facebook tracking Carotid artery stent procedures with complications cost in New York: 8 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in New York

What 8 hospitals in New York charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $131,108 Hospital list price billed
Average payment $27,636 Medicare + patient + other payers
Medicare paid $23,802 Average per stay
State rank #23 of 23 1 = lowest average payment

Hospitals in New York billed an average of $131,108 for carotid artery stent procedures with complications, about 4.7 times the average total payment of $27,636. That payment is 40% above the U.S. average of $19,727.

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 $27,636Billed $131,108

About 21¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: carotid artery stent procedures with 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 24 $219,487 $35,866 $26,045
St Francis Hospital, RoslynRoslyn 21 $111,828 $22,398 $17,542
New York-Presbyterian HospitalNew York 20 $138,655 $28,647 $25,838
Good Samaritan Hospital Medical CenterWest Islip 20 $130,836 $20,988 $19,513
Buffalo General HospitalBuffalo 18 $85,055 $28,115 $26,046
Mount Sinai HospitalNew York 16 $80,651 $30,638 $28,079
Garnet Health Medical CenterGoshen 16 $78,416 $22,507 $21,115
University HospitalStony Brook 13 $178,612 $31,530 $28,175
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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

Highest

NYU Hospitals CenterNew York, NY$35,866
University HospitalStony Brook, NY$31,530
Mount Sinai HospitalNew York, NY$30,638
New York-Presbyterian HospitalNew York, NY$28,647
Buffalo General HospitalBuffalo, NY$28,115

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in New York?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 8 hospitals in New York was billed at $131,108 on average, while the average total payment was $27,636, of which Medicare paid $23,802. 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 4.7 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.