 | About average | $6,713 | $82,910 |
| Huntington Hospital | 35 | $9,081 | About average | $5,327 | $48,231 |
| Good Samaritan Hospital Medical Center | 33 | $9,130 | About average | $7,089 | $48,618 |
| Mercy Medical Center | 22 | $9,143 | About average | $6,623 | $58,455 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 13 | $9,228 | About average | $7,762 | $23,738 |
| St Charles Hospital | 17 | $9,263 | About average | $6,916 | $41,473 |
| The University Of Vermont Health Network - Champl | 11 | $9,357 | About average | $7,708 | $35,501 |
| HealthAlliance Hospital Marys Avenue Campus | 20 | $9,407 | About average | $6,709 | $101,728 |
| Peconic Bay Medical Center | 29 | $9,827 | About average | $7,777 | $62,534 |
| Highland Hospital | 20 | $9,919 | About average | $6,103 | $19,294 |
| Southside Hospital | 25 | $9,949 | About average | $7,452 | $58,291 |
| St John's Riverside Hospital | 19 | $10,025 | About average | $8,240 | $45,299 |
| Mount Sinai South Nassau | 24 | $10,035 | About average | $7,221 | $67,923 |
| Vassar Brothers Medical Center | 37 | $10,077 | About average | $8,204 | $26,235 |
| New York-Presbyterian/Queens | 33 | $10,105 | About average | $8,143 | $51,464 |
| Rochester General Hospital | 11 | $10,393 | 13% above the national average | $7,462 | $18,055 |
| Albany Medical Center Hospital | 11 | $10,429 | 13% above the national average | $8,051 | $29,196 |
| Bassett Healthcare | 12 | $10,491 | 14% above the national average | $8,557 | $19,947 |
| Garnet Health Medical Center | 41 | $10,623 | 15% above the national average | $7,550 | $61,578 |
| Kaleida Health | 30 | $10,713 | 16% above the national average | $6,730 | $31,608 |
| University Hospital S U N Y Health Science Center | 37 | $11,052 | 20% above the national average | $8,566 | $66,978 |
| Staten Island University Hospital | 43 | $11,262 | 22% above the national average | $8,780 | $48,129 |
| Westchester Medical Center | 23 | $11,268 | 22% above the national average | $8,955 | $152,448 |
| Sisters Of Charity Hospital | 14 | $11,367 | 23% above the national average | $7,217 | $20,134 |
| Mount Sinai Beth Israel | 20 | $11,663 | 27% above the national average | $8,570 | $69,988 |
| Long Island Jewish Medical Center | 57 | $11,698 | 27% above the national average | $8,113 | $81,177 |
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 | $7,909 | $33K |
| 2021 | $8,120 | $35K |
| 2022 | $8,424 | $39K |
| 2023 | $8,706 | $41K |
| 2024 | $9,215 | $43K |
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 |
|---|---|---|---|---|
| Vermont | 3 | 43 | $6,128 | $5,881–$6,340 |
| Kentucky | 14 | 322 | $6,906 | $6,404–$7,085 |
| Iowa | 9 | 156 | $7,037 | $6,311–$7,024 |
| Arkansas | 14 | 235 | $7,060 | $6,488–$7,072 |
| Mississippi | 14 | 275 | $7,165 | $6,504–$7,318 |
| Indiana | 27 | 595 | $7,481 | $6,967–$7,829 |
| North Dakota | 2 | 52 | $7,531 | $7,463–$7,588 |
| Louisiana | 15 | 282 | $7,553 | $6,275–$7,971 |
| Kansas | 10 | 199 | $7,706 | $7,017–$7,879 |
| West Virginia | 10 | 181 | $7,707 | $6,537–$7,833 |
| Alabama | 19 | 403 | $7,795 | $6,706–$7,655 |
| Tennessee | 26 | 528 | $7,830 | $6,576–$8,023 |
| Ohio | 56 | 1,135 | $7,869 | $6,702–$8,424 |
| Idaho | 4 | 73 | $7,953 | $7,641–$8,067 |
| Montana | 4 | 60 | $7,994 | $7,132–$8,104 |
| Oklahoma | 18 | 330 | $8,043 | $6,735–$8,188 |
| Virginia | 30 | 762 | $8,076 | $7,204–$8,232 |
| South Carolina | 23 | 492 | $8,083 | $7,025–$8,828 |
| Missouri | 24 | 532 | $8,112 | $6,787–$8,784 |
| Florida | 100 | 2,501 | $8,131 | $7,131–$8,820 |
| Nebraska | 6 | 115 | $8,166 | $7,143–$8,665 |
| Michigan | 40 | 888 | $8,254 | $7,451–$8,455 |
| New Hampshire | 7 | 118 | $8,299 | $7,023–$8,269 |
| South Dakota | 3 | 77 | $8,432 | $7,857–$8,672 |
| Pennsylvania | 61 | 1,240 | $8,433 | $7,015–$8,766 |
| Delaware | 3 | 155 | $8,549 | $7,886–$8,689 |
| North Carolina | 37 | 869 | $8,562 | $7,241–$8,780 |
| Colorado | 5 | 85 | $8,587 | $7,431–$9,825 |
| Arizona | 21 | 367 | $8,728 | $7,525–$9,143 |
| Minnesota | 15 | 325 | $8,764 | $7,308–$8,694 |
| Wisconsin | 11 | 224 | $8,784 | $7,073–$8,801 |
| Illinois | 55 | 1,279 | $8,823 | $7,322–$9,050 |
| New Mexico | 6 | 105 | $8,922 | $7,435–$10,581 |
| Utah | 5 | 86 | $9,022 | $7,240–$9,928 |
| Nevada | 13 | 289 | $9,042 | $8,249–$9,822 |
| Wyoming | 3 | 55 | $9,132 | $8,582–$9,334 |
| Massachusetts | 38 | 1,214 | $9,171 | $7,665–$9,904 |
| Washington | 17 | 299 | $9,196 | $8,006–$9,196 |
| Oregon | 9 | 143 | $9,458 | $9,007–$9,400 |
| New Jersey | 45 | 1,138 | $9,470 | $8,266–$10,939 |
| Georgia | 36 | 644 | $9,886 | $8,070–$9,927 |
| Connecticut | 14 | 286 | $10,029 | $8,441–$10,420 |
| Texas | 82 | 1,784 | $10,213 | $7,650–$9,297 |
| Alaska | 2 | 39 | $10,558 | $9,625–$10,901 |
| Rhode Island | 3 | 81 | $10,631 | $9,354–$11,079 |
| Hawaii | 2 | 38 | $10,664 | $10,621–$11,164 |
| Maine | 3 | 60 | $10,840 | $9,158–$12,426 |
| California | 114 | 2,288 | $11,262 | $9,532–$11,921 |
| Maryland | 34 | 883 | $12,104 | $10,315–$12,977 |
| New York | 76 | 1,906 | $12,304 | $8,604–$13,565 |
| District of Columbia | 5 | 81 | $12,314 | $10,964–$15,871 |
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.