The Price of Medicare Procedures in New York



This table shows the 100 most frequently charged procedures/diagnosis in New York to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 New-York 1458 $19866 $6537 $13329
Acute Myocardial Infarction Discharged Alive With Complications
 New-York 2807 $30351 $10049 $20302
Acute Myocardial Infarction Discharged Alive With Major Complications
 New-York 4723 $46975 $15936 $31039
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 New-York 3684 $14817 $6759 $8058
Atherosclerosis No Major Complications
 New-York 2734 $15244 $5248 $9996
Back And Neck Proc Exc Spinal Fusion No Complications
 New-York 1288 $26629 $9363 $17266
Bronchitis And Asthma No Complications
 New-York 1564 $16914 $6056 $10858
Bronchitis And Asthma With Complications
 New-York 2276 $23060 $8106 $14954
Cardiac Arrhythmia And Conduction Disorders No Complications
 New-York 7144 $15604 $4970 $10634
Cardiac Arrhythmia And Conduction Disorders With Complications
 New-York 6213 $23294 $7529 $15765
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 New-York 3657 $34476 $11180 $23296
Cellulitis No Major Complications
 New-York 10223 $21478 $7332 $14146
Cellulitis With Major Complications
 New-York 1389 $41293 $13424 $27869
Cervical Spinal Fusion No Complications
 New-York 627 $44209 $16866 $27343
Chest Pain
 New-York 12783 $14157 $5139 $9018
Chronic Obstructive Pulmonary Disease No Complications
 New-York 6575 $16960 $6071 $10889
Chronic Obstructive Pulmonary Disease With Complications
 New-York 8435 $23006 $8094 $14912
Chronic Obstructive Pulmonary Disease With Major Complications
 New-York 8132 $30592 $10189 $20403
Circulatory Disorders Except Ami With Card Cath No Major Complications
 New-York 5991 $32361 $10032 $22329
Circulatory Disorders Except Ami With Card Cath With Major Complications
 New-York 1194 $63432 $20246 $43186
Cranial And Peripheral Nerve Disorders No Major Complications
 New-York 1533 $26465 $8210 $18255
Degenerative Nervous System Disorders No Major Complications
 New-York 3105 $28514 $9062 $19452
Diabetes With Complications
 New-York 3865 $22558 $8117 $14441
Disorders Of Pancreas Except Malignancy With Complications
 New-York 656 $30605 $9117 $21488
Dysequilibrium
 New-York 2894 $17870 $5966 $11904
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 New-York 17337 $18657 $6367 $12290
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 New-York 2599 $31584 $11035 $20549
Extracranial Procedures No Complications
 New-York 1336 $21832 $7978 $13854
Fractures Of Hip And Pelvis No Major Complications
 New-York 1928 $19845 $5974 $13871
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 New-York 2171 $20757 $6412 $14345
Gi Hemorrhage No Complications
 New-York 2564 $19019 $6378 $12641
Gi Hemorrhage With Complications
 New-York 8611 $27960 $8863 $19097
Gi Hemorrhage With Major Complications
 New-York 3186 $50004 $16938 $33066
Gi Obstruction No Complications
 New-York 1897 $18125 $5409 $12716
Gi Obstruction With Complications
 New-York 2448 $25800 $7975 $17825
Heart Failure And Shock No Complications
 New-York 5968 $17442 $5985 $11457
Heart Failure And Shock With Complications
 New-York 13289 $26912 $9027 $17885
Heart Failure And Shock With Major Complications
 New-York 10383 $41343 $13655 $27688
Hip And Femur Procedures Except Major Joint No Complications
 New-York 1135 $37196 $13945 $23251
Hip And Femur Procedures Except Major Joint With Complications
 New-York 4211 $44953 $15635 $29318
Hip And Femur Procedures Except Major Joint With Major Complications
 New-York 924 $80390 $27239 $53151
Hypertension No Major Complications
 New-York 2230 $16793 $6151 $10642
Infectious And Parasitic Diseases Or Procedure With Major Complications
 New-York 2656 $132493 $53759 $78734
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 New-York 2856 $24933 $7235 $17698
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 New-York 5317 $33214 $10434 $22780
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 New-York 3553 $55434 $18455 $36979
Kidney And Urinary Tract Infections No Major Complications
 New-York 12494 $21451 $7039 $14412
Kidney And Urinary Tract Infections With Major Complications
 New-York 3425 $33952 $11059 $22893
Laparoscopic Cholecystectomy No Cde No Complications
 New-York 978 $27953 $10109 $17844
Laparoscopic Cholecystectomy No Cde With Complications
 New-York 761 $44824 $13844 $30980
