facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in New York: 51 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in New York

What 51 hospitals in New York charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $162,266 Hospital list price billed
Average payment $28,546 Medicare + patient + other payers
Medicare paid $22,495 Average per stay
State rank #44 of 47 1 = lowest average payment

Hospitals in New York billed an average of $162,266 for circulatory disorders except ami, with cardiac catheterization with major complications, about 5.7 times the average total payment of $28,546. That payment is 30% above the U.S. average of $21,968.

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 $28,546Billed $162,266

About 18¢ 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: circulatory disorders except ami, with cardiac catheterization with 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
New York-Presbyterian HospitalNew York 218 $294,007 $41,514 $31,852
St Francis Hospital, RoslynRoslyn 170 $116,843 $20,251 $17,258
NYU Hospitals CenterNew York 135 $264,411 $38,615 $29,474
Mount Sinai HospitalNew York 124 $187,312 $37,319 $27,741
North Shore University HospitalManhasset 109 $230,794 $31,186 $22,682
University HospitalStony Brook 79 $180,210 $31,755 $26,546
Southside HospitalBay Shore 68 $149,678 $23,072 $18,906
St Peter's HospitalAlbany 64 $78,617 $18,959 $16,635
Rochester General HospitalRochester 62 $69,121 $25,503 $21,968
Garnet Health Medical CenterGoshen 60 $95,001 $23,841 $17,967
Vassar Brothers Medical CenterPoughkeepsie 59 $72,314 $24,143 $20,095
Huntington HospitalHuntington 53 $108,050 $21,223 $16,148
Montefiore Medical CenterBronx 51 $314,721 $39,255 $25,195
Long Island Jewish Medical CenterNew Hyde Park 51 $188,562 $31,618 $21,106
Strong Memorial HospitalRochester 51 $99,062 $35,642 $25,801
New York Hospital Medical Center of QueensNew York 44 $184,546 $30,620 $23,909
South Nassau Communities HospitalOceanside 42 $163,998 $22,092 $19,672
Good Samaritan Hospital Medical CenterWest Islip 42 $116,964 $21,517 $16,648
Maimonides Medical CenterBrooklyn 41 $160,842 $35,329 $30,386
St Joseph's Hospital Health CenterSyracuse 35 $52,605 $19,409 $16,207
Westchester Medical CenterValhalla 34 $364,616 $31,738 $27,254
Buffalo General HospitalBuffalo 33 $44,477 $21,710 $17,987
Staten Island University HospitalStaten Island 29 $161,594 $28,893 $21,332
Albany Medical Center HospitalAlbany 28 $107,678 $23,773 $19,849
Peconic Bay Medical CenterRiverhead 26 $105,553 $18,750 $16,939
Northern Westchester HospitalMt Kisco 26 $92,582 $17,897 $16,441
Mercy HospitalBuffalo 21 $45,810 $20,399 $13,830
White Plains Hospital CtrWhite Plains 20 $130,259 $22,375 $16,425
United Health Services HospsBinghamton 20 $41,321 $20,902 $16,929
Mount Sinai WestNew York 19 $203,276 $28,371 $22,833
Good Samaritan Hospital of SuffernSuffern 19 $208,236 $19,138 $18,107
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 19 $163,789 $26,351 $21,869
Healthalliance Hospital Marys Avenue CampusKingston 19 $103,984 $18,455 $16,825
University Hospital S U N Y Health Science CenterSyracuse 19 $164,138 $27,147 $20,458
Brookdale Hospital Medical CenterBrooklyn 18 $83,040 $38,353 $32,633
Crouse HospitalSyracuse 16 $35,857 $19,431 $16,153
Lenox Hill HospitalNew York 15 $239,086 $38,506 $23,772
Mary Imogene Bassett HospitalCooperstown 15 $50,532 $24,667 $22,670
Ellis HospitalSchenectady 14 $68,524 $19,108 $17,087
Unity Hospital of RochesterRochester 14 $44,853 $20,930 $16,906
Cornwall HospitalCornwall 13 $109,433 $20,528 $18,913
Plainview HospitalPlainview 13 $127,393 $21,896 $18,449
Wynn HospitalUtica 12 $77,265 $19,263 $17,240
Kenmore Mercy HospitalBuffalo 12 $36,974 $18,077 $15,349
Saratoga HospitalSaratoga Springs 12 $77,897 $18,887 $17,328
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 12 $76,244 $24,178 $22,618
Mercy Medical CenterRockville Centre 12 $107,165 $19,465 $17,974
St Joseph HospitalBethpage 12 $92,225 $20,175 $12,168
St Catherine of Siena HospitalSmithtown 12 $143,811 $18,411 $17,153
Northern Dutchess HospitalRhinebeck 11 $47,499 $19,419 $17,080
Arnot Ogden Medical CenterElmira 11 $37,985 $24,691 $21,533
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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

New York-Presbyterian HospitalNew York, NY$41,514
Montefiore Medical CenterBronx, NY$39,255
NYU Hospitals CenterNew York, NY$38,615
Lenox Hill HospitalNew York, NY$38,506
Brookdale Hospital Medical CenterBrooklyn, NY$38,353

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in New York?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 51 hospitals in New York was billed at $162,266 on average, while the average total payment was $28,546, of which Medicare paid $22,495. 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 5.7 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.