Coronary bypass without cardiac catheterization with major complications in New York
What 16 hospitals in New York charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.
Average charge
$306,409
Hospital list price billed
Average payment
$71,499
Medicare + patient + other payers
Medicare paid
$56,600
Average per stay
State rank
#35 of 37
1 = lowest average payment
Hospitals in New York billed an average of $306,409 for coronary bypass without cardiac catheterization with major complications, about 4.3 times the average total payment of $71,499. That payment is 27% above the U.S. average of $56,401.
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 $71,499Billed $306,409
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 without 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 | 100 | $383,217 | $88,227 | $61,755 |
| NYU Hospitals CenterNew York | 70 | $345,159 | $78,989 | $58,185 |
| Mount Sinai HospitalNew York | 40 | $335,013 | $83,907 | $66,798 |
| North Shore University HospitalManhasset | 35 | $429,465 | $68,790 | $57,676 |
| St Joseph's Hospital Health CenterSyracuse | 31 | $123,817 | $52,621 | $46,689 |
| Strong Memorial HospitalRochester | 29 | $141,756 | $60,254 | $50,436 |
| Southside HospitalBay Shore | 27 | $278,183 | $51,118 | $49,610 |
| Lenox Hill HospitalNew York | 25 | $278,965 | $73,771 | $53,216 |
| St Peter's HospitalAlbany | 24 | $185,363 | $48,303 | $46,868 |
| Mount Sinai WestNew York | 23 | $278,155 | $70,874 | $66,723 |
| Vassar Brothers Medical CenterPoughkeepsie | 22 | $131,635 | $58,462 | $54,735 |
| St Francis Hospital, RoslynRoslyn | 22 | $323,226 | $51,333 | $50,035 |
| Albany Medical Center HospitalAlbany | 21 | $186,900 | $77,865 | $48,055 |
| Buffalo General HospitalBuffalo | 14 | $172,717 | $53,999 | $51,480 |
| Westchester Medical CenterValhalla | 13 | $761,656 | $68,406 | $63,004 |
| Montefiore Medical CenterBronx | 11 | $445,700 | $95,061 | $60,364 |
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 Peter's HospitalAlbany, NY | $48,303 |
|---|---|
| Southside HospitalBay Shore, NY | $51,118 |
| St Francis Hospital, RoslynRoslyn, NY | $51,333 |
| St Joseph's Hospital Health CenterSyracuse, NY | $52,621 |
| Buffalo General HospitalBuffalo, NY | $53,999 |
Highest
| Montefiore Medical CenterBronx, NY | $95,061 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $88,227 |
| Mount Sinai HospitalNew York, NY | $83,907 |
| NYU Hospitals CenterNew York, NY | $78,989 |
| Albany Medical Center HospitalAlbany, NY | $77,865 |
Coronary bypass without cardiac catheterization with major complications in other states
Questions
How much does coronary bypass without cardiac catheterization with major complications cost in New York?
In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 16 hospitals in New York was billed at $306,409 on average, while the average total payment was $71,499, of which Medicare paid $56,600. 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 4.3 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.