facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in New York: 16 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in New York

What 16 hospitals in New York charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $372,989 Hospital list price billed
Average payment $88,301 Medicare + patient + other payers
Medicare paid $70,141 Average per stay
State rank #35 of 38 1 = lowest average payment

Hospitals in New York billed an average of $372,989 for coronary bypass with cardiac catheterization or open ablation with major complications, about 4.2 times the average total payment of $88,301. That payment is 27% above the U.S. average of $69,514.

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 $88,301Billed $372,989

About 24¢ 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: coronary bypass with cardiac catheterization or open ablation 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 60 $607,284 $119,706 $86,498
St Francis Hospital, RoslynRoslyn 56 $297,607 $68,025 $48,973
NYU Hospitals CenterNew York 39 $455,441 $89,627 $70,598
St Joseph's Hospital Health CenterSyracuse 28 $184,421 $73,833 $54,412
St Peter's HospitalAlbany 24 $267,095 $89,268 $57,286
Vassar Brothers Medical CenterPoughkeepsie 20 $182,962 $80,113 $75,581
North Shore University HospitalManhasset 20 $495,822 $89,230 $70,831
Mount Sinai HospitalNew York 17 $441,084 $107,894 $94,096
Staten Island University HospitalStaten Island 15 $341,218 $79,751 $76,262
Albany Medical Center HospitalAlbany 14 $294,207 $104,083 $76,535
Mercy HospitalBuffalo 14 $151,069 $61,660 $59,934
New York Hospital Medical Center of QueensNew York 13 $430,368 $80,875 $77,266
Southside HospitalBay Shore 12 $384,234 $67,607 $65,723
University Hospital S U N Y Health Science CenterSyracuse 12 $434,280 $85,193 $79,721
Strong Memorial HospitalRochester 12 $151,373 $84,821 $68,668
University HospitalStony Brook 12 $430,067 $96,435 $89,295
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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

Mercy HospitalBuffalo, NY$61,660
Southside HospitalBay Shore, NY$67,607
St Francis Hospital, RoslynRoslyn, NY$68,025
St Joseph's Hospital Health CenterSyracuse, NY$73,833
Staten Island University HospitalStaten Island, NY$79,751

Highest

New York-Presbyterian HospitalNew York, NY$119,706
Mount Sinai HospitalNew York, NY$107,894
Albany Medical Center HospitalAlbany, NY$104,083
University HospitalStony Brook, NY$96,435
NYU Hospitals CenterNew York, NY$89,627

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in New York?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 16 hospitals in New York was billed at $372,989 on average, while the average total payment was $88,301, of which Medicare paid $70,141. 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.