facebook tracking Other vascular procedures without complications cost in New York: 6 hospitals compared (DRG 254)

Other vascular procedures without complications in New York

What 6 hospitals in New York charged and were paid for a Medicare hospital stay for other vascular procedures without complications (DRG 254), from 2024 Medicare claims.

DRG 254 Inpatient 2024 Medicare data
Average charge $87,715 Hospital list price billed
Average payment $18,883 Medicare + patient + other payers
Medicare paid $14,762 Average per stay
State rank #10 of 14 1 = lowest average payment

Hospitals in New York billed an average of $87,715 for other vascular procedures without complications, about 4.6 times the average total payment of $18,883. That payment is 15% above the U.S. average of $16,433.

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 $18,883Billed $87,715

About 22¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: other vascular procedures without 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 Joseph's Hospital Health CenterSyracuse 33 $32,052 $17,001 $11,934
New York-Presbyterian HospitalNew York 18 $127,560 $21,816 $19,108
St Francis Hospital, RoslynRoslyn 12 $106,277 $15,019 $13,331
Westchester Medical CenterValhalla 12 $191,911 $20,724 $18,362
Albany Medical Center HospitalAlbany 11 $39,012 $18,425 $16,717
Good Samaritan Hospital Medical CenterWest Islip 11 $104,289 $22,396 $11,809
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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

Other vascular procedures without complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for other vascular procedures without complications (DRG 254) at 6 hospitals in New York was billed at $87,715 on average, while the average total payment was $18,883, of which Medicare paid $14,762. 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.