facebook tracking Coronary intravascular lithotripsy with intraluminal device with major complications cost in New York: 4 hospitals compared (DRG 323)

Coronary intravascular lithotripsy with intraluminal device with major complications in New York

What 4 hospitals in New York charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.

DRG 323 Inpatient 2024 Medicare data
Average charge $267,808 Hospital list price billed
Average payment $54,492 Medicare + patient + other payers
Medicare paid $50,222 Average per stay
State rank #12 of 12 1 = lowest average payment

Hospitals in New York billed an average of $267,808 for coronary intravascular lithotripsy with intraluminal device with major complications, about 4.9 times the average total payment of $54,492. That payment is 35% above the U.S. average of $40,408.

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 $54,492Billed $267,808

About 20¢ 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 intravascular lithotripsy with intraluminal device 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 19 $306,162 $51,942 $47,503
NYU Hospitals CenterNew York 17 $423,915 $62,195 $56,716
Mount Sinai HospitalNew York 15 $150,259 $56,574 $52,417
Vassar Brothers Medical CenterPoughkeepsie 12 $132,865 $45,012 $42,583
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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

Vassar Brothers Medical CenterPoughkeepsie, NY$45,012
New York-Presbyterian HospitalNew York, NY$51,942
Mount Sinai HospitalNew York, NY$56,574
NYU Hospitals CenterNew York, NY$62,195

Highest

NYU Hospitals CenterNew York, NY$62,195
Mount Sinai HospitalNew York, NY$56,574
New York-Presbyterian HospitalNew York, NY$51,942
Vassar Brothers Medical CenterPoughkeepsie, NY$45,012

Coronary intravascular lithotripsy with intraluminal device with major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in New York?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 4 hospitals in New York was billed at $267,808 on average, while the average total payment was $54,492, of which Medicare paid $50,222. 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 4.9 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.