facebook tracking Coronary intravascular lithotripsy with intraluminal device without major complications cost in New York: 6 hospitals compared (DRG 324)

Coronary intravascular lithotripsy with intraluminal device without major complications in New York

What 6 hospitals in New York charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324), from 2024 Medicare claims.

DRG 324 Inpatient 2024 Medicare data
Average charge $129,049 Hospital list price billed
Average payment $39,513 Medicare + patient + other payers
Medicare paid $32,345 Average per stay
State rank #17 of 17 1 = lowest average payment

Hospitals in New York billed an average of $129,049 for coronary intravascular lithotripsy with intraluminal device without major complications, about 3.3 times the average total payment of $39,513. That payment is 39% above the U.S. average of $28,401.

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 $39,513Billed $129,049

About 31¢ 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 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
Mount Sinai HospitalNew York 82 $85,025 $42,136 $35,360
St Francis Hospital, RoslynRoslyn 20 $181,019 $33,920 $22,266
Vassar Brothers Medical CenterPoughkeepsie 18 $111,850 $31,722 $29,684
New York-Presbyterian HospitalNew York 18 $140,144 $36,941 $34,312
Lenox Hill HospitalNew York 17 $153,647 $42,106 $25,727
NYU Hospitals CenterNew York 11 $334,711 $43,079 $39,558
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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$31,722
St Francis Hospital, RoslynRoslyn, NY$33,920
New York-Presbyterian HospitalNew York, NY$36,941
Lenox Hill HospitalNew York, NY$42,106
Mount Sinai HospitalNew York, NY$42,136

Highest

NYU Hospitals CenterNew York, NY$43,079
Mount Sinai HospitalNew York, NY$42,136
Lenox Hill HospitalNew York, NY$42,106
New York-Presbyterian HospitalNew York, NY$36,941
St Francis Hospital, RoslynRoslyn, NY$33,920

Coronary intravascular lithotripsy with intraluminal device without major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device without major complications cost in New York?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324) at 6 hospitals in New York was billed at $129,049 on average, while the average total payment was $39,513, of which Medicare paid $32,345. 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 3.3 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.