Major chest procedures with complications in New York
What 24 hospitals in New York charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$147,924
Hospital list price billed
Average payment
$30,842
Medicare + patient + other payers
Medicare paid
$25,383
Average per stay
State rank
#39 of 41
1 = lowest average payment
Hospitals in New York billed an average of $147,924 for major chest procedures with complications, about 4.8 times the average total payment of $30,842. That payment is 21% above the U.S. average of $25,501.
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 $30,842Billed $147,924
About 21¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: major chest procedures with 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 | 169 | $215,377 | $32,454 | $27,986 |
| New York-Presbyterian HospitalNew York | 163 | $139,041 | $33,707 | $27,608 |
| Long Island Jewish Medical CenterNew Hyde Park | 91 | $143,861 | $31,870 | $24,774 |
| Mount Sinai HospitalNew York | 60 | $102,964 | $37,665 | $28,850 |
| University HospitalStony Brook | 49 | $155,491 | $35,044 | $27,222 |
| White Plains Hospital CtrWhite Plains | 34 | $177,618 | $24,482 | $20,433 |
| St Peter's HospitalAlbany | 32 | $64,105 | $23,489 | $18,034 |
| Lenox Hill HospitalNew York | 29 | $132,652 | $31,240 | $25,353 |
| St Francis Hospital, RoslynRoslyn | 29 | $126,144 | $22,492 | $18,760 |
| Montefiore Medical CenterBronx | 27 | $170,760 | $34,016 | $30,375 |
| Albany Medical Center HospitalAlbany | 26 | $50,427 | $30,561 | $22,134 |
| Southside HospitalBay Shore | 23 | $129,970 | $24,809 | $23,157 |
| Staten Island University HospitalStaten Island | 20 | $140,516 | $28,417 | $26,195 |
| Westchester Medical CenterValhalla | 20 | $281,499 | $30,247 | $26,747 |
| Strong Memorial HospitalRochester | 20 | $71,646 | $32,844 | $25,904 |
| Vassar Brothers Medical CenterPoughkeepsie | 17 | $74,700 | $27,485 | $25,397 |
| Huntington HospitalHuntington | 15 | $125,338 | $26,165 | $19,396 |
| Rochester General HospitalRochester | 15 | $70,223 | $26,181 | $22,492 |
| Good Samaritan Hospital of SuffernSuffern | 14 | $233,165 | $21,710 | $20,195 |
| University Hospital S U N Y Health Science CenterSyracuse | 14 | $156,589 | $28,254 | $23,451 |
| Good Samaritan Hospital Medical CenterWest Islip | 14 | $169,722 | $27,083 | $20,096 |
| Northern Westchester HospitalMt Kisco | 13 | $85,926 | $20,619 | $19,099 |
| Mercy HospitalBuffalo | 12 | $64,226 | $21,293 | $19,648 |
| South Nassau Communities HospitalOceanside | 11 | $126,562 | $28,628 | $21,299 |
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
| Northern Westchester HospitalMt Kisco, NY | $20,619 |
|---|---|
| Mercy HospitalBuffalo, NY | $21,293 |
| Good Samaritan Hospital of SuffernSuffern, NY | $21,710 |
| St Francis Hospital, RoslynRoslyn, NY | $22,492 |
| St Peter's HospitalAlbany, NY | $23,489 |
Highest
| Mount Sinai HospitalNew York, NY | $37,665 |
|---|---|
| University HospitalStony Brook, NY | $35,044 |
| Montefiore Medical CenterBronx, NY | $34,016 |
| New York-Presbyterian HospitalNew York, NY | $33,707 |
| Strong Memorial HospitalRochester, NY | $32,844 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in New York?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 24 hospitals in New York was billed at $147,924 on average, while the average total payment was $30,842, of which Medicare paid $25,383. 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 4.8 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.