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Inpatient stay · MS-DRG 974

HIV with major related condition with MCC

In 2024, Medicare and patients paid an average of $46,016 per stay at 23 hospitals. Half of hospitals averaged between $39,905 and $52,334.

National figures, 2024

Average payment per case
$46,016
Typical range (middle half of hospitals)
$39,905–$52,334
Medicare’s share
$38,45084% of the payment
Average billed charge
$220,691
Hospitals reporting
23404 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 9 hospitals
$46,540National $46,016 · New York $46,540
Median hospital
$48,072
Lowest to highest
$34,274–$60,388
Medicare stays
178

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

Medicare payments per case for HIV with major related condition with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Lenox Hill HospitalNew York, NY · CCN 33011912$34,27426% below the national average$31,095$85,656
Nyu Langone HospitalsNew York, NY · CCN 33021416$39,09115% below the national average$33,460$214,052
Mount Sinai Beth IsraelNew York, NY · CCN 33016911$41,34510% below the national average$36,437$200,314
New York-Presbyterian HospitalNew York, NY · CCN 33010139$43,098About average$37,206$316,589
Mount Sinai WestNew York, NY · CCN 33004627$48,072About average$42,456$238,279
Montefiore Medical CenterBronx, NY · CCN 33005926$48,101About average$38,126$379,689
Bronxcare Hospital CenterBronx, NY · CCN 33000922$49,846About average$43,934$70,801
Mount Sinai HospitalNew York, NY · CCN 33002414$57,30525% above the national average$47,147$280,358
Jacobi Medical CenterBronx, NY · CCN 33012711$60,38831% above the national average$42,970$134,615

National trend

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

  • Average payment
  • Average billed charge
2020: 823 stays at 46 hospitals · 2021: 631 stays at 37 hospitals · 2022: 560 stays at 34 hospitals · 2023: 425 stays at 27 hospitals · 2024: 404 stays at 23 hospitals
View data as a table
National average payment and billed charge for HIV with major related condition with MCC
Year of careAverage paymentAverage billed charge
2020$35K$136K
2021$42K$152K
2022$42K$150K
2023$42K$182K
2024$46K$221K

By state, 2024

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

Show all 9 states
Average payment by state for HIV with major related condition with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Delaware121$26,849$26,849–$26,849
Florida347$32,290$27,641–$34,657
Massachusetts112$38,662$38,662–$38,662
Georgia111$41,107$41,107–$41,107
District of Columbia114$41,787$41,787–$41,787
New York9178$46,540$41,345–$49,846
California371$48,697$47,416–$50,049
Maryland223$53,319$52,751–$53,995
Texas227$75,547$75,521–$75,604

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.