facebook tracking Carotid artery stent procedures without complications cost in New York: 8 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in New York

What 8 hospitals in New York charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $92,699 Hospital list price billed
Average payment $21,136 Medicare + patient + other payers
Medicare paid $16,378 Average per stay
State rank #32 of 33 1 = lowest average payment

Hospitals in New York billed an average of $92,699 for carotid artery stent procedures without complications, about 4.4 times the average total payment of $21,136. That payment is 34% above the U.S. average of $15,778.

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 $21,136Billed $92,699

About 23¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: carotid artery stent procedures without 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
St Francis Hospital, RoslynRoslyn 36 $99,372 $17,154 $13,990
Mount Sinai HospitalNew York 25 $67,539 $26,559 $20,207
Buffalo General HospitalBuffalo 23 $49,750 $20,141 $15,719
NYU Hospitals CenterNew York 20 $194,910 $25,334 $20,042
Good Samaritan Hospital Medical CenterWest Islip 19 $98,902 $18,187 $14,116
Garnet Health Medical CenterGoshen 16 $68,142 $21,894 $15,665
University HospitalStony Brook 13 $101,977 $21,956 $19,695
St Peter's HospitalAlbany 12 $49,937 $19,466 $11,658
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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$17,154
Good Samaritan Hospital Medical CenterWest Islip, NY$18,187
St Peter's HospitalAlbany, NY$19,466
Buffalo General HospitalBuffalo, NY$20,141
Garnet Health Medical CenterGoshen, NY$21,894

Highest

Mount Sinai HospitalNew York, NY$26,559
NYU Hospitals CenterNew York, NY$25,334
University HospitalStony Brook, NY$21,956
Garnet Health Medical CenterGoshen, NY$21,894
Buffalo General HospitalBuffalo, NY$20,141

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in New York?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 8 hospitals in New York was billed at $92,699 on average, while the average total payment was $21,136, of which Medicare paid $16,378. 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 4.4 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.