facebook tracking Other heart assist system implant cost in New York: 2 hospitals compared (DRG 215)

Other heart assist system implant in New York

What 2 hospitals in New York charged and were paid for a Medicare hospital stay for other heart assist system implant (DRG 215), from 2024 Medicare claims.

DRG 215 Inpatient 2024 Medicare data
Average charge $630,141 Hospital list price billed
Average payment $126,920 Medicare + patient + other payers
Medicare paid $121,632 Average per stay
Volume 28 Medicare hospital stays

Hospitals in New York billed an average of $630,141 for other heart assist system implant, about 5.0 times the average total payment of $126,920. That payment is 28% above the U.S. average of $98,781.

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 $126,920Billed $630,141

About 20¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: other heart assist system implant

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 17 $646,698 $149,328 $141,612
St Francis Hospital, RoslynRoslyn 11 $604,552 $92,291 $90,753
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Other heart assist system implant in other states

Questions

How much does other heart assist system implant cost in New York?

In 2024 Medicare data, a hospital stay for other heart assist system implant (DRG 215) at 2 hospitals in New York was billed at $630,141 on average, while the average total payment was $126,920, of which Medicare paid $121,632. 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 5.0 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.