facebook tracking Other cardiothoracic procedures without major complications cost in New York: 12 hospitals compared (DRG 229)

Other cardiothoracic procedures without major complications in New York

What 12 hospitals in New York charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.

DRG 229 Inpatient 2024 Medicare data
Average charge $186,833 Hospital list price billed
Average payment $36,633 Medicare + patient + other payers
Medicare paid $33,352 Average per stay
State rank #24 of 26 1 = lowest average payment

Hospitals in New York billed an average of $186,833 for other cardiothoracic procedures without major complications, about 5.1 times the average total payment of $36,633. That payment is 22% above the U.S. average of $29,975.

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 $36,633Billed $186,833

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: other cardiothoracic procedures 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 Francis Hospital, RoslynRoslyn 44 $210,389 $27,773 $26,516
Staten Island University HospitalStaten Island 40 $199,963 $40,419 $38,459
NYU Hospitals CenterNew York 35 $309,168 $43,752 $38,441
North Shore University HospitalManhasset 31 $170,694 $35,265 $32,580
University HospitalStony Brook 28 $178,056 $38,786 $35,720
Mount Sinai HospitalNew York 27 $132,192 $46,097 $35,869
New York-Presbyterian HospitalNew York 25 $208,583 $41,449 $38,351
St Joseph's Hospital Health CenterSyracuse 21 $92,847 $28,020 $26,362
Garnet Health Medical CenterGoshen 17 $154,321 $31,274 $29,158
Lenox Hill HospitalNew York 12 $182,005 $33,758 $31,464
Crouse HospitalSyracuse 12 $40,048 $28,194 $26,593
Long Island Jewish Medical CenterNew Hyde Park 11 $203,187 $36,913 $33,814
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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

St Francis Hospital, RoslynRoslyn, NY$27,773
St Joseph's Hospital Health CenterSyracuse, NY$28,020
Crouse HospitalSyracuse, NY$28,194
Garnet Health Medical CenterGoshen, NY$31,274
Lenox Hill HospitalNew York, NY$33,758

Highest

Mount Sinai HospitalNew York, NY$46,097
NYU Hospitals CenterNew York, NY$43,752
New York-Presbyterian HospitalNew York, NY$41,449
Staten Island University HospitalStaten Island, NY$40,419
University HospitalStony Brook, NY$38,786

Other cardiothoracic procedures without major complications in other states

Questions

How much does other cardiothoracic procedures without major complications cost in New York?

In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 12 hospitals in New York was billed at $186,833 on average, while the average total payment was $36,633, of which Medicare paid $33,352. 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 5.1 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.