Endovascular cardiac valve replacement and supplement procedures with major complications in New York
What 23 hospitals in New York charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.
Average charge
$336,462
Hospital list price billed
Average payment
$73,125
Medicare + patient + other payers
Medicare paid
$67,082
Average per stay
State rank
#39 of 42
1 = lowest average payment
Hospitals in New York billed an average of $336,462 for endovascular cardiac valve replacement and supplement procedures with major complications, about 4.6 times the average total payment of $73,125. That payment is 28% above the U.S. average of $57,249.
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 $73,125Billed $336,462
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: endovascular cardiac valve replacement and supplement procedures 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 |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 274 | $465,907 | $79,272 | $73,041 |
| New York-Presbyterian HospitalNew York | 244 | $398,966 | $84,864 | $76,824 |
| Mount Sinai HospitalNew York | 144 | $256,904 | $82,719 | $78,098 |
| St Francis Hospital, RoslynRoslyn | 140 | $423,030 | $60,011 | $52,427 |
| Montefiore Medical CenterBronx | 108 | $396,289 | $84,998 | $76,598 |
| Albany Medical Center HospitalAlbany | 106 | $171,013 | $68,354 | $61,042 |
| Vassar Brothers Medical CenterPoughkeepsie | 94 | $172,082 | $65,127 | $61,942 |
| White Plains Hospital CtrWhite Plains | 85 | $213,677 | $53,113 | $51,654 |
| North Shore University HospitalManhasset | 60 | $475,214 | $81,251 | $71,211 |
| Rochester General HospitalRochester | 43 | $170,092 | $61,437 | $56,472 |
| St Joseph's Hospital Health CenterSyracuse | 42 | $157,178 | $56,133 | $51,505 |
| Buffalo General HospitalBuffalo | 39 | $187,453 | $67,687 | $62,476 |
| Southside HospitalBay Shore | 37 | $295,789 | $56,117 | $54,896 |
| Lenox Hill HospitalNew York | 36 | $396,522 | $82,951 | $72,646 |
| University HospitalStony Brook | 31 | $310,422 | $79,443 | $69,943 |
| Ellis HospitalSchenectady | 30 | $241,209 | $55,378 | $54,039 |
| Westchester Medical CenterValhalla | 21 | $590,938 | $75,559 | $70,547 |
| Good Samaritan Hospital Medical CenterWest Islip | 19 | $316,325 | $52,894 | $51,662 |
| Good Samaritan Hospital of SuffernSuffern | 18 | $365,772 | $54,338 | $53,703 |
| St Peter's HospitalAlbany | 17 | $239,367 | $55,974 | $54,862 |
| Strong Memorial HospitalRochester | 15 | $138,768 | $73,830 | $65,696 |
| Maimonides Medical CenterBrooklyn | 14 | $460,082 | $93,742 | $87,365 |
| United Health Services HospsBinghamton | 12 | $182,904 | $56,374 | $55,754 |
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
| Good Samaritan Hospital Medical CenterWest Islip, NY | $52,894 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $53,113 |
| Good Samaritan Hospital of SuffernSuffern, NY | $54,338 |
| Ellis HospitalSchenectady, NY | $55,378 |
| St Peter's HospitalAlbany, NY | $55,974 |
Highest
| Maimonides Medical CenterBrooklyn, NY | $93,742 |
|---|---|
| Montefiore Medical CenterBronx, NY | $84,998 |
| New York-Presbyterian HospitalNew York, NY | $84,864 |
| Lenox Hill HospitalNew York, NY | $82,951 |
| Mount Sinai HospitalNew York, NY | $82,719 |
Endovascular cardiac valve replacement and supplement procedures with major complications in other states
Questions
How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in New York?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 23 hospitals in New York was billed at $336,462 on average, while the average total payment was $73,125, of which Medicare paid $67,082. 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 4.6 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.