Cardiac Congenital and Valvular Disorders with Mcc in New York
MS-DRG 306: Cardiac congenital and valvular disorders with mcc
$159,002typical hospital bill
$23,771typical amount paid
$14,395–$37,388range paid across 7 hospitals
New York hospitals billed Medicare a typical $159,002 for this stay in 2024, about 6.7 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 | |
|---|---|---|---|---|---|
| St Francis Hospital - the Heart Center | Roslyn | 16 | $83,951 | $14,395 | |
| North Shore University Hospital | Manhasset | 19 | $159,002 | $19,977 | |
| Nyu Langone Hospitals | New York | 20 | $127,985 | $22,918 | |
| Lenox Hill Hospital | New York | 12 | $180,403 | $23,771 | |
| Mount Sinai Hospital | New York | 42 | $116,124 | $25,079 | |
| New York-Presbyterian Hospital | New York | 21 | $187,043 | $26,295 | |
| Montefiore Medical Center | Bronx | 15 | $303,064 | $37,388 |
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.