facebook tracking Cardiac defibrillator implant with cardiac catheterization and mcc cost in New York: 3 hospitals compared (DRG 275)

Cardiac defibrillator implant with cardiac catheterization and mcc in New York

What 3 hospitals in New York charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275), from 2024 Medicare claims.

DRG 275 Inpatient 2024 Medicare data
Average charge $581,802 Hospital list price billed
Average payment $104,601 Medicare + patient + other payers
Medicare paid $83,165 Average per stay
State rank #5 of 5 1 = lowest average payment

Hospitals in New York billed an average of $581,802 for cardiac defibrillator implant with cardiac catheterization and mcc, about 5.6 times the average total payment of $104,601. That payment is 45% above the U.S. average of $72,309.

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 $104,601Billed $581,802

About 18¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: cardiac defibrillator implant with cardiac catheterization and mcc

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
St Francis Hospital, RoslynRoslyn 31 $443,979 $83,889 $63,456
New York-Presbyterian HospitalNew York 29 $645,857 $117,617 $99,651
NYU Hospitals CenterNew York 11 $801,338 $128,655 $95,246
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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 Francis Hospital, RoslynRoslyn, NY$83,889
New York-Presbyterian HospitalNew York, NY$117,617
NYU Hospitals CenterNew York, NY$128,655

Highest

NYU Hospitals CenterNew York, NY$128,655
New York-Presbyterian HospitalNew York, NY$117,617
St Francis Hospital, RoslynRoslyn, NY$83,889

Cardiac defibrillator implant with cardiac catheterization and mcc in other states

Questions

How much does cardiac defibrillator implant with cardiac catheterization and mcc cost in New York?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275) at 3 hospitals in New York was billed at $581,802 on average, while the average total payment was $104,601, of which Medicare paid $83,165. 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 5.6 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.