Other circulatory system operating room procedures in New York
What 16 hospitals in New York charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$267,748
Hospital list price billed
Average payment
$46,601
Medicare + patient + other payers
Medicare paid
$39,413
Average per stay
State rank
#21 of 21
1 = lowest average payment
Hospitals in New York billed an average of $267,748 for other circulatory system operating room procedures, about 5.7 times the average total payment of $46,601. That payment is 31% above the U.S. average of $35,518.
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 $46,601Billed $267,748
About 17¢ was paid for every $1 hospitals in New York billed for this stay.
New York hospitals: other circulatory system operating room procedures
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 | 71 | $360,195 | $62,154 | $53,848 |
| NYU Hospitals CenterNew York | 38 | $304,412 | $45,975 | $38,716 |
| Mount Sinai HospitalNew York | 36 | $175,729 | $47,996 | $38,126 |
| Staten Island University HospitalStaten Island | 36 | $180,085 | $38,915 | $35,559 |
| University HospitalStony Brook | 31 | $320,101 | $51,863 | $43,869 |
| Southside HospitalBay Shore | 28 | $245,242 | $34,441 | $29,693 |
| North Shore University HospitalManhasset | 28 | $339,542 | $48,765 | $37,343 |
| Montefiore Medical CenterBronx | 24 | $370,729 | $54,721 | $44,338 |
| Good Samaritan Hospital Medical CenterWest Islip | 23 | $231,622 | $29,698 | $27,807 |
| St Francis Hospital, RoslynRoslyn | 20 | $135,880 | $30,263 | $24,025 |
| Mount Sinai WestNew York | 15 | $274,585 | $46,230 | $40,214 |
| Long Island Jewish Medical CenterNew Hyde Park | 15 | $318,075 | $52,798 | $43,203 |
| Westchester Medical CenterValhalla | 14 | $239,924 | $36,263 | $32,895 |
| Buffalo General HospitalBuffalo | 13 | $115,547 | $43,434 | $38,435 |
| Vassar Brothers Medical CenterPoughkeepsie | 12 | $150,343 | $40,889 | $36,958 |
| Garnet Health Medical CenterGoshen | 12 | $219,831 | $42,487 | $31,054 |
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 | $29,698 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $30,263 |
| Southside HospitalBay Shore, NY | $34,441 |
| Westchester Medical CenterValhalla, NY | $36,263 |
| Staten Island University HospitalStaten Island, NY | $38,915 |
Highest
| New York-Presbyterian HospitalNew York, NY | $62,154 |
|---|---|
| Montefiore Medical CenterBronx, NY | $54,721 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $52,798 |
| University HospitalStony Brook, NY | $51,863 |
| North Shore University HospitalManhasset, NY | $48,765 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in New York?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 16 hospitals in New York was billed at $267,748 on average, while the average total payment was $46,601, of which Medicare paid $39,413. 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 5.7 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.