facebook tracking Coronary bypass without cardiac catheterization without major complications cost in New York: 18 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in New York

What 18 hospitals in New York charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $203,453 Hospital list price billed
Average payment $45,341 Medicare + patient + other payers
Medicare paid $34,186 Average per stay
State rank #39 of 42 1 = lowest average payment

Hospitals in New York billed an average of $203,453 for coronary bypass without cardiac catheterization without major complications, about 4.5 times the average total payment of $45,341. That payment is 20% above the U.S. average of $37,830.

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 $45,341Billed $203,453

About 22¢ 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 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 Joseph's Hospital Health CenterSyracuse 70 $104,834 $40,338 $27,524
Southside HospitalBay Shore 49 $197,931 $40,990 $34,087
St Francis Hospital, RoslynRoslyn 45 $217,940 $41,882 $28,796
St Peter's HospitalAlbany 40 $130,697 $38,332 $30,018
University HospitalStony Brook 37 $218,287 $59,130 $38,270
Good Samaritan Hospital Medical CenterWest Islip 31 $255,911 $44,731 $29,454
Buffalo General HospitalBuffalo 28 $149,586 $40,939 $36,052
North Shore University HospitalManhasset 27 $269,851 $56,051 $36,085
Lenox Hill HospitalNew York 27 $200,289 $40,878 $37,336
Westchester Medical CenterValhalla 24 $542,330 $46,865 $41,674
Mount Sinai HospitalNew York 22 $256,238 $59,885 $47,584
Mercy HospitalBuffalo 17 $83,735 $36,386 $26,594
NYU Hospitals CenterNew York 13 $284,983 $50,035 $41,603
Albany Medical Center HospitalAlbany 12 $158,189 $43,251 $40,468
Montefiore Medical CenterBronx 12 $247,757 $63,445 $40,415
Rochester General HospitalRochester 11 $82,999 $42,884 $35,114
Garnet Health Medical CenterGoshen 11 $296,274 $48,366 $33,558
Mary Imogene Bassett HospitalCooperstown 11 $117,492 $45,270 $42,566
Advertisement

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$36,386
St Peter's HospitalAlbany, NY$38,332
St Joseph's Hospital Health CenterSyracuse, NY$40,338
Lenox Hill HospitalNew York, NY$40,878
Buffalo General HospitalBuffalo, NY$40,939

Highest

Montefiore Medical CenterBronx, NY$63,445
Mount Sinai HospitalNew York, NY$59,885
University HospitalStony Brook, NY$59,130
North Shore University HospitalManhasset, NY$56,051
NYU Hospitals CenterNew York, NY$50,035

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in New York?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 18 hospitals in New York was billed at $203,453 on average, while the average total payment was $45,341, of which Medicare paid $34,186. 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 4.5 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.