Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in New York

MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$402,129typical hospital bill

$88,564typical amount paid

$63,165–$120,285range paid across 18 hospitals

New York hospitals billed Medicare a typical $402,129 for this stay in 2024, about 4.5 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
Ns/Lij Hs Southside Hospital	Bay Shore	32	$364,243	$63,165
St Joseph's Hospital Health Center	Syracuse	37	$131,129	$67,518
St Peter's Hospital	Albany	25	$263,207	$68,681
Good Samaritan Hospital Medical Center	West Islip	25	$456,487	$70,447
St Francis Hospital - the Heart Center	Roslyn	29	$422,405	$74,408
White Plains Hospital Center	White Plains	12	$293,773	$74,625
Kaleida Health	Buffalo	17	$234,846	$76,429
Vassar Brothers Medical Center	Poughkeepsie	32	$175,224	$78,256
Strong Memorial Hospital	Rochester	42	$127,798	$85,881
Albany Medical Center Hospital	Albany	26	$240,391	$91,246
North Shore University Hospital	Manhasset	35	$611,888	$91,805
Lenox Hill Hospital	New York	24	$498,713	$93,631
Maimonides Medical Center	Brooklyn	12	$606,067	$101,664
Nyu Langone Hospitals	New York	152	$518,841	$110,246
Mount Sinai Hospital	New York	121	$381,852	$114,361
Westchester Medical Center	Valhalla	13	$947,555	$115,089
New York-Presbyterian Hospital	New York	213	$492,117	$115,987
Montefiore Medical Center	Bronx	19	$576,013	$120,285

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.