Cardiac Congenital and Valvular Disorders Without Mcc in New York
MS-DRG 307: Cardiac congenital and valvular disorders without mcc
$91,062typical hospital bill
$12,784typical amount paid
$12,499–$16,289range paid across 5 hospitals
New York hospitals billed Medicare a typical $91,062 for this stay in 2024, about 7.1 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 | |
|---|---|---|---|---|---|
| New York-Presbyterian Hospital | New York | 26 | $119,735 | $12,499 | |
| Lenox Hill Hospital | New York | 11 | $103,678 | $12,677 | |
| North Shore University Hospital | Manhasset | 14 | $84,567 | $12,784 | |
| Nyu Langone Hospitals | New York | 13 | $91,062 | $13,703 | |
| Mount Sinai Hospital | New York | 31 | $75,902 | $16,289 |
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.