Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in New York

MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

$485,056typical hospital bill

$112,790typical amount paid

$80,076–$143,803range paid across 8 hospitals

New York hospitals billed Medicare a typical $485,056 for this stay in 2024, about 4.3 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 Joseph's Hospital Health Center	Syracuse	11	$200,119	$80,076
St Francis Hospital - the Heart Center	Roslyn	40	$475,238	$91,487
Lenox Hill Hospital	New York	31	$494,875	$107,074
North Shore University Hospital	Manhasset	26	$571,736	$107,291
Strong Memorial Hospital	Rochester	12	$243,078	$118,290
Nyu Langone Hospitals	New York	28	$626,353	$126,546
Mount Sinai Hospital	New York	58	$458,104	$138,418
New York-Presbyterian Hospital	New York	154	$600,446	$143,803

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.