facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in New York: 11 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in New York

What 11 hospitals in New York charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $229,966 Hospital list price billed
Average payment $52,442 Medicare + patient + other payers
Medicare paid $42,783 Average per stay
State rank #29 of 36 1 = lowest average payment

Hospitals in New York billed an average of $229,966 for coronary bypass with cardiac catheterization or open ablation without major complications, about 4.4 times the average total payment of $52,442. That payment is 14% above the U.S. average of $45,866.

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 $52,442Billed $229,966

About 23¢ 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 without 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
St Francis Hospital, RoslynRoslyn 80 $248,362 $44,519 $38,857
St Joseph's Hospital Health CenterSyracuse 28 $131,224 $49,642 $39,216
North Shore University HospitalManhasset 26 $345,868 $67,937 $48,487
Buffalo General HospitalBuffalo 25 $176,596 $49,625 $41,276
Good Samaritan Hospital Medical CenterWest Islip 23 $280,641 $52,596 $38,111
University HospitalStony Brook 23 $316,346 $66,939 $55,749
St Peter's HospitalAlbany 19 $172,232 $48,190 $38,671
Staten Island University HospitalStaten Island 15 $265,934 $56,472 $53,596
Rochester General HospitalRochester 13 $102,826 $52,714 $40,525
Vassar Brothers Medical CenterPoughkeepsie 12 $127,912 $61,992 $44,614
Southside HospitalBay Shore 12 $221,338 $47,866 $45,762
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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$44,519
Southside HospitalBay Shore, NY$47,866
St Peter's HospitalAlbany, NY$48,190
Buffalo General HospitalBuffalo, NY$49,625
St Joseph's Hospital Health CenterSyracuse, NY$49,642

Highest

North Shore University HospitalManhasset, NY$67,937
University HospitalStony Brook, NY$66,939
Vassar Brothers Medical CenterPoughkeepsie, NY$61,992
Staten Island University HospitalStaten Island, NY$56,472
Rochester General HospitalRochester, NY$52,714

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in New York?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 11 hospitals in New York was billed at $229,966 on average, while the average total payment was $52,442, of which Medicare paid $42,783. 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.