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Sepsis (hospital stay) in New York: what insurers pay

Posted commercial rates at 57 New York hospitals, each next to its own Medicare base rate.

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MS-DRG 871

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$14,0930.8×12026-01-01
Ira Davenport Memorial Hospital Bath$14,7460.8×12026-03-27
Arnot Ogden Medical Center Elmira$15,8150.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$15,8150.9×22026-03-27
St Charles Hospital Port Jefferson$16,8881.0×152026-04-01
Corning Hospital Corning$17,0681.0×62026-03-31
Montefiore Medical Center Bronx$17,4881.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$17,6401.0×42026-03-31
Geneva General Hospital Geneva$17,6711.0×32026-08-27
St James Hospital Hornell$17,8921.0×12026-01-01
Schuyler Hospital Montour Falls$18,6131.1×22026-03-27
Highland Hospital Rochester$21,4661.2×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$22,2351.3×32026-04-01
United Memorial Medical Center Batavia$22,3621.3×32026-04-01
Medina Memorial Hospital Medina$22,4561.3×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$22,5201.3×42026-06-17
St Joseph'S Medical Center Yonkers$23,0091.3×32026-07-13
Canton-Potsdam Hospital Potsdam$23,0131.3×32026-04-01
Samaritan Medical Center Watertown$23,0681.3×42026-02-02
Unity Hospital Of Rochester Rochester$24,2811.4×32026-04-01
Unity Specialty Hospital Rochester$24,2811.4×32026-04-01
Nassau University Medical Center East Meadow$24,8251.4×62025-10-28
Rochester General Hospital Rochester$24,9061.4×32026-04-01
Bronxcare Hospital Center Bronx$25,5221.4×72026-05-05
Newark-Wayne Community Hospital Newark$26,0301.5×32026-04-01
St John'S Riverside Hospital Yonkers$26,0721.5×62026-03-27
Nicholas H Noyes Memorial Hospital Dansville$27,3251.6×12026-01-01
Wynn Hospital Utica$29,6681.7×52026-08-07
Flushing Hospital Medical Center Flushing$31,3281.8×82026-03-25
Mount St Mary'S Hospital And Health Center Lewiston$31,6731.8×62026-04-01
Saratoga Hospital Saratoga Springs$31,7231.8×12025-12-31
Glens Falls Hospital Glens Falls$31,8611.8×22025-12-31
Jamaica Hospital Medical Center Jamaica$32,0101.8×82026-03-25
Stony Brook University Hospital Stony Brook$33,0111.9×12026-06-10
Strong Memorial Hospital Rochester$33,1141.9×32026-07-01
Crouse Hospital Syracuse$33,6501.9×42026-05-19
Sisters Of Charity Hospital Buffalo$34,1941.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$34,1941.9×72026-04-01
Columbia Memorial Hospital Hudson$34,7182.0×42025-12-31
South Brooklyn Health Brooklyn$36,3752.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$36,4302.1×82026-09-05
Elmhurst Hospital Center Elmhurst$37,4152.1×82026-09-05
Jacobi Medical Center Bronx$38,1442.2×82026-09-05
Metropolitan Hospital Center New York$38,1442.2×82026-09-05
Queens Hospital Center Jamaica$38,1442.2×82026-09-05
Harlem Hospital Center New York$38,1442.2×82026-09-05
Kings County Hospital Center Brooklyn$38,6322.2×82026-09-05
Bellevue Hospital Center New York$38,6322.2×82026-09-05
Nathan Littauer Hospital Gloversville$39,7422.3×32026-03-04
Samaritan Hospital Troy$53,7143.1×52026-03-31
Maimonides Medical Center Brooklyn$56,5833.2×82026-04-01
Albany Medical Center Hospital Albany$57,7193.3×32025-12-31
Garnet Health Medical Center Middletown$58,4783.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$59,8103.4×92026-01-01
Garnet Health Medical Center Catskills Harris$59,8903.4×82026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$62,9233.6×102026-04-01

