facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in New York: 18 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in New York

What 18 hospitals in New York charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $421,826 Hospital list price billed
Average payment $99,995 Medicare + patient + other payers
Medicare paid $82,402 Average per stay
State rank #35 of 37 1 = lowest average payment

Hospitals in New York billed an average of $421,826 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.2 times the average total payment of $99,995. That payment is 19% above the U.S. average of $83,705.

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 $99,995Billed $421,826

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

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:

DRG 219 $99,995 DRG 219 · this page DRG 220 $55,508 DRG 220 · U.S. average DRG 221 $42,892 DRG 221 · U.S. average

New York hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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
New York-Presbyterian HospitalNew York 213 $492,117 $115,987 $88,125
NYU Hospitals CenterNew York 152 $518,841 $110,246 $89,703
Mount Sinai HospitalNew York 121 $381,852 $114,361 $93,211
Strong Memorial HospitalRochester 42 $127,798 $85,881 $71,041
St Joseph's Hospital Health CenterSyracuse 37 $131,129 $67,518 $61,517
North Shore University HospitalManhasset 35 $611,888 $91,805 $83,666
Vassar Brothers Medical CenterPoughkeepsie 32 $175,224 $78,256 $74,913
Southside HospitalBay Shore 32 $364,243 $63,165 $61,298
St Francis Hospital, RoslynRoslyn 29 $422,405 $74,408 $62,328
Albany Medical Center HospitalAlbany 26 $240,391 $91,246 $67,405
St Peter's HospitalAlbany 25 $263,207 $68,681 $67,350
Good Samaritan Hospital Medical CenterWest Islip 25 $456,487 $70,447 $68,843
Lenox Hill HospitalNew York 24 $498,713 $93,631 $88,474
Montefiore Medical CenterBronx 19 $576,013 $120,285 $91,872
Buffalo General HospitalBuffalo 17 $234,846 $76,429 $65,311
Westchester Medical CenterValhalla 13 $947,555 $115,089 $107,874
Maimonides Medical CenterBrooklyn 12 $606,067 $101,664 $94,133
White Plains Hospital CtrWhite Plains 12 $293,773 $74,625 $54,394
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization: all states All New York hospitals New York hospital finances
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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

Southside HospitalBay Shore, NY$63,165
St Joseph's Hospital Health CenterSyracuse, NY$67,518
St Peter's HospitalAlbany, NY$68,681
Good Samaritan Hospital Medical CenterWest Islip, NY$70,447
St Francis Hospital, RoslynRoslyn, NY$74,408

Highest

Montefiore Medical CenterBronx, NY$120,285
New York-Presbyterian HospitalNew York, NY$115,987
Westchester Medical CenterValhalla, NY$115,089
Mount Sinai HospitalNew York, NY$114,361
NYU Hospitals CenterNew York, NY$110,246

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

California · $110,926 Connecticut · $89,971 Delaware · $100,476 Hawaii · $93,452 Illinois · $89,234 Massachusetts · $92,925 Virginia · $90,582 Washington · $88,089

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in New York?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 18 hospitals in New York was billed at $421,826 on average, while the average total payment was $99,995, of which Medicare paid $82,402. 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.