facebook tracking Permanent cardiac pacemaker implant with major complications cost in New York: 24 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in New York

What 24 hospitals in New York charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $201,663 Hospital list price billed
Average payment $40,117 Medicare + patient + other payers
Medicare paid $35,351 Average per stay
State rank #40 of 41 1 = lowest average payment

Hospitals in New York billed an average of $201,663 for permanent cardiac pacemaker implant with major complications, about 5.0 times the average total payment of $40,117. That payment is 31% above the U.S. average of $30,574.

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 $40,117Billed $201,663

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

New York hospitals: permanent cardiac pacemaker implant with 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
NYU Hospitals CenterNew York 56 $306,098 $42,984 $39,019
New York-Presbyterian HospitalNew York 52 $336,230 $58,901 $46,863
St Francis Hospital, RoslynRoslyn 46 $182,226 $30,342 $26,718
University HospitalStony Brook 31 $225,442 $44,193 $37,646
St Peter's HospitalAlbany 24 $77,358 $33,137 $26,552
Maimonides Medical CenterBrooklyn 24 $174,551 $52,399 $46,332
Vassar Brothers Medical CenterPoughkeepsie 22 $106,976 $35,623 $32,865
Albany Medical Center HospitalAlbany 21 $116,510 $36,494 $34,337
Huntington HospitalHuntington 21 $154,324 $29,486 $28,067
North Shore University HospitalManhasset 19 $184,400 $37,565 $34,540
Buffalo General HospitalBuffalo 17 $75,679 $35,640 $33,056
Mount Sinai HospitalNew York 17 $178,530 $48,685 $42,419
Mount Sinai WestNew York 15 $341,466 $48,670 $44,081
Good Samaritan Hospital of SuffernSuffern 15 $340,572 $30,467 $29,488
Long Island Jewish Medical CenterNew Hyde Park 15 $191,339 $35,168 $32,411
Strong Memorial HospitalRochester 15 $71,096 $42,780 $36,771
White Plains Hospital CtrWhite Plains 15 $135,754 $36,995 $26,430
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 13 $97,105 $35,380 $34,112
Good Samaritan Hospital Medical CenterWest Islip 13 $193,507 $31,359 $29,811
Southside HospitalBay Shore 11 $232,450 $31,813 $29,920
New York Hospital Medical Center of QueensNew York 11 $167,172 $37,114 $34,352
Mary Imogene Bassett HospitalCooperstown 11 $59,991 $38,257 $36,150
South Nassau Communities HospitalOceanside 11 $304,978 $33,573 $30,716
University Hospital S U N Y Health Science CenterSyracuse 11 $158,286 $33,360 $30,568
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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

Huntington HospitalHuntington, NY$29,486
St Francis Hospital, RoslynRoslyn, NY$30,342
Good Samaritan Hospital of SuffernSuffern, NY$30,467
Good Samaritan Hospital Medical CenterWest Islip, NY$31,359
Southside HospitalBay Shore, NY$31,813

Highest

New York-Presbyterian HospitalNew York, NY$58,901
Maimonides Medical CenterBrooklyn, NY$52,399
Mount Sinai HospitalNew York, NY$48,685
Mount Sinai WestNew York, NY$48,670
University HospitalStony Brook, NY$44,193

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in New York?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 24 hospitals in New York was billed at $201,663 on average, while the average total payment was $40,117, of which Medicare paid $35,351. 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.