MS-DRG 872

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$7,4240.8×12026-01-01
St Joseph'S Hospital Health Center Syracuse$7,7680.8×32026-03-27
Ira Davenport Memorial Hospital Bath$7,7680.8×12026-03-27
Arnot Ogden Medical Center Elmira$8,3320.9×42026-03-27
Guthrie Cortland Regional Medical Center Cortland$8,4420.9×42026-03-31
Montefiore Medical Center Bronx$9,1881.0×22026-04-01
St Charles Hospital Port Jefferson$9,1971.0×152026-04-01
Geneva General Hospital Geneva$9,3091.0×32026-08-27
Corning Hospital Corning$9,4121.0×62026-03-31
St James Hospital Hornell$9,4261.0×12026-01-01
Schuyler Hospital Montour Falls$9,8061.1×22026-03-27
Highland Hospital Rochester$11,4021.2×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$11,7131.3×32026-04-01
United Memorial Medical Center Batavia$11,7801.3×32026-04-01
Niagara Falls Memorial Medical Center Niagara Falls$11,9921.3×42026-06-17
Samaritan Medical Center Watertown$12,1111.3×42026-02-02
St Joseph'S Medical Center Yonkers$12,1211.3×32026-07-13
Canton-Potsdam Hospital Potsdam$12,1231.3×32026-04-01
Medina Memorial Hospital Medina$12,2111.3×22026-07-29
Unity Hospital Of Rochester Rochester$12,7911.4×32026-04-01
Unity Specialty Hospital Rochester$12,7911.4×32026-04-01
Nassau University Medical Center East Meadow$13,0431.4×62025-10-28
Rochester General Hospital Rochester$13,1201.4×32026-04-01
Bronxcare Hospital Center Bronx$13,2581.4×72026-05-05
Newark-Wayne Community Hospital Newark$13,7121.5×32026-04-01
St John'S Riverside Hospital Yonkers$13,8351.5×62026-03-27
Nicholas H Noyes Memorial Hospital Dansville$14,3951.6×12026-01-01
Wynn Hospital Utica$15,8881.7×52026-08-07
Flushing Hospital Medical Center Flushing$16,4621.8×82026-03-25
Saratoga Hospital Saratoga Springs$16,6691.8×12025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$16,6851.8×62026-04-01
Glens Falls Hospital Glens Falls$16,7411.8×22025-12-31
Jamaica Hospital Medical Center Jamaica$16,8201.8×82026-03-25
Strong Memorial Hospital Rochester$17,4441.9×32026-07-01
Sisters Of Charity Hospital Buffalo$18,0141.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$18,0141.9×72026-04-01
Crouse Hospital Syracuse$18,2332.0×42026-05-19
Columbia Memorial Hospital Hudson$18,2422.0×42025-12-31
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$19,1912.1×82026-09-05
South Brooklyn Health Brooklyn$19,1912.1×82026-09-05
Elmhurst Hospital Center Elmhurst$19,7102.1×82026-09-05
Metropolitan Hospital Center New York$20,0942.2×82026-09-05
Queens Hospital Center Jamaica$20,0942.2×82026-09-05
Harlem Hospital Center New York$20,0942.2×82026-09-05
Jacobi Medical Center Bronx$20,3512.2×82026-09-05
Kings County Hospital Center Brooklyn$20,3512.2×82026-09-05
Bellevue Hospital Center New York$20,3512.2×82026-09-05
Nathan Littauer Hospital Gloversville$20,9362.3×32026-03-04
Samaritan Hospital Troy$28,2963.1×52026-03-31
Maimonides Medical Center Brooklyn$29,8083.2×82026-04-01
Albany Medical Center Hospital Albany$30,3293.3×32025-12-31
Garnet Health Medical Center Middletown$30,8063.3×102026-04-01
Garnet Health Medical Center Catskills Harris$31,1113.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$31,5083.4×92026-01-01
Hospital for Special Surgery New York$32,2943.5×32026-04-01
Stony Brook University Hospital Stony Brook$33,0113.6×12026-06-10
Montefiore Mount Vernon Hospital Mount Vernon$33,0603.6×102026-04-01

Questions

How much do insurers pay for sepsis (hospital stay) in New York?

57 New York hospitals post usable commercial rates for sepsis (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 871), the median across 56 hospitals is $30,498, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.