Other Circulatory System O.r. Procedures in New York
MS-DRG 264: Other circulatory system o.r. procedures
$242,583typical hospital bill
$44,704typical amount paid
$29,698–$62,154range paid across 16 hospitals
New York hospitals billed Medicare a typical $242,583 for this stay in 2024, about 5.4 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Good Samaritan Hospital Medical Center | West Islip | 23 | $231,622 | $29,698 | – | – | |
| St Francis Hospital - the Heart Center | Roslyn | 20 | $135,880 | $30,263 | – | $68,262$21,577–$130,287 · 55 plans | |
| Ns/Lij Hs Southside Hospital | Bay Shore | 28 | $245,242 | $34,441 | – | – | |
| Westchester Medical Center | Valhalla | 14 | $239,925 | $36,263 | – | – | |
| Staten Island University Hospital | Staten Island | 36 | $180,085 | $38,915 | – | – | |
| Vassar Brothers Medical Center | Poughkeepsie | 12 | $150,343 | $40,889 | – | – | |
| Garnet Health Medical Center | Middletown | 12 | $219,831 | $42,487 | – | – | |
| Kaleida Health | Buffalo | 13 | $115,547 | $43,434 | – | – | |
| Nyu Langone Hospitals | New York | 38 | $304,412 | $45,975 | – | – | |
| Mount Sinai West | New York | 15 | $274,585 | $46,230 | – | – | |
| Mount Sinai Hospital | New York | 36 | $175,729 | $47,996 | – | – | |
| North Shore University Hospital | Manhasset | 28 | $339,542 | $48,765 | – | – | |
| Suny/Stony Brook University Hospital | Stony Brook | 31 | $320,101 | $51,863 | – | – | |
| Long Island Jewish Medical Center | New Hyde Park | 15 | $318,075 | $52,798 | – | – | |
| Montefiore Medical Center | Bronx | 24 | $370,729 | $54,721 | – | – | |
| New York-Presbyterian Hospital | New York | 71 | $360,195 | $62,154 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.