Major Cardiovasc Procedures No Major Complications
 New-York 1790 $70136 $26875 $43261
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 New-York 1951 $34117 $11269 $22848
Major Joint Replacement Of Lower Extremity No Major Complications
 New-York 19371 $45435 $17088 $28347
Major Joint Replacement Of Lower Extremity With Major Complications
 New-York 770 $86024 $28560 $57464
Major Small And Large Bowel Procedures With Complications
 New-York 2523 $61440 $21855 $39585
Major Small And Large Bowel Procedures With Major Complications
 New-York 2041 $128517 $46905 $81612
Medical Back Problems No Major Complications
 New-York 4811 $23275 $7174 $16101
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 New-York 10655 $18413 $6139 $12274
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 New-York 3714 $31477 $11182 $20295
Other Circulatory System Diagnoses With Complications
 New-York 1124 $27648 $9190 $18458
Other Circulatory System Diagnoses With Major Complications
 New-York 3103 $46800 $17465 $29335
Other Digestive System Diagnoses With Complications
 New-York 3037 $26025 $9109 $16916
Other Kidney And Urinary Tract Diagnoses With Complications
 New-York 1612 $30909 $9956 $20953
Other Kidney And Urinary Tract Diagnoses With Major Complications
 New-York 1131 $46733 $15628 $31105
Other Vascular Procedures No Complications
 New-York 1758 $36373 $14644 $21729
Other Vascular Procedures With Complications
 New-York 2318 $63356 $22153 $41203
Other Vascular Procedures With Major Complications
 New-York 2324 $80222 $30467 $49755
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 New-York 2490 $58102 $17374 $40728
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 New-York 8353 $47696 $18202 $29494
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 New-York 1632 $73126 $29668 $43458
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 New-York 1893 $47572 $16082 $31490
Peripheral Vascular Disorders No Complications
 New-York 1135 $21301 $6211 $15090
Peripheral Vascular Disorders With Complications
 New-York 2770 $28607 $9257 $19350
Permanent Cardiac Pacemaker Implant No Complications
 New-York 2088 $46981 $17542 $29439
Permanent Cardiac Pacemaker Implant With Complications
 New-York 1777 $63474 $22092 $41382
Poisoning And Toxic Effects Of Drugs No Major Complications
 New-York 1744 $16388 $6112 $10276
Poisoning And Toxic Effects Of Drugs With Major Complications
 New-York 522 $43362 $14491 $28871
Psychoses
 New-York 1286 $21451 $7023 $14428
Pulmonary Edema And Respiratory Failure
 New-York 3861 $32228 $10299 $21929
Pulmonary Embolism No Major Complications
 New-York 1301 $29446 $9127 $20319
Red Blood Cell Disorders No Major Complications
 New-York 6952 $21783 $7430 $14353
Red Blood Cell Disorders With Major Complications
 New-York 2083 $36015 $12277 $23738
Renal Failure No Complications
 New-York 1362 $18806 $5953 $12853
Renal Failure With Complications
 New-York 8304 $27774 $9221 $18553
Renal Failure With Major Complications
 New-York 5589 $42946 $15669 $27277
Respiratory Infections And Inflammations With Complications
 New-York 2861 $34266 $11846 $22420
Respiratory Infections And Inflammations With Major Complications
 New-York 2868 $51542 $17543 $33999
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 New-York 2107 $122124 $51777 $70347
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 New-York 3586 $53629 $20887 $32742
Seizures No Major Complications
 New-York 4503 $24411 $7634 $16777
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 New-York 7337 $29226 $9822 $19404
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 New-York 21970 $47466 $17322 $30144
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 New-York 2938 $126634 $59441 $67193
Signs And Symptoms No Major Complications
 New-York 3890 $18747 $6160 $12587
Simple Pneumonia And Pleurisy No Complications
 New-York 4541 $17401 $5941 $11460
Simple Pneumonia And Pleurisy With Complications
 New-York 11362 $24559 $8499 $16060
Simple Pneumonia And Pleurisy With Major Complications
 New-York 6464 $38343 $12503 $25840
Spinal Fusion Except Cervical No Major Complications
 New-York 2175 $74410 $31590 $42820
Syncope And Collapse
 New-York 14784 $19174 $6619 $12555
Transient Ischemia
 New-York 5789 $20693 $6227 $14466


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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