Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in New York: what insurers pay
Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.
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MS-DRG 194
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $8,062 | 1.1× | 1 | 2026-04-01 |
| Jamaica Hospital Medical Center Jamaica | $14,526 | 2.0× | 3 | 2026-03-25 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx | $15,102 | 2.1× | 7 | 2026-09-05 |
| South Brooklyn Health Brooklyn | $15,102 | 2.1× | 7 | 2026-09-05 |
| Elmhurst Hospital Center Elmhurst | $15,318 | 2.1× | 7 | 2026-09-05 |
| Jacobi Medical Center Bronx | $15,926 | 2.2× | 7 | 2026-09-05 |
| Maimonides Medical Center Brooklyn | $23,344 | 3.2× | 6 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $25,864 | 3.5× | 7 | 2026-01-01 |
| Stony Brook University Hospital Stony Brook | $33,011 | 4.5× | 1 | 2026-06-10 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $12,956 | 1.1× | 1 | 2026-04-01 |
| Stony Brook University Hospital Stony Brook | $33,011 | 2.8× | 1 | 2026-06-10 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $42,183 | 3.5× | 7 | 2026-01-01 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $6,123 | 1.1× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $20,170 | 3.5× | 7 | 2026-01-01 |
| Stony Brook University Hospital Stony Brook | $33,011 | 5.8× | 1 | 2026-06-10 |
Questions
How much do insurers pay for pneumonia (hospital stay) in New York?
9 New York hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 9 hospitals is $15,318, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.