facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in New York: 18 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in New York

What 18 hospitals in New York charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $200,740 Hospital list price billed
Average payment $47,834 Medicare + patient + other payers
Medicare paid $41,587 Average per stay
State rank #33 of 35 1 = lowest average payment

Hospitals in New York billed an average of $200,740 for aortic and heart assist procedures except pulsation balloon without major complications, about 4.2 times the average total payment of $47,834. That payment is 21% above the U.S. average of $39,522.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $47,834Billed $200,740

About 24¢ was paid for every $1 hospitals in New York billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:

New York hospitals: aortic and heart assist procedures except pulsation balloon without major complications

Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
NYU Hospitals CenterNew York 50 $506,141 $60,038 $53,483
New York-Presbyterian HospitalNew York 40 $223,352 $54,785 $48,405
St Francis Hospital, RoslynRoslyn 36 $213,524 $40,602 $32,378
St Joseph's Hospital Health CenterSyracuse 30 $95,863 $35,013 $30,259
Albany Medical Center HospitalAlbany 25 $65,132 $43,334 $41,425
St Peter's HospitalAlbany 21 $92,633 $43,577 $30,180
Vassar Brothers Medical CenterPoughkeepsie 20 $122,630 $43,274 $41,420
North Shore University HospitalManhasset 20 $182,609 $43,379 $41,450
Rochester General HospitalRochester 19 $119,802 $40,873 $37,640
Mount Sinai HospitalNew York 18 $97,115 $58,057 $48,619
Good Samaritan Hospital of SuffernSuffern 16 $213,185 $37,071 $35,541
Glens Falls HospitalGlens Falls 15 $84,354 $35,365 $33,951
Buffalo General HospitalBuffalo 14 $201,543 $56,133 $51,503
Staten Island University HospitalStaten Island 14 $192,223 $46,425 $44,522
Mount Sinai WestNew York 13 $149,701 $51,066 $49,340
Lenox Hill HospitalNew York 12 $238,718 $61,907 $34,544
Strong Memorial HospitalRochester 12 $138,009 $59,565 $51,129
Good Samaritan Hospital Medical CenterWest Islip 11 $211,195 $47,687 $32,742
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Lowest and highest payments in New York

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Joseph's Hospital Health CenterSyracuse, NY$35,013
Glens Falls HospitalGlens Falls, NY$35,365
Good Samaritan Hospital of SuffernSuffern, NY$37,071
St Francis Hospital, RoslynRoslyn, NY$40,602
Rochester General HospitalRochester, NY$40,873

Highest

Lenox Hill HospitalNew York, NY$61,907
NYU Hospitals CenterNew York, NY$60,038
Strong Memorial HospitalRochester, NY$59,565
Mount Sinai HospitalNew York, NY$58,057
Buffalo General HospitalBuffalo, NY$56,133

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in New York?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 18 hospitals in New York was billed at $200,740 on average, while the average total payment was $47,834, of which Medicare paid $41,587. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New York, average charges were 4.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.